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Defining and Measuring Sexual Orientation: A Review
Abstract
How to define and identify sexual orientations for the purpose of constructing representative samples of homosexuals, bisexuals, and heterosexuals is unclear and confusing to researchers. Different definitions and measures have been proposed and used to develop samples since the 1860s when sexual orientations first gained widespread research interest. Unfortunately, the definitions and measurement tools used since then result in the selection of divergent and incomparable samples. If advances in the understanding of sexual orientations are to be made, it is critical that definitions and measures of sexual orientation be standardized. This paper reviews and critiques definitions and measures of sexual orientation that have been proposed and used by researchers over the past century. This review is intended to further our understanding of this subject and to encourage researchers to be critical of how they classify subjects based upon sexual orientation.
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“Traditionally, sexual behavior and attraction measures in the U.S. have asked respondents to check a single response option [5, 6].”
From Sexual orientation in transgender adults in the United States (2023) · cites this paper as [6]
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“Because sexual orientation is a broader construct than samegender sexual activity (Sell, 1997), the use of sexual behavior alone to determine identity has led to some concern about misclassification bias in these studies (Bailey, 1999; Cochran et al., 2000; Cochran & Mays, 2000b), Indeed, Bailey…”
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“The most common definitions of sexual orientation are focused around the concept of ‘‘orientation,’’ that is, an erotic inclination toward people of one or more genders, most often described as sexual or erotic attractions (Savin-Williams & Ream, 2007; Sell, 1997).”
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Dean, L. A., Meyer, I. H., Robinson, K. J., Sell, R. L., Sember, R., Silenzio, V., Bowen, D. J., Bradford, J., Rothblum, E. D., WHITE, J. C., et al. (2000) · Journal of the Gay and Lesbian Medical Association · doi:10.1023/a:1009573800168 · Cited by 428
Self-citationCochran, S. D., & Mays, V. M. (2000) · American Journal of Public Health · doi:10.2105/ajph.90.4.573 · Cited by 410
“Sexual orientation is a complex concept with multiple measurable and intercorrelated dimensions, including sexual attraction; sexual behavior; sexual fantasies; emotional, social, and lifestyle preferences; and selfidentification.(16) Although self-rated sexual orientation and self-reported sexual behavior do not perf…”
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“The social construction of sexual orien tation as categorical presumes that various aspects of sexual orientation, including identity, behavior and attraction, are congruent (Rothblum, 2000; Sell, 1997).”
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“If sexualorientationexistsonacontinuumfrom exclusive other-sex to exclusive same-sex, then more options should be available to research participants (Kinsey, Pomeroy, & Martin, 1948; Savin-Williams, 2005; Sell, 1997).”
BackgroundInfluentialSavin-Williams, R. C., & Vrangalova, Z. (2013) · Developmental Review · doi:10.1016/j.dr.2013.01.001 · Cited by 277
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“Second, despite the diversity of patterns of sexual attraction, desire, behavior, and the extent of self-identification as lesbian or gay within the gay community (Gonsiorek, Sell, & Weinrich, 1995; Laumann et al., 1994; Morris & Rothblum, 1999; Sell, 1997), when viewed from a population-based perspective, the great m…”
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Morgan, E. M. (2013) · Emerging Adulthood · doi:10.1177/2167696812469187 · Cited by 290
“…qualities, this model is viewed as incomplete both because it is a binary model that forces same-sex and other-sex sexual behavior to vary in relation to each other and because it is singularly based on sexual behavior, thus ignoring other facets of sexuality (Savin-Williams, 2008; Sell, 1997).”
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Sandfort, T. G. M., Bakker, F., Schellevis, F., & Vanwesenbeeck, I. (2006) · American Journal of Public Health · doi:10.2105/ajph.2004.058891 · Cited by 245
“Future studies should include measures of attraction, behavior, and selfidentification.(68) If time limitations don’t allow this, a follow-up question should be asked to identify “false positives” among those categorized as a sexual minority.”
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Prause, N., & Graham, C. A. (2007) · Archives of Sexual Behavior · doi:10.1007/s10508-006-9142-3 · Cited by 225
“Allowing participants to self-identify their sexual orientation excludes other potentially important aspects of sexual identity (for review, see Sell, 1997) and does not account for label change over time (Diamond, 2005).”
