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Sex Roles

, Volume 78, Issue 9–10, pp 606–624 | Cite as

Too Many Boxes, or Not Enough? Preferences for How We Ask About Gender in Cisgender, LGB, and Gender-Diverse Samples

  • Kristin A. Broussard
  • Ruth H. Warner
  • Anna R. D. Pope
Original Article

Abstract

As U.S. society has become more aware of gender identity issues, there has been a push for more inclusive demographic categories that go beyond the traditional gender binary of male/female. In three studies, we assessed the attitudes of U.S. cisgender men and women across sexual orientations (Study 1), heterosexual cisgender men and women (Study 2), cisgender LGB men and women (Study 3), and transgender and gender non-binary individuals across sexual orientations (Study 3) regarding different formats of gender questionnaires. Studies 2 and 3 showed a strong overall preference for the non-binary formats. Across all three studies, preferences for the binary format and objections to the non-binary formats were related to gender-binary beliefs, distinctiveness threat, cisgender and mostly heterosexual male participants, conservative political orientation, and religiosity. These findings suggest that general opposition to utilizing non-binary formats may be influenced by institutionalized binary gender norms and heteronormativity. Across both cisgender and gender-diverse samples, most participants preferred a non-binary gender question format, and gender-diverse individuals overwhelmingly preferred the expanded format. We suggest that those who collect gender data use the expanded format in order to be more inclusive and allow gender-diverse individuals to identify themselves if they choose to do so.

Keywords

Transgender (attitudes toward) Cultural sensitivity Belonging 

Notes

Compliance with Ethical Standards

The authors have no conflicts of interest. These studies were approved by the Institutional Review Board of Saint Louis University and all participants were treated in compliance with APA ethical standards. All participants provided informed consent prior to participation.

Supplementary material

11199_2017_823_MOESM1_ESM.docx (23 kb)
ESM 1 (DOCX 22.9 kb)

