PDF(Pubmed)
Abstract：
Many adolescent health surveys ask if respondents are male or female. Non-response may be due to fear of de-anonymisation or being a gender-nonconforming youth. The present study investigates the frequency of non-response and its potential reasons. To this end, data from 54,833 adolescents aged 11-18 from six countries, participating in the 2018 Health Behaviour in School-aged Children (HBSC) study, were analysed. Respondents were divided into three groups: (1) \"Responders\" who answered both questions on age and gender, (2) \"Age non-responders\" who did not answer the question on age, and (3) \"Gender non-responders\" who answered the question on age but not the one on gender. These groups were compared regarding their non-response to other questions and regarding their health. Overall, 98.0% were responders, 1.6% were age non-responders and 0.4% were gender non-responders. On average, age non-responders skipped more questions (4.2 out or 64) than gender non-responders (3.2) and responders (2.1). Gender non-responders reported more psychosomatic complaints, more frequent substance use and lower family support than responders. This study shows that age and gender non-responders differ in their response styles, suggesting different reasons for skipping the gender question. The health disparities found between the groups suggest that further research should use a more nuanced approach, informed by LGBT+ youth\'s insights, to measure sex assigned at birth and gender identity.
摘要：
许多青少年健康调查询问受访者是男性还是女性。不回应可能是由于害怕去匿名化或成为性别不合格的年轻人。本研究调查了无反应的频率及其潜在原因。为此,来自六个国家的54,833名11-18岁青少年的数据，参与2018年学龄儿童健康行为（HBSC）研究，进行了分析。受访者分为三组：（1）回答年龄和性别两个问题的“受访者”，（2）没有回答年龄问题的“年龄无反应者”，和（3）“性别无反应者”，他们回答了年龄问题，但没有回答性别问题。比较了这些小组对其他问题的无反应和健康状况。总的来说,98.0%是响应者，1.6%为年龄无反应者，0.4%为性别无反应者。平均而言,年龄非应答者跳过更多的问题（4.2或64）比性别非应答者（3.2）和应答者（2.1）。无性别反应者报告了更多的心身投诉，与反应者相比，更频繁的药物使用和更低的家庭支持。这项研究表明，年龄和性别无反应者的反应方式不同，建议跳过性别问题的不同原因。发现的群体之间的健康差异表明，进一步的研究应该使用更细致入微的方法，根据LGBT+青年的见解，测量出生时分配的性别和性别认同。