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Fergusson, D. M., Horwood, L. J., Ridder, E. M., & Beautrais, A. L. (2005) · Psychological Medicine · doi:10.1017/s0033291704004222 · Cited by 234
“A recurrent concern for this area of research has been that of devising adequate measures of sexual orientation (Gonsiorek et al. 1995; Working Groups, 1995; Chung & Katayama, 1996; Sell, 1997; Russell, 2003).”
BackgroundMoradi, B., Mohr, J. J., Worthington, R. L., & Fassinger, R. E. (2009) · Journal of Counseling Psychology · doi:10.1037/a0014572 · Cited by 245
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“This widely used measure is regarded as having stronger validity that those that dichotomize sexual orientation (Sell, 1997).”
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“(lesbian, genderqueer - trans∗) Sexuality researchers have long noted that sexual orientation and sexual orientation identity do not neatly map onto one another (Morgan, 2013; Sell, 1997; Worthington & Reynolds, 2009).”
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“[29]) and empirical [2,30] distinctions between sexual RESEARCH REPORT doi:10.”
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Kheloui, S., Jacmin-Park, S., Larocque, O., Kerr, P., Rossi, M., Cartier, L., & Juster, R.-P. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105333 · Cited by 78
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“Consistent with the earlier discussions as to whether sexual orientation is dimensional orcategoricalandthenatureofbisexuality, Sell(1997) pointedout the diagnosisoftheseconditionsisunclearandconfusing toresearchers.Inviewofthis lack of clarity, a variety of assessments was employed in an earlierstudy (Buhrich and McC…”
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Ridolfo, H. E., Miller, K. R., & Maitland, A. (2012) · Sexuality Research and Social Policy · doi:10.1007/s13178-011-0074-x · Cited by 70
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“Defining sexual orientation is further complicated by the fact that it has been used to describe different facets of sexuality, including romantic and sexual attractions, fantasies, and behaviors, as well as specific lifestyles and community affiliations (Klein, Sepekoff, &Wolf, 1986; Sell, 1997).”
BackgroundFlentje, A., Heck, N. C., & Cochran, B. N. (2014) · Journal of Homosexuality · doi:10.1080/00918369.2014.926763 · Cited by 84
“In addition, the measures of sexual orientation used in the study focused primarily on identity and did not include the dimensions of attraction and behavior emphasized in the definition of sexual orientation provided by Sell (1997).”
BackgroundMethodFlentje, A., Bacca, C. L., & Cochran, B. N. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2014.11.012 · Cited by 69
Korchmaros, J. D., Powell, C., & Stevens, S. (2013) · Journal of Homosexuality · doi:10.1080/00918369.2013.760324 · Cited by 68
“’s (1948) measure, have not garnered popular use because of the difficulty of useful scoring and categorization of respondents (Masters & Johnson, 1979), whereas others, such as Klein, Sepekoff, & Wolf’s (1985) measure, have not garnered popular use because of the relative burden of such lengthy measures (Sell, 1997).”
BackgroundPatterns of Sexual Arousal in Homosexual, Bisexual, and Heterosexual Men
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“But as others (e.g., Sell, 1997 ; W einberg et al.,1994)have pointed out, self-identification may be influenced by a number of variables and is limited by its categorical nature.”
BackgroundSexual Orientation and Alcohol Use: Identity versus Behavior Measures
Midanik, L. T., Drabble, L. A., Trocki, K. F., & Sell, R. L. (2007) · Journal of LGBT Health Research · doi:10.1300/j463v03n01_04 · Cited by 67
Self-citationMeasurement of Sexual Identity in Surveys: Implications for Substance Abuse Research
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“Health-related research has used a wide array of measures to assess sexual identity (e.g., Friedman et al., 2004; Sell, 1997; Solarz, 1999).”
Aidala, A. A., Lee, G., Garbers, S., & Chiasson, M. A. (2006) · AIDS Education and Prevention · doi:10.1521/aeap.2006.18.1.12 · Cited by 65
“However, for some individuals, sexual orientation may not be a fixed characteristic but remains in flux or perhaps changes with a change in sexual partners or sexual networks (Horwitz & Newcomb, 2002; Laumann, Gagnon, Michael, & Michaels, 1994; Sell, 1997; Weinberg, Williams, & Pryor, 1994).”
BackgroundCoping Styles as Mediator of Sexual Orientation-Related Health Differences
Sandfort, T. G. M., Bakker, F., Schellevis, F., & Vanwesenbeeck, I. (2007) · Archives of Sexual Behavior · doi:10.1007/s10508-007-9233-9 · Cited by 65
“Final methodological limitations concern the cross-sectional design of the study and the relatively weak operationalization of some of the variables (e.g., sexual orientation; cf. Sell, 1997 ).”
