Research Article
No access
Published Online: 11 October 2024

The Longitudinal Measurement of Sexual Orientation and Gender Identity: A Study of Identity Change in a Nationally Representative Sample of U.S. Adults and Adolescents

Publication: LGBT Health
Volume 11, Issue Number 7

Abstract

Purpose: Research and lived experience demonstrate that sexual orientation and gender identity (SOGI) can change over the life course; however, little empirical work exists to understand the prevalence of such changes. To address this gap, we used data from a large nationally representative panel of adults and adolescents to assess changes in self-reported SOGI over time and identify trends by sex assigned at birth, age, race and ethnicity, and survey mode.
Methods: We reviewed SOGI data collected between 2014 and 2022 for a sample of 19,469 adults and 970 adolescents. Up to eight SOGI measurements per panelist were available over the nine-year period, collected through a combination of panel recruitment and demographic refresh surveys and topic-specific surveys.
Results: Among adults older than 18 years, 4.1% reported a change in sexual orientation and 3.6% reported a change in gender identity. Among teens, who are developmentally more apt to change identity, 13.5% reported a change in sexual orientation and 9.3% reported a change in gender identity.
Conclusions: Findings demonstrate that SOGI can change over time, particularly for adolescents, so it is important to re-ask SOGI questions to ensure current information. We recommend re-asking SOGI questions at least every three years of adults and every two years of adolescents. Potential undercounting of sexual and gender minority (SGM) respondents decreases visibility and our ability to understand health and economic disparities affecting these populations. Improvements in SOGI measurement can help advance data quality and, ultimately, evidence-based interventions in support of SGM communities that these data help to inform.

Get full access to this article

View all available purchase options and get full access to this article.

References

1. Katz-Wise, SL. Sexual fluidity in young adult women and men: Associations with sexual orientation and sexual identity development. Psychol Sex 2014;6(2):189–208;
2. Martin CL, Ruble DN. Patterns of gender development. Annu Rev Psychol 2010;61:353–381;
3. Diamond, LM. Sexual Fluidity: Understanding Women's Love and Desire. Harvard University Press: Cambridge, MA; 2008.
4. Mittleman, J. Sexual fluidity: Implications for population research. Demography 2023;60(4):1257–1282;
5. Lorber J. Believing is seeing: Biology as ideology. Gend Soc 1993;7(4):568–581;
6. Fausto-Sterling A. Myths of Gender: Biological Theories About Women and Men. Basic Books: New York, NY; 1985.
7. Davis G. Contesting Intersex: The Dubious Diagnosis. New York University Press: New York, NY; 2015.
8. West C, Zimmerman D. Doing gender. Gend Soc 1987;1(2);125–151;
9. National Academies of Sciences, Engineering, and Medicine. Measuring Sex, Gender Identity, and Sexual Orientation. The National Academies Press: Washington, DC; 2022.
10. Spock A, Popkin R, Barnhart C. Strategies to improve measurement of sexual orientation and gender identity among youth. J Adolesc Health 2022; 71(6):662–664;
11. Badgett MVL, Goldberg N, Conron K, et al. Best Practices for Asking Questions About Sexual Orientation on Surveys. The Williams Institute: Los Angeles, CA; 2009.
12. Macapagal K, Coventry R, Arbeit MR, et al. “I won't out myself just to do a survey”: Sexual and gender minority adolescents' perspectives on the risks and benefits of sex research. Arch Sex Behav 2017;46(5):1393–1409;
13. Mallory C, Meyer I, Johns M, et al. Public Attitudes Toward the Use of Religious Beliefs to Discriminate Against LGBTQ People. The Williams Institute: Los Angeles, CA; 2023.
14. Almazan A, King D, Grasso C, et al. Sexual orientation and gender identity data collection at US health centers: Impact of city-level structural stigma in 2018. Am J Public Health 2021;111(11):2059–2063;
15. Charlton, BM, Corliss HL, Spiegelman D, et al. Changes in reported sexual orientation following U.S. states recognition of same-sex couples. Am J Public Health 2016;106(12):2202–2204;
16. Flores A, Mallory C, Conron K. The Impact of Obergefell v. Hodges on the Well-Being of LGBT Adults. The Williams Institute: Los Angeles, CA; 2020.
17. Mallory C, Redfield E. The Impact of 2023 Legislation on Transgender Youth. The Williams Institute: Los Angeles, CA; 2023.
18. Troiden RR. Homosexual identity development. J Adolesc Health Care 1988;9(2):105–113;
19. Mock SE, Eibach RP. Stability and change in sexual orientation identity over a 10-year period in adulthood. Arch Sex Behav 2012;41(3):641–664;
20. Zucker KJ. Adolescents with gender dysphoria: Reflections on some contemporary clinical and research issues. Arch Sex Behav 2019;48(7):1983–1992;
21. Cohen C, Fowler M, Medenica V, et al. Millennial attitudes on LGBT issues: Race, identity, and experience. GenForward Survey Report. Chicago, IL; 2018.
22. AmeriSpeak. Technical Overview of the AmeriSpeak® Panel, NORC's Probability-Based Household Panel. NORC at the University of Chicago: Chicago, IL; 2022.
23. GenIUSS Group. Gender-Related Measures Overview. The Williams Institute: Los Angeles, CA; 2013.
24. Ott M, Corliss H, Wypij D, et al. Stability and change in self-reported sexual orientation identity in young people: Application of mobility metrics. Arch Sex Behav 2011;40(3):519–532;
25. Savin-Williams R, Joyner K, Reiger G. Prevalence and stability of self-reported sexual orientation identity during young adulthood. Arch Sex Behav 2012;41(1):103–110;
26. General Social Survey Data Explorer. Trends: Sex and Sexual Orientation. NORC at the University of Chicago: Chicago, IL; 2022.

