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Increase the number of states, territories, and DC that use the standard module on sexual orientation and gender identity in the BRFSS — LGBT‑04 Data Methodology and Measurement

About the National Data

Data

Baseline: 26 states (including DC and territories) used the standard module on sexual orientation and gender identity in the BRFSS in 2016

Target: 55 States (including DC and Territories)

Numerator
Number of states, territories, and the District of Columbia that use the standard module on sexual orientation and gender identity in the BRFSS.
Target-setting method
Maintain consistency with national programs, regulations, policies, or laws
Target-setting method justification
The target was selected to align with the Federal Evidence Agenda on LGBTQI Equity, a roadmap that federal agencies will use to ensure they are collecting the data and evidence they need to improve the lives of LGBTQI+ Americans. This guidance used a target-setting method of total coverage.

Methodology

Questions used to obtain the national baseline data

(For additional information, please visit the data source page linked above.)

BRFSS Module on Sexual Orientation and Gender Identity

The next two questions are about sexual orientation and gender identity.

INTERVIEWER NOTE: We ask this question in order to better understand the health and health care needs of people with different sexual orientations.
INTERVIEWER NOTE: Please say the number before the text response. Respondent can answer with either the number or the text/word.

  1. Do you consider yourself to be: (582)

  2. Please read:
    1. Straight
    2. Lesbian or gay
    3. Bisexual

    Do not read:
    1. Other
    2. Don't know/Not sure
    3. Refused
  3. Do you consider yourself to be transgender? (583)
  4. If yes, ask "Do you consider yourself to be 1 male-to-female, 2 female-to-male, or 3 gender non-conforming?"

    INTERVIEWER NOTE: Please say the number before the "yes" text response. Respondent can answer with either the number or the text/word.

    1. Yes, Transgender, male-to-female
    2. Yes, Transgender, female to male
    3. Yes, Transgender, gender nonconforming
    4. No
    5. Don't know/not sure
    6. Refused

INTERVIEWER NOTE: If asked about definition of transgender:
Some people describe themselves as transgender when they experience a different gender identity from their sex at birth. For example, a person born into a male body, but who feels female or lives as a woman would be transgender. Some transgender people change their physical appearance so that it matches their internal gender identity. Some transgender people take hormones and some have surgery. A transgender person may be of any sexual orientation – straight, gay, lesbian, or bisexual.

INTERVIEWER NOTE: If asked about definition of gender non-conforming:
Some people think of themselves as gender non-conforming when they do not identify only as a man or only as a woman.

Methodology notes

The topic area workgroup will annually review BRFSS for their use of the standard module for sexual orientation and gender identity in the instrument.

History

Comparable HP2020 objective
Retained, which includes core objectives that are continuing from Healthy People 2020 with no change in measurement.
Revision History
Revised. 

In 2023, the baseline was revised from 21 states (including DC and territories) in 2016 to 28 states (including DC and territories) in 2016, due to additional information and a reassessment. The target-setting method was revised from percent improvement to maintain consistency with national programs, regulations, policies, or laws. The target was revised from 25 states (including DC and territories) to 55 states (including DC and territories).