BackgroundCaceres, B. A., Brody, A. A., Halkitis, P. N., Dorsen, C. G., Yu, G., & Chyun, D. A. (2018) · LGBT Health · doi:10.1089/lgbt.2017.0220 · Cited by 68
“Inclusion criteria: Sexual orientation can be defined by sexual identity, sexual behavior, and sexual attraction.(37) NHANES does not include data on sexual attraction.”
BackgroundGalupo, M. P., Mitchell, R. C., & Davis, K. S. (2017) · Archives of Sexual Behavior · doi:10.1007/s10508-017-1037-y · Cited by 62
“Although this scale was designed to capture a range of sexual orientations, researchers using this measure typically group individuals into three sexual orientation categories: heterosexual, lesbian/gay, and bisexual (Sell, 1997; Sell & Perulio, 1996).”
MethodQueering sexuality and doing gender: Transgender men's identification with gender and sexuality
Vidal‐Ortiz, S. (2004) · Advances in gender research · doi:10.1016/s1529-2126(02)80008-x · Cited by 61
Ortiz-Hernández, L., Tello, B. L. G., & Valdés, J. (2009) · Social Science & Medicine · doi:10.1016/j.socscimed.2009.03.028 · Cited by 61
“Sexual orientation included at least the following two dimensions: the psychological component (including aspects such as erotic attraction, sexual fantasies, affections, and identity) and the behavioral component (which could encompass all forms of sexual encounters) (Sell, 1997).”
BackgroundInfluentialBogaert, A. F. (2003) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.84.3.644 · Cited by 60
Skerrett, D. M., Kõlves, K., & Leo, D. D. (2015) · Journal of Homosexuality · doi:10.1080/00918369.2014.1003009 · Cited by 68
“…individual (Bussey & Bandura, 1999), as reflected, for example, in the increasing complexity and socially contingent nature of classifications of human sexuality, from the scale of Kinsey and colleagues (1948) to those of Shively and DeCecco (1977) and Klein and colleagues (1985; see Sell, 1997).”
BackgroundNuttbrock, L. A., Bockting, W. O., Mason, M., Hwahng, S., Rosenblum, A., Macri, M., & Becker, J. (2009) · Archives of Sexual Behavior · doi:10.1007/s10508-009-9579-2 · Cited by 59
Sexuality of Male-to-Female Transsexuals
Veale, J. F., Clarke, D. E., & Lomax, T. C. (2008) · Archives of Sexual Behavior · doi:10.1007/s10508-007-9306-9 · Cited by 58
“Core Autogynephilia, Autogynephilic Interpersonal Fantasy, Fetishism, and Masochism scales were altered from their original author’s format to 6-point Likert scales from never to all the time with responses scored from 0 to 5. However, since conducting this research we have been made aware that the amount of time a pe…”
BackgroundNot all one and the same: Sexual identity, activism, and collective self-esteem
Gray, A., & Desmarais, S. (2014) · The Canadian Journal of Human Sexuality · doi:10.3138/cjhs.2400 · Cited by 56
“Although it is important to understand the nuances in sexual identity labels, such as Gay, Lesbian, Bisexual, or Queer, scholars who have theorized and reviewed research on sexual minorities have expressed concern with the lack of clarity and imprecise definitions that appear in much of this literature, sometimes fail…”
BackgroundInfluentialMale Versus Female: How the Gender of Apologizers Influences Consumer Forgiveness
Wei, H., & Ran, Y. (2017) · Journal of Business Ethics · doi:10.1007/s10551-017-3440-7 · Cited by 55
“Furthermore, participants completed a manipulation check for the apologizer’s gender, and reported demographic information and their sexual orientation (which we used to control for the effects of sexual orientation on gender role norms; Sell 1997).”
MethodResearching Lesbian, Gay, and Bisexual Youth: Conceptual, Practical, and Ethical Considerations
D’Augelli, A. R., & Grossman, A. H. (2006) · Journal of Gay & Lesbian Issues in Education · doi:10.1300/j367v03n02_03 · Cited by 55
“The difficulties of obtaining accurate information about adult same-sex sexual identity are most often attributed to sampling difficul- ties (Sell, 1997; Sell & Becker, 2001).”
BackgroundA Longitudinal Study of Attempted Religiously Mediated Sexual Orientation Change
Jones, S. L., & Yarhouse, M. A. (2011) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2011.607052 · Cited by 54
“Similarly, despite our intent to use best measures of sexual orientation, Sell ( 1997 ) was not without basis for his general conclusion that “none of these [sexual orientation measures existing in 1997] are completely satisfactory” (p.”