References

  1. Abu-Bader, S. H. (2010). Advanced and multivariate statistical methods for social science research with a complete SPSS guide. Chicago: Lyceum Books, Inc..Google Scholar
  2. American Community Survey. (2016). Why we ask: Sex. Retrieved from https://www2.census.gov/programs-surveys/acs/about/qbyqfact/2016/Sex.pdf.
  3. Anglim, J. (2009). Adjusting correlations for reliability: Attenuation formula [Blog post]. Retrieved from https://www.r-bloggers.com/adjusting-correlations-for-reliability-attenuation-formula/.
  4. Antoszewski, B., Kasielska, A., Jędrzejczak, M., & Kruk-Jeromin, J. (2007). Knowledge of and attitude toward transsexualism among college students. Sexuality and Disability, 25, 29–35.  https://doi.org/10.1007/s11195-006-9029-1.
  5. Behavioral Risk Factor Surveillance System. (2015). Retrieved from https://www.cdc.gov/brfss/annual_data/2015/pdf/overview_2015.pdf.
  6. Bell, K. (2015). Facebook's new gender options let you choose anything you want. Mashable. Retrieved from http://mashable.com/2015/02/26/facebooks-new-custom-gender-options/#76D5jJMw_iq5.
  7. Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2009). Introduction to meta-analysis. Hoboken: John Wiley & Sons.CrossRefGoogle Scholar
  8. Bussey, K., & Bandura, A. (1999). Social cognitive theory of gender development and differentiation. Psychological Review, 106, 676–713.  https://doi.org/10.1037/0033-295X.106.4.676.
  9. Cahill, S., & Makadon, H. (2013). Sexual orientation and gender identity data collection in clinical settings and in electronic health records: A key to ending LGBT health disparities. LGBT Health, 1, 34–41.  https://doi.org/10.1089/lgbt.2013.0001.
  10. Cahill, S., Singal, R., Grasso, C., King, D., Mayer, K., Baker, K., … Makadon, H. (2014). Do ask, do tell: High levels of acceptability by patients of routine collection of sexual orientation and gender identity data in four diverse American community health centers. PloS One, 9, e107104.  https://doi.org/10.1371/journal.pone.0107104.
  11. Carroll, L., Güss, D., Hutchinson, K. S., & Gauler, A. A. (2012). How do US students perceive Trans persons? Sex Roles, 67, 516–527.  https://doi.org/10.1007/s11199-012-0193-8.
  12. Centers for Disease Control and Prevention. (2002). HIV-AIDS among U.S. women: Minority and young women at continuing risk. Fact Sheet of the U.S. Center for Disease Control and Prevention, National Center for HIV, STD, and TB Prevention. Atlanta, GA: Author.Google Scholar
  13. Conron, K. J., Scout, & Austin, S. B. (2008). “Everyone has a right to, like, check their box:” Findings on a measure of gender identity from a cognitive testing study with Adolescents. Journal of LGBT Health Research, 4, 1–9.  https://doi.org/10.1080/15574090802412572.
  14. Conron, K. J., Landers, S. J., Reisner, S. L., & Sell, R. L. (2014). Sex and gender in the US health surveillance system: A call to action. American Journal of Public Health, 104, 970–976.  https://doi.org/10.2105/AJPH.2013.301831.
  15. Dargie, E., Blair, K. L., Pukall, C. F., & Coyle, S. M. (2014). Somewhere under the rainbow: Exploring the identities and experiences of trans persons. The Canadian Journal of Human Sexuality, 23, 60–74.  https://doi.org/10.3138/cjhs.2378.
  16. Deutsch, M. B., Green, J., Keatley, J., Mayer, G., Hastings, J., Hall, A. M., … Fennie, K. (2013). Electronic medical records and the transgender patient: Recommendations from the World Professional Association for Transgender Health EMR Working Group. Journal of the American Medical Informatics Association, 20, 700–703.  https://doi.org/10.1136/amiajnl-2012-001472.
  17. Dholakia, U. (2016). How should market researchers ask about gender in surveys? Psychology Today. Retrieved from https://www.psychologytoday.com/blog/the-science-behind-behavior/201609/how-should-market-researchers-ask-about-gender-in-surveys.
  18. Dickey, L. M., Hendricks, M. L., & Bockting, W. O. (2016). Innovations in research with transgender and gender nonconforming people and their communities. Psychology of Sexual Orientation and Gender Diversity, 3, 187–194.  https://doi.org/10.1037/sgd0000158.
  19. Evans, N. J. (2001). The experiences of lesbian, gay, and bisexual youths in university communities. In A. R. D’Augelli & C. Patterson (Eds.), Lesbian, gay and bisexual identities and youth: Psychological perspectives (pp. 181–198). New York: Oxford University Press.Google Scholar
  20. Evans, N. J., & Broido, E. M. (2002). The experiences of lesbian and bisexual women in college residence halls: Implications for addressing homophobia and heterosexism. Journal of Lesbian Studies, 6, 29–42.  https://doi.org/10.1300/J155v06n03_04.
  21. Facebook Diversity. (2015). Message posted to https://www.facebook.com/facebookdiversity/posts/774221582674346.
  22. Ferraro, R. (2014). Facebook introduces custom gender field to allow users to more accurately reflect who they are. GLAAD. Retrieved from http://www.glaad.org/blog/facebook-introduces-custom-gender-field-allow-users-more-accurately-reflect-who-they-are.
  23. Frost, D. M., & Meyer, I. H. (2009). Internalized homophobia and relationship quality among lesbians, gay men, and bisexuals. Journal of Counseling Psychology, 56, 97–109.  https://doi.org/10.1037/a0012844.
