Comfort with having sexual orientation recorded on official databases among a community and online sample of gay and bisexual men in Aotearoa New Zealand.

IF 1.1 Q4 PRIMARY HEALTH CARE Journal of primary health care Pub Date : 2024-09-01 DOI:10.1071/HC23107
A H Ludlam, H Petousis-Harris, B Arroll, P J W Saxton
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Abstract

Introduction Sexual orientation minorities have worse health outcomes than the heterosexual majority. In 2023, Aotearoa New Zealand (NZ) added sexual and gender identity items to the Census, offering actionable data for improving sexual identity and gender identity (SOGI) community health. However, this also raises questions about individuals' willingness to provide such information to Government and their comfort with data privacy and governance. Methods Using data from gay, bisexual, and other men who have sex with men (GBM) participants of the Gay Auckland Periodic Sex Survey and Gay Men's Online Sex Survey 2014 cross-sectional surveys, the study question examined comfort having their sexual orientation recorded in official databases. A logistic regression model was used to identify independent predictors of comfort, including sociodemographic and behavioural variables. Results Of 3173 participants who completed the question, 63.1% were comfortable with recording sexual orientation. Adjusted odds ratios showed less comfort among those identifying with an 'Other' ethnicity (AOR: 0.64, 95% CI: 0.43-0.96), identifying as bisexual (AOR: 0.45, 95% CI: 0.35-0.56), and those who did not believe their GP to be aware of their sexuality (AOR: 0.32, 95% CI: 0.26-0.40). No sexual behaviours were independently associated with comfort. Discussion The majority of GBM participants reported comfort with having their sexual orientation recorded on official databases, but some are not, and this is patterned by sociodemographic variables. Officials should improve the safety and perceived relevance of sexual orientation data collection efforts to increase their representativeness and utility for sexual minority populations.

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新西兰奥特亚罗瓦男同性恋和双性恋社区及网络样本对官方数据库记录性取向的满意度。
导言:与大多数异性恋者相比,性取向少数群体的健康状况更差。2023 年,新西兰政府在人口普查中增加了性取向和性别认同项目,为改善性取向和性别认同(SOGI)群体的健康状况提供了可操作的数据。然而,这也引发了关于个人是否愿意向政府提供此类信息以及他们对数据隐私和管理是否满意的问题。研究方法:利用奥克兰同性恋定期性调查(Gay Auckland Periodic Sex Survey)和 2014 年男同性恋在线性调查(Gay Men's Online Sex Survey)的男同性恋、双性恋和其他男男性行为者(GBM)参与者的数据,研究问题是他们是否愿意将自己的性取向记录在官方数据库中。研究采用逻辑回归模型来确定舒适度的独立预测因素,包括社会人口学变量和行为变量。结果 在 3173 名填写了问题的参与者中,63.1% 的人对记录性取向感到满意。调整后的几率比表明,那些认为自己是 "其他 "种族的人(AOR:0.64,95% CI:0.43-0.96)、认为自己是双性恋的人(AOR:0.45,95% CI:0.35-0.56)以及认为自己的全科医生不了解自己的性取向的人(AOR:0.32,95% CI:0.26-0.40)对记录性取向感到不自在。没有任何性行为与舒适度独立相关。讨论 大多数 GBM 参与者表示对在官方数据库中记录他们的性取向感到满意,但也有一些人不满意,这与社会人口变量有关。官方应提高性取向数据收集工作的安全性和相关性,以增加其对性取向少数群体的代表性和实用性。
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来源期刊
Journal of primary health care
Journal of primary health care PRIMARY HEALTH CARE-
CiteScore
2.70
自引率
16.70%
发文量
79
审稿时长
28 weeks
期刊最新文献
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