MethodThe causes of human sexual orientation
Cook, C. C. H. (2020) · Theology and Sexuality · doi:10.1080/13558358.2020.1818541 · Cited by 52
Nicholson, A. A., Siegel, M., Wolf, J., Narikuzhy, S., Roth, S. L., Hatchard, T., Lanius, R. A., Schneider, M. A., Lloyd, C., McKinnon, M. C., et al. (2022) · European Journal of Psychotraumatology · doi:10.1080/20008198.2021.2002572 · Cited by 57
“…aspects of sexual orientation, the assumed linearity of the scale (rather than being multidimensional), as well as its polarity that considers heterosexual and – using Kinsey’s terminology – homosexual desires as tradeoffs of one another (e.g. Quinan, 2016; Sell, 1997, for in-depth discussions).”
Becker, M., Cortina, K. S., Tsai, Y., & Eccles, J. S. (2014) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000038 · Cited by 52
“Sexual orientation can be defined as sexual attraction, emotions, fantasies, behavior, or self-labeling, or a combination of these (Klein, Sepekoff, & Wolf, 1985; Mock & Eibach, 2012; Sell, 1997).”
BackgroundLike Attract Like? A Structural Comparison of Homogamy across Same-Sex and Different-Sex Households
Ciscato, E., Galichon, A., & Goussé, M. (2019) · Journal of Political Economy · doi:10.1086/704611 · Cited by 59
“Because we do not observe sexual orientation, we decided 28Sexual orientation can be measured for instance by the means of the Kinsey scale (see Sell, 1997, for a review), which is a number between 0 (exclusively heterosexual) and 6 (exclusively homosexual).”
MethodHow Many Gays Are There? It Depends
Savin‐Williams, R. C. (2008) · Nebraska Symposium on Motivation/The Nebraska symposium on motivation · doi:10.1007/978-0-387-09556-1_2 · Cited by 48
Caceres, B. A., Hickey, K. T., Heitkemper, E., & Hughes, T. L. (2019) · Sleep Health · doi:10.1016/j.sleh.2019.06.006 · Cited by 46
Prevalence of Same-Sex Behavior and Orientation in England: Results from a National Survey
Hayes, J., Chakraborty, A. T., McManus, S., Bebbington, P., Brugha, T. S., Nicholson, S., & King, M. (2011) · Archives of Sexual Behavior · doi:10.1007/s10508-011-9856-8 · Cited by 46
Schudson, Z. C., Dibble, E. R., & van Anders, S. M. (2017) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000241 · Cited by 48
Harawa, N. T., Williams, J. K. Y., McCuller, W. J., Ramamurthi, H. C., Lee, M., Shapiro, M. F., Norris, K. C., & Cunningham, W. E. (2013) · AIDS · doi:10.1097/qad.0b013e3283617500 · Cited by 44
“An alternative approach, considers a variety of activities, such as sex with women, with men, with transgender people, or a combination at different times or in different circumstances, as potentially normative expressions of sexual fluidity [16,17].”
BackgroundSupport for a Fluid-Continuum Model of Sexual Orientation: A Large-Scale Internet Study
Epstein, R., McKinney, P., Fox, S., & Garcia, C. (2012) · Journal of Homosexuality · doi:10.1080/00918369.2012.724634 · Cited by 70
“Sell (1997a) developed his own 12-item test in an attempt to improve upon the coding system Kinsey developed for his interviews.”
BackgroundMethodInfluentialNon-Heterosexuality, Relationships, and Young Women’s Contraceptive Behavior
Ela, E. J., & Budnick, J. (2017) · Demography · doi:10.1007/s13524-017-0578-y · Cited by 42
“These choices vary considerably across studies and research traditions (for a summary of past approaches, see Savin-Williams and Vrangalova 2013 and Sell 1997).”
BackgroundMethodFenway Community Health’s Model of Integrated, Community-Based LGBT Care, Education, and Research
Mayer, K. H., Mimiaga, M. J., VanDerwarker, R., Goldhammer, H., & Bradford, J. (2007) · Springer eBooks · doi:10.1007/978-0-387-31334-4_28 · Cited by 42
“Among them are that data on LGBT persons of different race and ethnicity are insufficient, that few studies focus on transgender individuals, and that research studies are inconsistent in their definition and measures of sexual orientation and gender identity (Sell, 1997; Boehmer, 2002).”
