Evidence map›Paper›PMID 34898444›Full record

Trial reportJMIR public health and surveillance2021

Examining the Impact of Question Construction on Reporting of Sexual Identity: Survey Experiment Among Young Adults.

William J Young, Michelle T Bover Manderski, Ollie Ganz, Cristine D Delnevo, Mary Hrywna

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR public health and surveillance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Reactions to a Hypothetical Reduced Nicotine Content Cigarette Policy Among Sexual- and Gender-Minoritized Communities: A Concept Mapping Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  5. Article
  6. Article
  7. Ongoing Refinement and Adaptation are Required to Address Participant Deception in Online Nicotine and Tobacco Research Studies.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

William J YoungCenter for Tobacco Studies, Rutgers Biomedical and Health Sciences, Rutgers University, New Brunswick, NJ, United States.ORCID 0000-0002-8051-6327
Michelle T Bover ManderskiCenter for Tobacco Studies, Rutgers Biomedical and Health Sciences, Rutgers University, New Brunswick, NJ, United States.ORCID 0000-0003-0000-221X
Ollie GanzCenter for Tobacco Studies, Rutgers Biomedical and Health Sciences, Rutgers University, New Brunswick, NJ, United States.ORCID 0000-0002-7933-8463
Cristine D DelnevoCenter for Tobacco Studies, Rutgers Biomedical and Health Sciences, Rutgers University, New Brunswick, NJ, United States.ORCID 0000-0001-9597-4307
Mary HrywnaCenter for Tobacco Studies, Rutgers Biomedical and Health Sciences, Rutgers University, New Brunswick, NJ, United States.ORCID 0000-0002-0717-9598
Rutgers, The State University of New Jersey · US

Funding

Tobacco Industry Marketing CoreU54CA229973 · NCI · UNIVERSITY OF PENNSYLVANIA · PI AUDRAIN-MCGOVERN, JANET E · 2018 to 2022
$18.8M
Cell Phone RDD Sampling to Reach Young Adults for Tobacco Control SurveillanceR01CA149705 · NCI · UNIV OF MED/DENT NJ-SCH OF PUBLIC HEALTH · PI DELNEVO, CRISTINE D, GUNDERSEN, DANIEL ALEXANDER FRANCES · 2010 to 2020
$4.9M
NCI NIH HHS U54 CA229973
6 · The paper itself

Abstract

backgroundCompared with heterosexuals, sexual minorities in the United States experience a higher incidence of negative physical and mental health outcomes. However, a variety of measurement challenges limit researchers' ability to conduct meaningful survey research to understand these disparities. Despite the prevalence of additional identities, many national health surveys only offer respondents 3 substantive options for reporting their sexual identities (straight/heterosexual, gay or lesbian, and bisexual), which could lead to measurement error via misreporting and item nonresponse.

objectiveThis study compared the traditional 3-option approach to measuring sexual identity with an expanded approach that offered respondents 5 additional options.

methodsAn online survey experiment conducted among New Jersey residents between March and June 2021 randomly assigned 1254 young adults (ages 18-21) to answer either the 3-response measure of sexual identity or the expanded item. Response distributions for each measure were compared as were the odds of item nonresponse.

resultsThe expanded version of the question appeared to result in more accurate reporting among some subgroups and induced less item nonresponse; 12% (77/642) of respondents in the expanded version selected a response that was not available in the shorter version. Females answering the expanded item were less likely to identify as gay or lesbian (2.1% [10/467] vs. 6.6% [30/457]). Females and Non-Hispanic Whites were slightly more likely to skip the shorter version than the longer version (1.1% [5/457 for females and 3/264 for Non-Hispanic Whites] vs. 0% [0/467 for females and 0/277 for Non-Hispanic Whites]). About 5% (32/642) of respondents answering the longer item were unsure of their sexual identity (a similar option was not available in the shorter version). Compared with respondents answering the longer version of the question, those answering the shorter version had substantially greater odds of skipping the question altogether (odds ratio 9.57, 95% CI 1.21-75.74; P=.03).

conclusionsResults favor the use of a longer, more detailed approach to measuring sexual identity in epidemiological research. Such a measure will likely allow researchers to produce more accurate estimates of health behaviors and outcomes among sexual minorities.

Indexed as

Sexual and Gender MinoritiesSurveys and QuestionnairesAdolescentBisexualityFemaleHealth BehaviorHumansMaleSexual BehaviorUnited StatesYoung Adultsexual identitysurvey measurementsurvey wording experiment

Identifiers

PMID34898444
PMCPMC8713107
OpenAlexW3193881212

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.