  24. Garber, L. (2002). Weaving a wide net: The benefits of integrating campus projects to combat homophobia. Journal of Lesbian Studies, 6, 21–28.  https://doi.org/10.1300/J155v06n03_03.
  25. Gender Identity in U.S. Surveillance Group. (2014). Best practices for asking questions to identify transgender and other gender minority respondents on population-based surveys. Los Angeles: Williams Institute.Google Scholar
  26. Gerhardstein, K. R., & Anderson, V. N. (2010). There’s more than meets the eye: Facial appearance and evaluations of transsexual people. Sex Roles, 62, 361–373.  https://doi.org/10.1007/s11199-010-9746-x.
  27. Griggs, B. (2014). Facebook goes beyond 'male' and 'female' with new gender options. CNN. Retrieved from http://www.cnn.com/2014/02/13/tech/social-media/facebook-gender-custom/.
  28. Harrison, J., Grant, J., & Herman, J. L. (2012). A gender not listed here: Genderqueers, gender rebels, and otherwise in the National Transgender Discrimination Survey. LGBTQ Public Policy Journal at the Harvard Kennedy School, 2, 13–24.Google Scholar
  29. Herek, G. M. (2007). Confronting sexual stigma and prejudice: Theory and practice. Journal of Social Issues, 63, 905–925.  https://doi.org/10.1111/j.1540-4560.2007.00544.x.
  30. Herek, G. M., Gillis, J. R., & Cogan, J. C. (2015). Internalized stigma among sexual minority adults: Insights from a social psychological perspective. Stigma and Health, 1, 18–34.  https://doi.org/10.1037/2376-6972.1.S.18.
  31. Hill, D. B., & Willoughby, B. L. B. (2005). The development and validation of the Genderism and Transphobia Scale. Sex Roles, 53, 531–544.  https://doi.org/10.1007/s11199-005-7140-x.
  32. Institute of Medicine. (2013). Collecting sexual orientation and gender identity data in electronic health records: Workshop summary. Washington: The National Academies Press.Google Scholar
  33. Ivory, B. T. (2005). LGBT students in community college: Characteristics, challenges, and recommendations. New Directions for Student Services, 111, 61–69.  https://doi.org/10.1002/ss.174.
  34. Jaschik, S. (2015). Calling the question. Inside Higher Ed. Retrieved from https://www.insidehighered.com.
  35. Joel, D., Tarrasch, R., Berman, Z., Mukamel, M., & Ziv, E. (2014). Queering gender: Studying gender identity in ‘normative’ individuals. Psychology & Sexuality, 5, 291–321.  https://doi.org/10.1080/19419899.2013.830640.
  36. Kobliha, S. (2015). Don’t ask college applicants about sexual orientation or gender identity. The GW Hatchet. Retrieved from http://blogs.gwhatchet.com/theforum/2015/07/13/dont-ask-college-applicants-about-sexual-orientation-or-gender-identity/.
  37. Kruglanski, A. W., & Webster, D. M. (1996). Motivated closing of the mind: "Seizing" and "freezing." Psychological Review, 103, 263–283.  https://doi.org/10.1037/0033-295X.103.2.263.
  38. Kruglanski, A. W., Pierro, A., Mannetti, L., & De Grada, E. (2006). Groups as epistemic providers: Need for closure and the unfolding of group-centrism. Psychological Review, 113, 84–100.  https://doi.org/10.1037/0033-295X.113.1.84.
  39. McLemore, K. A. (2014). Experiences with misgendering: Identity misclassification of transgender spectrum individuals. Self and Identity, 14, 51–74.  https://doi.org/10.1080/15298868.2014.950691.
  40. Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38–56.  https://doi.org/10.2307/2137286.
  41. Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.  https://doi.org/10.1037/0033-2909.129.5.674.
  42. Miller, K. P., Brewer, M. B., & Arbuckle, N. L. (2009). Social identity complexity: Its correlates and antecedents. Group Processes & Intergroup Relations, 12, 79–94.  https://doi.org/10.1177/1368430208098778.
  43. Monette, D. R., Sullivan, T. J., & DeJong, C. R. (2013). Applied social research: A tool for the human services. Boston: Cengage Learning.Google Scholar
  44. Moscoe, G. B. (2014). Beyond the binary: A proposal for uniform standards for gender identity and more descriptive sex classifications in electronic medical records. Retrieved from Scholar Archive. (Paper 3580) at http://digitalcommons.ohsu.edu/cgi/viewcontent.cgi?article=16727&context=etd.
  45. Nagoshi, J. L., Adams, K. A., Terrell, H. K., Hill, E. D., Brzuzy, S., & Nagoshi, C. T. (2008). Gender differences in correlates of homophobia and transphobia. Sex Roles, 59, 521–531.  https://doi.org/10.1007/s11199-008-9458-7.
  46. National Health Interview Survey (2014). Retrieved from https://www.cdc.gov/nchs/data/series/sr_10/sr10_260.pdf.
  47. Norton, A. T., & Herek, G. M. (2013). Heterosexuals’ attitudes toward transgender people: Findings from a national probability sample of US adults. Sex Roles, 68, 738–753.  https://doi.org/10.1007/s11199-011-0110-6.
  48. Osborne, J. W., & Waters, E. (2002). Four assumptions of multiple regression that researchers should always test. Practical Assessment, Research & Evaluation, 8(2), 1–9. Retrieved from http://ericae.net/pare/getvn.asp?v=8&n=2].
  49. Rankin, S. R. (2004). Campus climate for lesbian, gay, bisexual and transgender people. The Diversity Factor, 12, 18–23.Google Scholar
  50. Reisner, S. L., Conron, K. J., Tardiff, L. A., Jarvi, S., Gordon, A. R., & Austin, S. B. (2014). Monitoring the health of transgender and other gender minority populations: Validity of natal sex and gender identity survey items in a US national cohort of young adults. BMC Public Health, 14, 1–19.  https://doi.org/10.1186/1471-2458-14-1224.