BackgroundWalls, N. E., Hancock, P., & Wisneski, H. (2007) · Journal of Children and Poverty · doi:10.1080/10796120701520309 · Cited by 41
“Estimating the percentages of these youths who are sexual minority is difficult (Diamond 2000; Rotheram-Borus, Koopman, and Ehrhardt 1991; Sell 1997).”
BackgroundAbed, E. C., Schudson, Z. C., Gunther, O. D., Beischel, W. J., & van Anders, S. M. (2019) · Archives of Sexual Behavior · doi:10.1007/s10508-018-1340-2 · Cited by 43
Suicidal Ideation among Italian and Spanish Young Adults: The Role of Sexual Orientation
Baiocco, R., Ioverno, S., Lonigro, A., Baumgartner, E., & Laghi, F. (2014) · Archives of Suicide Research · doi:10.1080/13811118.2013.833150 · Cited by 42
“Measures of sexual orientation have varied across studies since it is considered a multi-dimensional aspect of a person’s identity (Sell, 1997).”
BackgroundMarshall, J. M., & Hernández, F. (2012) · Educational Administration Quarterly · doi:10.1177/0013161x12463231 · Cited by 49
“Sexual minority students, particularly bisexual students, who had positive relationships with their teachers had fewer troubles in school (Russell, Seif, & Truong, 2001).”
BackgroundInfluentialFinding your Soulmate: Homosexual and heterosexual age preferences in online dating
Conway, J. R., Noë, N., Stulp, G., & Pollet, T. V. (2015) · Personal Relationships · doi:10.1111/pere.12102 · Cited by 40
“…choice for practical reasons, rather than as a continuum, and our findings might substantially change if we operationalize sexual orientation differently (e.g., via measurement) via a Kinsey scale (Kinsey, Pomeroy, & Martin, 1948) or via other scales measuring sexual orientation (e.g., Sell, 1997).”
MethodSexual orientation in transgender adults in the United States
Reisner, S. L., Choi, S. K., Herman, J. L., Bockting, W., Krueger, E. A., & Meyer, I. H. (2023) · BMC Public Health · doi:10.1186/s12889-023-16654-z · Cited by 48
“have asked respondents to check a single response option [5, 6].”
BackgroundAckard, D. M., Fedio, G., Neumark‐Sztainer, D., & Britt, H. R. (2008) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318164230c · Cited by 39
4 Plurisexual Identity Labels and the Marking of Bisexual Desire
Galupo, M. P. (2018) · Springer eBooks · doi:10.1007/978-3-319-71535-3_4 · Cited by 38
Teuscher, U., & Teuscher, C. (2006) · Personality and Individual Differences · doi:10.1016/j.paid.2006.08.020 · Cited by 37
Flentje, A., Heck, N. C., & Sorensen, J. L. (2015) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0038724 · Cited by 37
Calzo, J. P., Masyn, K. E., Austin, S. B., Jun, H., & Corliss, H. L. (2016) · Journal of Research on Adolescence · doi:10.1111/jora.12266 · Cited by 41
“Sexual orientation identities are theorized to exist along a continuum (Sell, 1997), yet little is known about the development of identities that exist outside the discrete categories of heterosexual, bisexual, or gay/lesbian (Sell, 1997; Thompson & Morgan, 2008; Vrangalova & Savin-Williams, 2012).”
Metadata
- Authors
- Sell, R. L.
- Affiliations
- Columbia University (US)
- Corresponding author
- Sell, Randall L.
- ORCID
- Sell, Randall L.
- Venue
- Archives of Sexual Behavior
- Published
- 1997-12
- Volume
- 26
- Issue
- 6
- Pages
- 643-658
- ISSN
- 0004-0002 (ISSN-L)
- 1573-2800
- OpenAlex
- W2167752770
- Cited by
- 347
- References
- 44
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 2 · 2023: 10 · 2022: 17 · 2021: 17 · 2020: 15 · 2019: 15 · 2018: 12 · 2017: 13 · 2016: 23 · 2015: 23 · 2014: 39 · 2013: 16 · 2012: 16
- FWCI
- 3.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Archives of Sexual Behavior (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Social Sciences › Gender Studies › Gender and Feminist Studies
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- sexual orientation, sexual orientation measurement, sample representativeness, homosexuality, bisexuality, heterosexuality, measurement standardization
- MeSH terms
- Female, Gender Identity, Homosexuality, Humans, Male, Sexual Behavior
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