Systematic Collection of Sexual Orientation and Gender Identity in a Public Health System: The San Francisco Health Network SO/GI Systems-Change Initiative

2020 ◽  
Vol 46 (10) ◽  
pp. 549-557
Author(s):  
Nicole Rosendale ◽  
Amie Fishman ◽  
Seth Goldman ◽  
Seth Pardo ◽  
Ashley Scarborough ◽  
...  
Keyword(s):  
Public Health ◽  
Sexual Orientation ◽  
Gender Identity ◽  
Health System ◽  
San Francisco ◽  
Public Health System ◽  
Systems Change ◽  
Health Network ◽  
And Gender ◽  
Systematic Collection

scholarly journals Violencia ginecológica y silencio al interior del Modelo Médico en Chile. Stella Salinero Rates, Manuel Cárdenas Castro

2021 ◽  
Vol 81 (03) ◽  
pp. 226-238
Author(s):  
Stella Salinero-Rates ◽  
Manuel Cárdenas Castro
Keyword(s):  
Public Health ◽  
Health Care ◽  
Sexual Orientation ◽  
Health System ◽  
Key Words ◽  
Public Health System ◽  
Medical Model ◽  
Cross Sectional ◽  
Level Of Education ◽  
The Public

Objective: To investigate the presence of gynecological violence within the health system in Chile, quantify the magnitude of this problem, define its general contours and make visible a phenomenon that has been silenced until now. Methods: The design is cross-sectional and not probabilistic. It included a sample of 4563 women, who were of legal age and who had ever attended gynecological services. A questionnaire was applied between December 18, 2019 and May 10, 2020 using the online platform (SurveyMonkey®). Results: 67% of the participants reported having experienced violence in some way. Such violence occurs most frequently, but not only, in the public health system, in people who belong to native ethnic groups, who consider themselves to be of African descent, whose sexual orientation is lesbian, who are older and who have a lower level of education. Conclusion: The results indicate a high report of violence in gynecological health care Key words: Gynecological violence, Body, Sexuality, Itself, Hegemonic medical model.

scholarly journals Collection of Data on Sex, Sexual Orientation, and Gender Identity by U.S. Public Health Data and Monitoring Systems, 2015–2018

2021 ◽  
Vol 18 (22) ◽  
pp. 12189
Author(s):  
Alissa C. Kress ◽  
Asia Asberry ◽  
Julio Dicent Taillepierre ◽  
Michelle M. Johns ◽  
Pattie Tucker ◽  
...  
Keyword(s):  
Public Health ◽  
Sexual Orientation ◽  
Data Collection ◽  
Gender Identity ◽  
Health Data ◽  
Monitoring Systems ◽  
Data Systems ◽  
Public Health Data ◽  
Race Ethnicity ◽  
And Gender

We aimed to assess Centers for Disease Control and Prevention (CDC) data systems on the extent of data collection on sex, sexual orientation, and gender identity as well as on age and race/ethnicity. Between March and September 2019, we searched 11 federal websites to identify CDC-supported or -led U.S. data systems active between 2015 and 2018. We searched the systems’ website, documentation, and publications for evidence of data collection on sex, sexual orientation, gender identity, age, and race/ethnicity. We categorized each system by type (disease notification, periodic prevalence survey, registry/vital record, or multiple sources). We provide descriptive statistics of characteristics of the identified systems. Most (94.1%) systems we assessed collected data on sex. All systems collected data on age, and approximately 80% collected data on race/ethnicity. Only 17.7% collected data on sexual orientation and 5.9% on gender identity. Periodic prevalence surveys were the most common system type for collecting all the variables we assessed. While most U.S. public health data and monitoring systems collect data disaggregated by sex, age, and race/ethnicity, far fewer do so for sexual orientation or gender identity. Standards and examples exist to aid efforts to collect and report these vitally important data. Additionally important is increasing accessibility and appropriately tailored dissemination of reports of these data to public health professionals and other collaborators.

Inclusion of LGBTQ persons in research related to pregnancy risk: a cognitive interview study

2018 ◽  
Vol 44 (4) ◽  
pp. 292-298
Author(s):  
Natalie Ingraham ◽  
Erin Wingo ◽  
Sarah C M Roberts
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
San Francisco ◽  
Unintended Pregnancy ◽  
Cognitive Interview ◽  
Pregnancy Risk ◽  
Pregnancy Intentions ◽  
Gender Neutral ◽  
Reproductive Anatomy ◽  
And Gender

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 about abortion and contraception care, as well as the risk for unintended pregnancy more broadly, requires accurate assessment of risk for unintended pregnancy, which involves different considerations for LGBTQ people.MethodsWe created a survey with existing sexual orientation and gender identity measures, new reproductive anatomy questions to guide skip patterns, gender neutral terminology in sexual and behavioural risk questions, and existing contraception and pregnancy intentions questions that were modified to be gender neutral. We then assessed the appropriateness of these measures through cognitive interviews with 39 individuals aged 18–44 years who were assigned female at birth and identified as LGBTQ. Participants were recruited in the San Francisco Bay Area of California, Baltimore, Maryland and other cities.ResultsExisting demographic questions on sexual orientation and gender identity were well received by participants and validating of participant reported identities. Participants responded positively to new reproductive anatomy questions and to gender neutral terminology in sexual behaviour and pregnancy risk questions. They felt skip patterns appropriately removed them out of inappropriate items (eg, use of contraception to avoid unintended pregnancy); there was some question about whether pregnancy intention measures were widely appropriate or should be further restricted.ConclusionsThis study provides guidance on ways to appropriately evaluate inclusion of LGBTQ people in abortion and contraception research.

Sexual Orientation and Gender Identity Data Collection: Clinical and Public Health Importance

2020 ◽  
Vol 110 (7) ◽  
pp. 991-993 ◽  
Author(s):  
Carl G. Streed ◽  
Chris Grasso ◽  
Sari L. Reisner ◽  
Kenneth H. Mayer
Keyword(s):  
Public Health ◽  
Sexual Orientation ◽  
Data Collection ◽  
Gender Identity ◽  
Public Health Importance ◽  
And Gender

India as a Pioneer of Innovation

2018 ◽  
Keyword(s):  
Public Health ◽  
Health System ◽  
Informal Economy ◽  
Urban Poor ◽  
Public Health System ◽  
Low Cost ◽  
Social Enterprises ◽  
Specific Context ◽  
Innovation Project ◽  
Context Specific

What does innovation mean to and in India? What are the predominant areas of innovation for India, and under what situations do they succeed or fail? This book addresses these all-important questions arising within diverse Indian contexts: informal economy, low-cost settings, large business groups, entertainment and copyright-based industries, an evolving pharma sector, a poorly organized and appallingly underfunded public health system, social enterprises for the urban poor, and innovations for the millions. It explores the issues that promote and those that hinder the country’s rise as an innovation leader. The book’s balanced perspective on India’s promises and failings makes it a valuable addition for those who believe that India’s future banks heavily on its ability to leapfrog using innovation, as well as those sceptical of the Indian state’s belief in the potential of private enterprise and innovation. It also provides critical insights on innovation in general, the most important of which being the highly context-specific, context-driven character of the innovation project.

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