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Cited by 8LGBTQ Health, Identity, and PolicyGender, Sexuality, and EducationGender and Feminist Studies

Sexual Orientation Demographic Data in a Clinical Cohort of Transgender Patients

Open access
Dubin, Samuel, Cook, Tiffany E., Radix, Asa, Greene, Richard E.·2021·Applied Clinical Informatics
DOI 10.1055/s-0041-1725184PMC PMC7968987
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Abstract

Background There are specific issues regarding sexual orientation (SO) collection and analysis among transgender and nonbinary patients. A limitation to meaningful SO and gender identity (GI) data collection is their consideration as a fixed trait or demographic data point. Methods A de-identified patient database from a single electronic health record (EHR) that allows for searching any discrete data point in the EHR was used to query demographic data (sex assigned at birth and current GI) for transgender individuals from January 2011 to March 2020 at a large urban tertiary care academic health center. Results A cohort of transgender individuals were identified by using EHR data from a two-step demographic question. Almost half of male identified (46.70%, n = 85) and female identified (47.51%, n = 86) individuals had “heterosexual/straight” input for SO. Overall, male and female identified (i.e., binary) GI aggregate categories had similar SO responses. Assigned male at birth (AMAB) nonbinary individuals (n = 6) had “homosexual/gay” SO data input. Assigned female at birth (AFAB) nonbinary individuals (n = 56) had almost half “something else” SO data input (41.67%, n = 15). Individuals with “choose not to disclose” for GI (n = 249) almost all had “choose not to disclose” SO data (96.27%, n = 232). Conclusion Current SO categories do not fully capture transgender individuals' identities and experiences, and limit the clinical and epidemiological utility of collecting this data in the current form. Anatomical assumptions based on SO should be seen as a potential shortcoming in over-reliance on SO as an indicator of screening needs and risk factors.

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  • Studies have shown that transgender people endorse diverse sexual identities, including selecting 'something else' when this is offered as a response option.

    “Further, studies have shown that transgender people endorse diverse sexual identities, including selecting “something else” when this is offered as a response option [10, 11].”

    From Sexual orientation in transgender adults in the United States (2023) · cites this paper as [11]

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Research works printed but not linked: 1

  1. National Academy of Medicine. The Health of Lesbian, Gay, Bisexual, and Transgender (LGBT) People: Building A Foundation for Better Understanding. Washington (D.C.): National Academies Press; 2011

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Authors
Dubin, S., Cook, T. E., Radix, A., & Greene, R. E.
Affiliations
  • NYU Langone Health (US)
  • New York University (US)
Corresponding author
Dubin, Samuel
ORCID
Venue
Applied Clinical Informatics
Publisher
Georg Thieme Verlag KG
Published
2021-03
Volume
12
Issue
02
Pages
222-228
ISSN
1869-0327 (ISSN-L)
DOI
10.1055/s-0041-1725184
PMC
PMC7968987
OpenAlex
W3138009360
Cited by
8
References
18
Citations by year
2026: 2 · 2025: 2 · 2023: 3 · 2022: 1
FWCI
0.98
Type
journal article
Language
en
Open access
Locations
  • Applied Clinical Informatics (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
  • Social Sciences › Gender Studies › Gender, Sexuality, and Education
  • Social Sciences › Gender Studies › Gender and Feminist Studies
Keywords
sexual orientation, transgender patients, non-binary people, gender identity, sex assigned at birth, electronic health record data, demographic data collection, data quality, clinical cohort, coming out
MeSH terms
Sexual and Gender Minorities, Demography, Female, Gender Identity, Humans, Male, Sexual Behavior, Transgender Persons

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