Sampling bias in Brazilian studies on transgender and gender diverse populations

The Two-Step Measure for Assessing Gender Identity in Surveys

Bibliographic Data

ID5166495
AuthorsAngelo Brandelli Costa (0000-0002-0742-8152, Pontifícia Universidade Católica do Rio Grande do Sul), Letícia De Oliveira Rosa (0000-0002-4510-8918, Pontifícia Universidade Católica do Rio Grande do Sul), Anna Martha Vaitses Fontanari (0000-0002-1457-3884, Universidade Federal do Rio Grande do Sul, Brazil; Western Ontario University, Canada)
Year2022
Volume38
Issue1
Pagese00180420-e00180420
Publication date2022-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00180420
PMID35043883
OpenAlexW4206339246
SCIELO_PIDS0102-311X2022000104001
LanguageEN
Citations received3
References cited29

Correctly recognizing gender identity in population-based surveys is essential to develop effective public health strategies to improve the living conditions of transgender and gender-diverse populations, as well as to adequately collect data on cisgender individuals. This study aims to present the two-step measure as the best strategy for assessing gender identity in Brazilian surveys, thus we performed two separate analyses. Firstly, we conducted a systematic review concerning HIV-related care among Brazilian transgender and gender-diverse populations to assess the strategy used to identify participants' gender identity. Secondly, we re-analyzed data from a recent survey that included Brazilian transgender populations, comparing characteristics and health outcomes from the sample identified by single-item and by the two-step measure. Concerning the systematic review, from 6,585 references, Brazilian research teams published seven articles, and only one study used the two-step measure. Regarding this survey, the two-step measure recognized 567 cisgender and 773 transgender and gender diverse participants among the 1,340 participants who answered the questionnaire, whereas the single-item measure was able to recognize only 540 transgender and gender diverse people. Furthermore, 31 transgender women self-identified as "transgender men" on the single-item measure. Therefore, although scarcely used in Brazil, the two-step measure is a more accurate strategy to recognize gender identity

Diversity (politics) · Gender diversity · Gender identity · Identity (music) · Measure (data warehouse) · Sample (material) · Transgender · Transgender Person · Transgender women · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Sex and Gender in Healthcare

Tools

Open DOIOpen Access