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Protocol - Sexual Orientation

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Description

A multi-part question asking participants to describe their sexual orientation. Multiple response options are provided along with an open-ended option.

Specific Instructions

The three dimensions of sexuality—attraction, identity, and behavior—may not correspond to the same orientation.

Identity: A persons core internal sense of their sexuality.

Attraction: A multidimensional concept that includes the gender(s) to which a person is attracted and the strength of this attraction, including whether a person feels attraction at all.

Behavior: A multidimensional concept that includes the gender(s) of sexual partners, specific sexual activities, and frequency of activity.

A person’s sexual orientation does not always align with behavior or attraction. Sexual orientation is useful as basic demographic information.

Availability

Available

Protocol

1a. Which of the following best represents how you think of yourself?

[ ] Gay

[ ] Lesbian

[ ] Straight; that is, not gay or lesbian, etc.

[ ] Bisexual

[ ] None of these describe me, and I’d like to see additional options

Branching logic: If ‘none of these describe me, and I’d like to see additional options’ selected:

1b. Are any of these a closer description of how you think of yourself? 

[ ] Queer

[ ] Polysexual, omnisexual, sapiosexual or pansexual

[ ] Asexual

[ ] Two-spirit

[ ] Have not figured out or are in the process of figuring out your sexuality

[ ] Mostly straight, but sometimes attracted to people of your own sex

[ ] Do not think of yourself as having sexuality

[ ] Do not use labels to identify yourself

[ ] Don’t know the answer

[ ] No, I mean something else (optional free text) __________________

[ ] Prefer not to answer

Personnel and Training Required

None

Equipment Needs

The PhenX Steering Committee acknowledges these questions can be administered in a computerized or noncomputerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire."

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered or interviewer-administered questionnaire

Lifestage

Adult, Senior

Participants

Adults aged 18 and older

Selection Rationale

This protocol was selected because it is both the most up-to-date and in use by the national All of Us research program.

Language

English, Other languages available at source

Standards
StandardNameIDSource
Derived Variables

None

Process and Review

The NIH Sexual and Gender Minority Research Office (SGMRO) reviewed this protocol in August 2023.

  • Added NASEM report reference
  • Removed The Precision Medicine Initiative Cohort Program, Collins, F.S. and Varmus, H., and National Research Council references
  • Updated Specific Instructions
  • Updated Protocol Definition
  • Updated Purpose
  • Updated Keywords

Protocol Name from Source

All of Us Research Program, Participant Provided Information (PPI), 2018

Source

All of Us Research Program Participant Provided Information (PPI) Version: December 17, 2018

General References

National Academies of Sciences, Engineering, and Medicine; Division of Behavioral and Social Sciences and Education; Committee on National Statistics; Committee on Measuring Sex, Gender Identity, and Sexual Orientation. Measuring Sex, Gender Identity, and Sexual Orientation. Becker T, Chin M, Bates N, editors. Washington (DC): National Academies Press (US); 2022 Mar 9. PMID: 35286054.

Perron, T., Kartoz, C., Himelfarb, C., LGBTQ Youth Part 1. National Association of School Nurses, 2017 Mar. 32(2): 106-115.

Perron, T., Kartoz, C., Himelfarb, C. LGBTQ Part 2. National Association of School Nurses. 2017 Mar. 32(2): 116-121.

The GenIUSS Group. (2014). Best Practices for Asking Questions to Identify Transgender and Other Gender Minority Respondents on Population-Based Surveys. J.L. Herman (Ed.). Los Angeles, CA: The Williams Institute.

Protocol ID

11701

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX011701_Sexual_Orientation_Description
PX011701020100 Are any of these a closer description of how more
you think of yourself? show less
N/A
PX011701_Sexual_Orientation_Description_Other
PX011701020200 Are any of these a closer description of how more
you think of yourself? Other show less
N/A
PX011701_Sexual_Orientation_Identity
PX011701010000 Which of the following best represents how more
you think of yourself? show less
N/A
Demographics
Measure Name

Sexual orientation

Release Date

June 4, 2019

Definition

Often defined based on the gender(s) of a person's desired or actual partner(s) relative to their own gender identity.