  51. Ridolfo, H., Perez, K., & Miller, K. (2011). Testing of sexual identity and health related questions results of interviews conducted May–July 2005. Retrieved from http://wwwn.cdc.gov/QBANK/report/Ridolfo_NCHS_2011_NCHSSexualityMeasures.pdf.
  52. Roets, A., & Van Hiel, A. (2011). Item selection and validation of a brief, 15-item version of the Need for Closure Scale. Personality and Individual Differences, 50, 90–94.  https://doi.org/10.1016/j.paid.2010.09.004.
  53. Runnels, V., Tudiver, S., Doull, M., & Boscoe, M. (2014). The challenges of including sex/gender analysis in systematic reviews: A qualitative survey. Systematic Reviews, 3, 1–10.  https://doi.org/10.1186/2046-4053-3-33.
  54. Sánchez, F. J., & Vilain, E. (2009). Collective self-esteem as a coping resource for male-to-female transsexuals. Journal of Counseling Psychology, 56, 202–209.  https://doi.org/10.1037/a0014573.
  55. Schmidt, C. K., Miles, J. R., & Welsh, A. C. (2010). Perceived discrimination and social support: The influences on career development and college adjustment of LGBT college students. Journal of Career Development, 38, 293–309.  https://doi.org/10.1177/0894845310372615.
  56. Sell, R. L., & Becker, J. B. (2001). Sexual orientation data collection and progress toward Healthy People 2010. American Journal of Public Health, 91, 876–882.CrossRefPubMedPubMedCentralGoogle Scholar
  57. Sexual Minority Assessment Research Team. (2009). Best practices for asking questions about sexual orientation on surveys. Retrieved from http://williamsinstitute.law.ucla.edu/wp-content/uploads/SMART-FINAL-Nov-2009.pdf.
  58. Stainburn, S. (2013). The gay question: Check one. The New York Times. Retrieved from http://www.nytimes.com/2013/08/04/education/edlife/more-college-applications-ask-about-sexual-identity.html?_r=1.
  59. Tajfel, H., & Turner, J. C. (1979). An integrative theory of intergroup conflict. In W. G. Austin & S. Worchel (Eds.), The social psychology of intergroup relations (pp. 33–47). Monterey: Brooks/Cole.Google Scholar
  60. Tate, C. C., Ledbetter, J. N., & Youssef, C. P. (2013). A two-question method for assessing gender categories in the social and medical sciences. Journal of Sex Research, 50, 767–776.  https://doi.org/10.1080/00224499.2012.690110.
  61. Tate, C. C., Youssef, C. P., & Bettergarcia, J. N. (2014). Integrating the study of transgender spectrum and cisgender experiences of self-categorization from a personality perspective. Review of General Psychology, 18, 302–312.  https://doi.org/10.1037/gpr0000019.
  62. Tebbe, E. N., & Moradi, B. (2012). Anti-transgender prejudice: A structural equation model of associated constructs. Journal of Counseling Psychology, 59, 251–261.  https://doi.org/10.1037/a0026990.
  63. Thompson, H. A. (2016). Patient perspectives on gender identity data collection in electronic health records: An analysis of disclosure, privacy, and access to care. Transgender Health, 1, 205–215.  https://doi.org/10.1089/trgh.2016.0007.
  64. Turner, J. C. (1999). Some current issues in research on social identity and self-categorization theories. In N. Ellemers, R. Spears, & B. Doosje (Eds.), Social identity: Context, commitment, content (pp. 6–34). Oxford: Blackwell.Google Scholar
  65. United States Census Bureau (2017). About age and sex: Frequently asked questions. Retrieved from https://www.census.gov/acs/www/about/why-we-ask-each-question/sex/. Accessed 5 Sept 2017.
  66. Warner, R., Hornsey, M. J., & Jetten, J. (2007). Why minority group members resent impostors. European Journal of Social Psychology, 37, 1–17.  https://doi.org/10.1002/ejsp.332.CrossRefGoogle Scholar
  67. Webster, D. M., & Kruglanski, A. W. (1997). Cognitive and social consequences of the need for cognitive closure. European Review of Social Psychology, 8, 133–173.  https://doi.org/10.1080/14792779643000100.
  68. Westbrook, L., & Saperstein, A. (2015). New categories are not enough rethinking the measurement of sex and gender in social surveys. Gender & Society, 29(4), 534–560.  https://doi.org/10.1177/0891243215584758.
  69. Williams, R. (2014). Facebook's 71 gender options come to UK users. The Telegraph. Retrieved from http://www.telegraph.co.uk/technology/facebook/10930654/Facebooks-71-gender-options-come-to-UK-users.html.
  70. Windmeyer, S. L. (2012). To ask or not to ask: LGBT identity on college admission forms. Huffington Post. Retrieved from http://www.huffingtonpost.com/shane-l-windmeyer/college-admission-forms-sexual-orientation_b_1346593.html.
  71. Wylie, S. A., Corliss, H. L., Boulanger, V., Prokop, L. A., & Austin, S. B. (2010). Socially assigned gender nonconformity: A brief measure for use in surveillance and investigation of health disparities. Sex Roles, 63, 264–276.  https://doi.org/10.1007/s11199-010-9798-y.

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Kristin A. Broussard
    • 1
  • Ruth H. Warner
    • 1
  • Anna R. D. Pope
    • 2
  1. 1.Department of PsychologySaint Louis UniversitySt. LouisUSA
  2. 2.Department of PsychologyThe University of KansasOverland ParkUSA

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