Greta R. Bauer|Jessica Braimoh|Ayden I. Scheim|Christoffer Dharma
Transgender-inclusive measures of sex/gender for population surveys: Mixed-methods evaluation and recommendations
Western University|Western University|Western University|Western University
given estimated 06 us population transgender trans large health disparities population documented government research organizations increasingly expanding measures sexgender trans inclusive options suggested trans community surveys expansive checkallthatapply gender identity lists writein options offer maximum flexibility generally appropriate broad population surveys require limited questions small number categories analysis limited evaluation undertaken transinclusive population survey measures sexgender including currently use using internet survey followup 311 participants cognitive interviews maximumdiversity subsample n 79 conducted mixedmethods evaluation two existing measures twostep question developed united states multidimensional measure developed canada found low levels item missingness indicators confusion part cisgender nontrans participants measures however majority interview participants indicated problems question item set agreement two measures assessment gender identity high k 09081 gender identity poor proxy dimensions sex gender among trans participants issues inform measure development adaptation emerged analysis included dimensions sexgender measured whether nonbinary identities trans indigenous cultural identities proxy reporting temporality concerns inability single item provide valid measure sexgender based evaluation recommend population surveys meant multipurpose analysis consider new multidimensional sexgender measure testing includes three simple items one asked small subgroup assess gender identity lived gender optional additions provide considerations adaptation measure different contexts