The recent study published in JAMA Pediatrics highlights significant changes to the Sexual Identity (SI) response options in the Youth Risk Behavior Survey (YRBS). Since its inception in 1991, the YRBS has been a pivotal tool in tracking health behaviours among US high school students. The inclusion of a question on sexual identity in 2015 marked an important step towards understanding the diverse identities of adolescents. However, with 3.2% of respondents selecting “not sure” as a response, the need for clearer options became apparent. The ambiguity surrounding the “not sure” response could stem from various factors, including uncertainty about the question’s intent or a lack of identification with the provided options. In response, the 2021 update of the survey made significant adjustments to the sexual identity response options to reduce confusion and ensure more accurate data collection.

These changes are not merely administrative but reflect a deeper understanding and acknowledgment of the complexity of sexual identity among adolescents. By clarifying the response options, the survey aims to offer a more inclusive and accurate representation of youth sexual identities. This adjustment underscores the importance of continually evaluating and updating research tools to better capture the evolving nature of human identity. The modifications to the YRBS highlight the ongoing efforts to enhance the reliability of data concerning adolescent health behaviours, which is crucial for informing public health strategies and educational programs designed to support the wellbeing of all students.

For further details on this study, visit JAMA Pediatrics.