The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Do ask, do tell: high levels of acceptability by patients of routine collection of sexual orientation and gender identity data in four diverse American community health centers.
Open accessAbstract
BACKGROUND: The Institute of Medicine and The Joint Commission have recommended asking sexual orientation and gender identity (SOGI) questions in clinical settings and including such data in Electronic Health Records (EHRs). This is increasingly viewed as a critical step toward systematically documenting and addressing health disparities affecting lesbian, gay, bisexual, and transgender (LGBT) people. The U.S. government is currently considering whether to include SOGI data collection in the Stage 3 guidelines for the incentive program promoting meaningful use of EHR. However, some have questioned whether acceptable standard measures to collect SOGI data in clinical settings exist. METHODS: In order to better understand how a diverse group of patients would respond if SOGI questions were asked in primary care settings, 301 randomly selected patients receiving primary care at four health centers across the U.S. were asked SOGI questions and then asked follow-up questions. This sample was mainly heterosexual, racially diverse, and geographically and regionally broad. RESULTS: There was a strong consensus among patients surveyed about the importance of asking SOGI questions. Most of the LGBT respondents thought that the questions presented on the survey allowed them to accurately document their SOGI. Most respondents--heterosexual and LGBT--answered the questions, and said that they would answer such questions in the future. While there were some age-related differences, respondents of all ages overwhelmingly expressed support for asking SOGI questions and understood the importance of providers' knowing their patients' SOGI. CONCLUSIONS: Given current deliberations within national health care regulatory bodies and the government's increased attention to LGBT health disparities, the finding that patients can and will answer SOGI questions has important implications for public policy. This study provides evidence that integrating SOGI data collection into the meaningful use requirements is both acceptable to diverse samples of patients, including heterosexuals, and feasible.
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“Assessment of gender identity and sex assigned at birth has been validated among diverse populations, has been reported to be acceptable (335,336), and might result in increased patients identifying as transgender (337).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [335]
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Clements-Nolle, K., Marx, R., & Katz, M. (2006) · Journal of Homosexuality · doi:10.1300/j082v51n03_04 · Cited by 965
A Population-Based Study of Sexual Orientation Identity and Gender Differences in Adult Health
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Sexual Orientation and Health: Comparisons in the Women's Health Initiative Sample
VALANIS, B. G. (2000) · Archives of Family Medicine · doi:10.1001/archfami.9.9.843 · Cited by 405
A Two-Question Method for Assessing Gender Categories in the Social and Medical Sciences
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Research works printed but not linked: 1
- Institute of Medicine (2012 12 October) Sexual orientation and gender identity data collection in electronic health records. A workshop. Washington, DC: National Academy of Sciences.
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Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 3,018
Global health burden and needs of transgender populations: a review
Reisner, S. L., Poteat, T., Keatley, J. G., Cabral, M., Mothopeng, T., Dunham, E., Holland, C. E., Max, R. J., & Baral, S. (2016) · The Lancet · doi:10.1016/s0140-6736(16)00684-x · Cited by 1,570
Suen, L. W., Lunn, M. R., Katuzny, K. E., Finn, S. B., Duncan, L. G., Sevelius, J. M., Flentje, A., Capriotti, M. R., Lubensky, M. E., Hunt, C., et al. (2020) · Archives of Sexual Behavior · doi:10.1007/s10508-020-01810-y · Cited by 286
Reisner, S. L., Bradford, J., Hopwood, R. A., González, A., Makadon, H. J., Todisco, D., Cavanaugh, T., VanDerwarker, R., Grasso, C., Zaslow, S., et al. (2015) · Journal of Urban Health · doi:10.1007/s11524-015-9947-2 · Cited by 198
The Mental Health of Older LGBT Adults
Yarns, B. C., Abrams, J. M., Meeks, T. W., & Sewell, D. D. (2016) · Current Psychiatry Reports · doi:10.1007/s11920-016-0697-y · Cited by 212
Metadata
- Authors
- Cahill, S., Singal, R., Grasso, C., King, D., Mayer, K., Baker, K., & Makadon, H.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Center for American Progress (US)
- Harvard University (US)
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2014-09-08
- Volume
- 9
- Issue
- 9
- Pages
- e107104
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4157837
- OpenAlex
- W1990171754
- Cited by
- 288
- References
- 19
- Citations by year
- 2026: 16 · 2025: 26 · 2024: 27 · 2023: 35 · 2022: 32 · 2021: 26 · 2020: 29 · 2019: 26 · 2018: 21 · 2017: 15 · 2016: 23 · 2015: 11 · 2014: 1
- FWCI
- 24.73
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- U.S. Public Health Service (UB2HA20233)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › Gender Studies › Gender, Sexuality, and Education
- Keywords
- patient acceptability, LGBT health disparities, electronic health records, meaningful use, primary care, community health centers, health policy, age differences
- MeSH terms
- Adolescent, Adult, Aged, Community Health Centers, Data Collection, Female, Gender Identity, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Sexual Behavior, United States, Sexuality, Young Adult, Self Report
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