Potentially faulty data spotted in surveys of drug use and other behaviors among LGBQ youth

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Federal data on LGBQ student health contain a significant amount of potentially exaggerated or untruthful responses, raising questions about how they might skew people's understanding of risky behavior among teens. These inaccuracies affect some responses more than others. That's according to an analysis my colleagues and I did of high school surveys administered by the Centers for Disease Control and Prevention, better known as the CDC.

We first estimated what the risk disparities between LGBQ and heterosexual youth were before accounting for potentially invalid data. We then used a machine-learning algorithm to detect response patterns that suggested when youth were providing extreme or untruthful responses.

For example, we treated their responses with suspicion if they reported eating carrots four or more times every day and said they were impossibly tall. That means we gave less weight to their responses when we re-estimated all of the disparities. We then saw how the disparities changed after the potentially invalid responses were taken into account.—including steroids—injected drugs, cocaine, ecstasy and pain medication without a prescription were not as pronounced.

Yet, while some outcomes were susceptible to invalid data, others were not. For example, LGBQ boys and girls were about twice as likely to be bullied at school and two to three times as likely to consider suicide. This shows that not all outcomes are equally affected by invalid data.The Youth Risk Behavior Survey provides vital information on the health and behaviors of high school students.

 

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