Purpose

To obtain a person’s self-reported sexual orientation related to who they might be attracted to or partner with.

Keywords

sex assigned at birth, gender, LGBTQ, LGBTQIA, gay, lesbian, bisexual, intersex, asexual, queer

Measure Protocols
Protocol ID Protocol Name
11701 Sexual Orientation
Publications

Ruggiero, C. F., et al. (2024) Perceived Discrimination Among Food Pantry Clients in Massachusetts Preventing Chronic Disease. 2024 September; 21(14): E70. doi: 10.5888/pcd21.240009

Zamarripa, K., et al. (2024) Strengthening the Voices of Hispanic/ Latine Immigrants Managing Chronic Disease: A Mixed Methods Approach to Understanding Perspectives of Health Healthcare. 2024 July; 12(15): 1519. doi: 10.3390/healthcare12151519

Levites Strekalova, Y. A., et al. (2024) Application of the Delphi method to the development of common data elements for social drivers of health: A systematic scoping review. Translational Behavioral Medicine. 2024 June; 14(7): 426-433. doi: 10.1093/tbm/ibae020

Klein, E. G., et al. (2024) A Randomized Clinical Trial of a Quitline Vaping Cessation Intervention: Baseline Characteristics of Young Adult Exclusive E-Cigarette Users Seeking Treatment. International Journal of Environmental Research and Public Health. 2024 June; 21(6): 809. doi: 10.3390/ijerph21060809

Burnett-Bowie, S. A. M., et al. (2024) The American Society for Bone and Mineral Research Task Force on clinical algorithms for fracture risk report. Journal of Bone and Mineral Research. 2024 May; 39(5): 517-530. doi: 10.1093/jbmr/zjae048

Kosyluk, K., et al. (2024) Mental Distress, Label Avoidance, and Use of a Mental Health Chatbot: Results From a US Survey. JMIR Formative Research. 2024 April; 8(17). doi: 10.2196/45959

Hatch, M. A., et al. (2024) PrEP for people who use opioids: A NIDA clinical trials network survey study in Southern US cities where HIV incidence is high. Drug and Alcohol Dependence. 2024 April; 257(9). doi: 10.1016/j.drugalcdep.2024.111133

Bartholomew, T. S., et al. (2024) Project CHARIOT: study protocol for a hybrid type 1 effectiveness-implementation study of comprehensive tele-harm reduction for engagement of people who inject drugs in HIV prevention services Addiction Science & Clinical Practice. 2024 March; 19(1). doi: 10.1186/s13722-024-00447-9

Cleverley, K., et al. (2024) The Toronto Adolescent and Youth Cohort Study: Study Design and Early Data Related to Psychosis Spectrum Symptoms, Functioning, and Suicidality. Biological Psychiatry-Cognitive Neuroscience and Neuroimaging. 2024 March; 9(3): 253-264. doi: 10.1016/j.bpsc.2023.10.011

Chan, N. W., et al. (2022) Social determinants of health data in solid organ transplantation: National data sources and future directions. Am J Transplant. 2022 October; 22(10): 2293-2301. doi: 10.1111/ajt.17096

Pomeroy, A., et al. (2022) Protocol for a Longitudinal Study of the Determinants of Metabolic Syndrome Risk in Young Adults. Translational Journal of the American College of Sports Medicine. 2022 April; 7(2): 8. doi: 10.1249/tjx.0000000000000197

Young Hye, K., et al. (2021) Predicting multilingual effects on executive function and individual connectomes in children: An ABCD study. Proceedings of the National Academy of Sciences of the United States of America. 2021 December; 118(49): 1-11. doi: 10.1073/pnas.2110811118

Purvis, R. S., et al. (2021) Trusted Sources of COVID-19 Vaccine Information among Hesitant Adopters in the United States. Vaccines. 2021 December; 9(12): 1418. doi: 10.3390/vaccines9121418