LGBTQ cultural competence for pharmacists

Sex trouble: Sex/gender slippage, sex confusion, and sex obsession in machine learning using electronic health records

A Systematic Review of Inflammatory Bowel Disease Epidemiology and Health Outcomes in Sexual and Gender Minority Individuals

Changing language, changes lives: Learning the lexicon of LGBTQ+ health equity.

An Examination of the Sex-Specific Nature of Nutrition Assessment within the Nutrition Care Process: Considerations for Nutrition and Dietetics Practitioners Working with Transgender and Gender Diverse Clients

Comparing Ways to Ask Patients about Sexual Orientation and Gender Identity in the Emergency Room—The EQUALITY Study

Policy brief: Protecting vulnerable LGBTQ youth and advocating for ethical health care

Education to Improve Cancer Care for LGBTQ+ Patients in the UK

Purpose: The objective of this study was to assess perceptions among staff at Penn State Women’s Health towards treatment of Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) patients through creation and dissemination of a survey, in efforts to eluacidate opportunities to improve upon faculty diversity training and, ultimately, the care provided to sexual and gender minority (SGM) patients. Methods: Informed by prior literature and the National LGBT Health Education Center national survey of healthcare providers, an electronic survey was developed and administered via email to Women’s Health staff. The survey included items on staff perceptions of the prevalence of SGM patients, relevance of discussions surrounding sexual orientation and gender identity and preparedness to meet the health needs of SGM patients, as well as familiarity with existing resources for SGM patients and desired future training on SGM health. Results: Roughly 200 staff received the survey, of which 34 responded, yielding a response rate of 17%. Clinical and nonclinical participants disagreed, on average, with the statement, My patients want me to ask them about their sexual orientation or gender identity. Using an unmatched count technique, it was estimated that 7% of participants are uncomfortable working with LGBTQ patients and 50% believe that talking with LGBTQ patients about their sexual orientation and gender identity will create more work for themselves. Clinical and nonclinical participants felt neutral, on average, towards statements regarding their familiarity with or preparedness to meet the health needs of their LGBTQ patients. Conclusions: The results of this survey demonstrate a misperception among Woman’s Health providers that SGM patients do not want to discuss their sexual orientation or gender identity. Despite having an accurate perception of the prevalence of SGM in clinic, providers felt neutral in their preparedness to meet the health needs of LGBTQ patients and lack knowledge of key resources, practice and policies related to LGBTQ health. The results of this survey elucidate opportunities to improve upon Women’s Health staff training on the LGBTQ community.

Improving Sexual Orientation and Gender Identity Documentation at an NCI-Designated Comprehensive Cancer Center

IntroductionRecently, researchers have begun considering whether and how to include lesbian, gay, bisexual, transgender and queer (LGBTQ) people in research about abortion and contraception care. Including LGBTQ people in research...

AAIM Recommendations to Promote Equity in the Clerkship Clinical Learning Environment

Across countries, demand for gender-affirming care is rising at unprecedented rates. 1 Services are struggling to adapt and some are failing to protect transgender health in fundamental ways. Given the complexity of this situation, both medically and politically, it is perhaps unsurprising that gender identity services have neglected to expand beyond addressing individual needs of transgender people themselves to integrate members of transgender people's social networks throughout care. Relational partners (e.g., parents, romantic partners,

Wide-spread collection of sexual orientation and gender identity (SOGI) data has been a barrier to conduct of research to identify disparities and inequitable cancer care among sexual and gender minority (SGM) populations. Additionally, lack of SOGI data in electronic health records (EHR) renders clinical care teams unable to integrate such information into appropriate and tailored care and treatment plans and may delay the establishment of respectful, affirming, and knowledgeable relationships between patients and their cancer care teams, and the institutions in which they receive health care. The absence of SOGI data in EHRs also prevents the identification of individuals from SGM groups for inclusion into clinical trials to improve and strengthen the evidence-base for clinical treatment of cancer, from prevention through survivorship. Despite many organizations urging improvement in evidence-based cancer care for SGM populations, satisfactory progress has not yet been achieved in part attributed to the lack of widespread SOGI collection in medical records. As a first step in identifying and remedying real-world disparities and inequity among SGM populations, the H. Lee Moffitt Cancer Center & Research Institute (Tampa, FL) began collecting sexual orientation in 2016 and gender identity in 2017 as standard-of-care demographic items for all new patients. Moffitt Cancer Center is one of the first NCI-Designated Cancer Centers to collect SOGI as standard-of-care demographics for all patients. All new patients are required to complete the web-based electronic patient questionnaire prior (EPQ) to, or on the day of, their first visit. EPQ data are integrated into the EHR, and available at the point of care. To date, SOGI demographics have been collected on over 150,000 patients and ~3.5% of our patient population are self-identified as a SGM. Leveraging this valuable and largely unique data resource among NCI-Designated Cancer Centers, we have already identified real-world disparities and inequity among SGM persons with cancer. Additional research is underway to address issues related to intersectionality and to identify barriers to improve SOGI disclosure. In this session, we will present our approach to implement institutional-side SOGI collection and dispel myths about the difficulties and barriers to implementing SOGI data collection. Citation Format: Matthew B. Schabath. Sexual orientation and gender identity (SOGI) collection: Experiences at an NCI-Designated Cancer Center [abstract]. In: Proceedings of the 16th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2023 Sep 29-Oct 2;Orlando, FL. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(12 Suppl):Abstract nr IA018.

Asking sexual orientation and gender identity on health surveys: Findings from cognitive interviews in the United States across sexual orientations and genders

The National Crime Victimization Survey (NCVS) collects information on nonfatal personal and property crimes both reported and not reported to police. As part of the ongoing redesign efforts for the NCVS, the Bureau of Justice Statistics (BJS) added sexual orientation and gender identity (SOGI) questions to the survey’s demographic section in July 2016. The inclusion of these measures will provide important national-level estimates of victimization among lesbian, gay, bisexual, and transgender (LGBT) people and allow researchers to understand victimization risk and access to victim services. This article includes a discussion of the sexual orientation and gender identity measures that were added to the NCVS, and findings from the monitoring activities conducted during the first six months of data collection. In addition, population counts by sexual orientation and gender identity are estimated using July through December 2016 NCVS data.