Sex and gender in the US health surveillance system: a call to action

Youth Risk Behavior Survey (YRBS) data have exposed significant sexual orientation disparities in health. Interest in examining the health of transgender youths, whose gender identities or expressions are not fully congruent with their assigned sex at birth, highlights limitations of the YRBS and th...

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Published inAmerican journal of public health (1971) Vol. 104; no. 6; pp. 970 - 976
Main Authors Conron, Kerith J, Landers, Stewart J, Reisner, Sari L, Sell, Randall L
Format Journal Article
LanguageEnglish
Published United States American Public Health Association 01.06.2014
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Abstract Youth Risk Behavior Survey (YRBS) data have exposed significant sexual orientation disparities in health. Interest in examining the health of transgender youths, whose gender identities or expressions are not fully congruent with their assigned sex at birth, highlights limitations of the YRBS and the broader US health surveillance system. In 2009, we conducted the mixed-methods Massachusetts Gender Measures Project to develop and cognitively test measures for adolescent health surveillance surveys. A promising measure of transgender status emerged through this work. Further research is needed to produce accurate measures of assigned sex at birth and several dimensions of gender to further our understanding of determinants of gender disparities in health and enable strategic responses to address them.
AbstractList Youth Risk Behavior Survey (YRBS) data have exposed significant sexual orientation disparities in health. Interest in examining the health of transgender youths, whose gender identities or expressions are not fully congruent with their assigned sex at birth, highlights limitations of the YRBS and the broader US health surveillance system. In 2009, we conducted the mixed-methods Massachusetts Gender Measures Project to develop and cognitively test measures for adolescent health surveillance surveys. A promising measure of transgender status emerged through this work. Further research is needed to produce accurate measures of assigned sex at birth and several dimensions of gender to further our understanding of determinants of gender disparities in health and enable strategic responses to address them.
Youth Risk Behavior Survey (YRBS) data have exposed significant sexual orientation disparities in health. Interest in examining the health of transgender youths, whose gender identities or expressions are not fully congruent with their assigned sex at birth, highlights limitations of the YRBS and the broader US health surveillance system. In 2009, we conducted the mixed-methods Massachusetts Gender Measures Project to develop and cognitively test measures for adolescent health surveillance surveys. A promising measure of transgender status emerged through this work. Further research is needed to produce accurate measures of assigned sex at birth and several dimensions of gender to further our understanding of determinants of gender disparities in health and enable strategic responses to address them.
Author Conron, Kerith J
Sell, Randall L
Landers, Stewart J
Reisner, Sari L
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  organization: Kerith Jane Conron and Sari L. Reisner are with the Center for Population Research in LGBT Health, Fenway Institute, Fenway Health, Boston, MA. Kerith J. Conron is also with the Department of Health Sciences, Northeastern University, Boston. Sari L. Reisner is also with the Department of Epidemiology, Harvard School of Public Health, Boston. Stewart J. Landers is with John Snow Inc, Boston. Randall L. Sell is with the Department of Community Health and Prevention, Drexel University School of Public Health, Philadelphia, PA
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K. J. Conron and S. J. Landers conceptualized the Massachusetts Gender Measures Project. K. J. Conron conducted the field work and analyzed the data. K. J. Conron and R. L. Sell framed the article, and all authors wrote it.
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Snippet Youth Risk Behavior Survey (YRBS) data have exposed significant sexual orientation disparities in health. Interest in examining the health of transgender...
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SubjectTerms Adolescent
Behavior
Children & youth
Commentaries
Epidemiology
Female
Focus groups
Gays & lesbians
Gender
Gender identity
Girls
Health disparities
Health surveillance
Humans
Lesbian/Gay/Bisexual/Transgender Persons
Male
Massachusetts - epidemiology
Polls & surveys
Population
Population Surveillance - methods
Post traumatic stress disorder
Public health
Sexual Behavior - statistics & numerical data
Sexual orientation
Studies
Surveillance
Transgender persons
Transgender Persons - statistics & numerical data
Transsexuality
United States - epidemiology
Womens health
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Title Sex and gender in the US health surveillance system: a call to action
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