Table 1.

Fraudulent and suspicious criteria applied to ensure data quality.

Fraudulent criterionN = 489 removed		Justification
Duplicate emails	1	These emails were duplicated in the responses for how individuals would like to hear about the study or how they would like to receive their merchandise card, indicating they were from the same respondent.
Exact matches in qualitative responses greater than 3 words	2	These responses were under the two qualitative questions we asked on the survey and there were several duplicate responses in these fields across respondents.
Non-US zip code	3	Non-US zip codes indicated that these respondents were not part of our desired study population and therefore likely bots.
Respondent that they were heterosexual and cisgender	4	These individuals were not part of the study population we were wanting to query and were therefore removed from the analysis.
Suspicious criterion N = 97 removed
Non-NM zip code	1	One criterion for inclusion in this study was that the respondent was a resident of New Mexico. However, we felt that individuals that were residents of New Mexico could be receiving their mail in a location outside of the state, so we made the decision to make this criterion suspicious rather than fraudulent.
Height greater than or equal to 7 feet or less than 4 feet	2	Using the Body Mass Index table, we identified the range of heights that were likely, and considered heights outside of that range suspicious (41).
Weight less than 90 pounds	3	Using the Body Mass Index table, we identified the low end of weight considered and considered weights under than suspicious (41).
Nonsensical qualitative responses	4	Responses were considered suspicious if they didn’t make sense in response to the question asked. Examples of these responses include “Establish a federal bullying task force” in response to the question “Is there anything else you would like to share with us about your health or well-being?” and “Provide emergency shelters and support services” to the same question.
Respondent indicated that they were a transgender woman and AFAB	5	These responses were considered suspicious because the term “transgender” refers to someone whose gender does not align with the sex assigned at birth. Therefore, if a respondent were AFAB and identified as transgender, they would be a transgender man or one of the other nonbinary options, not a transgender woman.
Respondent indicated that they were transgender man and AMAB	6	These responses were considered suspicious because the term “transgender” refers to someone whose gender does not align with the sex assigned at birth. Therefore, if a respondent were AMAB and identified as transgender, they would be a transgender woman or one of the other nonbinary options, not a transgender man.
Respondent indicated that they were a cisgender woman and AMAB	7	These responses were considered suspicious because the term “cisgender” refers to someone whose gender aligns with the sex they were assigned at birth. Therefore, if a respondent were AMAB and identified as cisgender, they would be a cisgender man and not a cisgender woman.
Respondent indicated that they were a cisgender man and AFAB	8	These responses were considered suspicious because the term “cisgender” refers to someone whose gender aligns with the sex they were assigned at birth. Therefore, if a respondent were AFAB and identified as cisgender, they would be a cisgender woman and not a cisgender man.
Respondent indicated that they were a masculine gender (cisgender man, transgender man, or man) and a lesbian	9	These responses were considered suspicious because the term “lesbian” refers to a woman who is attracted to other women. Therefore, if someone’s gender is masculine, it is unlikely that they also identify as a lesbian.
Respondent indicated that they were heterosexual and another sexual orientation other than asexual	10	The term “straight” indicates that one is attracted primarily to members of the opposite gender, and is generally exclusive of other orientations. This is not to say that straight individuals are not sometimes attracted to people of the same sex or even have sex with them, but that they do not generally also identify as a member of the SGD community (42). However, the sexual orientation of asexual can exist on a spectrum and refers to individuals who have little or no attraction to others, and it does not indicate what gender(s) they may be either sexually or romantically attracted to.
Respondent indicated that they were AMAB and had a vagina and a penis	11	These responses were considered suspicious because genital gender affirmation surgeries for individuals who are AMAB usually consist of a vaginoplasty (creation of a vagina) that is created through some form of penile inversion procedure, where the lining of the vaginal canal is created from the skin of the penis (43). Therefore, if an individual AMAB had genital gender affirmation surgery that consisted of the creation of a vagina, they would no longer have a penis as part of the vaginoplasty is inversion of the penis.
Respondent indicated that they were AMAB and had a uterus	12	These responses were considered suspicious because, while the technology of uterine transplantation is being developed and looks promising, this is currently not approved as part of genital gender affirmation surgeries and therefore someone who was AMAB would likely not have a uterus.
Respondent indicated that they were AMAB and had a cervix	13	These responses were considered suspicious because, while the technology of uterine transplantation is being developed and looks promising, this is currently not approved as part of genital gender affirmation surgeries and therefore someone who was AMAB would likely not have a cervix (44).
Respondent indicated that they were AMAB and had ovaries	14	These responses were considered suspicious because, much like uterine transplantation, ovarian transplantation is currently not approved as part of genital gender affirmation surgeries and therefore someone who was AMAB would likely not have ovaries (45).
Respondent indicated that they were AFAB and had a uterus and no vagina.	15	These responses were considered suspicious because, in genital gender affirmation surgery for individuals AFAB, a vaginectomy (removal of the vaginal canal) is never performed if a total hysterectomy (removal of the uterus along with the cervix) has not already been performed. This is because the vaginectomy would make it impossible to screen for cancer (46).
Respondent indicated that they were AFAB and had a cervix and no vagina.	16	These responses were considered suspicious because, in genital gender affirmation surgery for individuals AFAB, a vaginectomy (removal of the vaginal canal) is never performed if a hysterectomy (removal of the uterus along with the cervix) has not already been performed. This is because the vaginectomy would make it impossible to screen for cancer (46).
Respondent indicated they were AFAB and had a prostate	17	These responses were considered suspicious because a prostate is not present in individuals who were AFAB and prostate transplants are not currently an option for masculinizing genital gender affirmation surgery (26).

AMAB = Assigned Male at Birth; AFAB = Assigned Female at Birth.