Information & Authors

Information

Published In

cover image LGBT Health
LGBT Health
Volume 11Issue Number 7October 2024
Pages: 522 - 530
PubMed: 38648536

History

Published online: 11 October 2024
Published in print: October 2024
Published ahead of print: 22 April 2024

Permissions

Request permissions for this article.

Topics

Authors

Affiliations

Methodology and Quantitative Social Sciences Department, NORC at the University of Chicago, Chicago, Illinois, USA.
Melissa Heim Viox
Health Sciences Department, NORC at the University of Chicago, Chicago, Illinois, USA.
Erin Fordyce
Methodology and Quantitative Social Sciences Department, NORC at the University of Chicago, Chicago, Illinois, USA.
The Bridge, NORC at the University of Chicago, Chicago, Illinois, USA.
Public Health Department, NORC at the University of Chicago, Chicago, Illinois, USA.
Sabrina Avripas
Public Health Department, NORC at the University of Chicago, Chicago, Illinois, USA.
Stuart Michaels
The Bridge, NORC at the University of Chicago, Chicago, Illinois, USA.

Notes

Preliminary data from this study were released as a blog post on the NORC website in December 2022 (available at https://www.norc.org/research/library/should-you-be-re-asking-sexual-orientation-and-gender-identity-i.html).
Address correspondence to: Christopher Hansen, MA, Methodology and Quantitative Social Sciences Department, NORC at the University of Chicago, 55 East Monroe Avenue, Suite 3000, Chicago, IL 60603, USA [email protected]

Authors' Contributions

C.H. was involved in conceptualization, methodology, project administration, writing—original draft, and writing—review and editing.
M.H.V. was involved in formal analysis, writing—original draft, and writing—review and editing.
E.F. was involved in formal analysis and writing—review and editing.
M.M.J., S.A., and S.M. were involved in writing—review and editing.

Author Disclosure Statement

No competing financial interests exist.

Funding Information

This work was supported by NORC at the University of Chicago as an internal research and development initiative. The authors have no external funding sources to disclose.

Metrics & Citations

Metrics

Citations

Export citation

Select the format you want to export the citations of this publication.

View Options

Get Access

Access content

To read the fulltext, please use one of the options below to sign in or purchase access.

Society Access

If you are a member of a society that has access to this content please log in via your society website and then return to this publication.

Restore your content access

Enter your email address to restore your content access:

Note: This functionality works only for purchases done as a guest. If you already have an account, log in to access the content to which you are entitled.

View options

PDF/EPUB

View PDF/ePub

Full Text

View Full Text

Media

Figures

Other

Tables

Share

Share

Copy the content Link

Share on social media

Back to Top