scholarly journals Collecting sexual orientation and gender identity information in the emergency department : the divide between patient and provider perspectives

2019 ◽  
Vol 36 (3) ◽  
pp. 136-141 ◽  
Author(s):  
Lisa M Kodadek ◽  
Susan Peterson ◽  
Ryan Y Shields ◽  
Danielle German ◽  
Anju Ranjit ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Comparative Method ◽  
Institute Of Medicine ◽  
Structured Interviews ◽  
Community Members ◽  
Provider Perspectives ◽  
Constant Comparative Method ◽  
The Usa ◽  
And Gender

BackgroundIn the USA, The Joint Commission and Institute of Medicine have called for collection of patient sexual orientation (SO) and gender identity (GI) information in healthcare. In a recent study, we reported that ED clinicians believe patients will refuse to provide this information; however, very few patients say they would refuse to provide SO/GI. As part of this study, we interviewed patients and providers regarding the importance of collecting this information. While these interviews were briefly summarised in our prior report, the qualitative data warranted a more thorough analysis and exposition to explore provider and patient views as well as risks and benefits of collecting SO/GI.MethodsA purposive sample of 79 participants was recruited for semi-structured interviews between August 2014 and January 2015. Participants included community members who had a previous ED encounter and ED providers from 3 community and 2 academic centres in a major US metropolitan area. Interviews were conducted one-on-one in person, audio-recorded and transcribed verbatim. Data were analysed using the constant comparative method.ResultsFifty-three patients and 26 ED providers participated. Patients perceived collection of SO/GI to be important in most clinical circumstances because SO/GI is relevant to their identity and allows providers to treat the whole person. However, many providers felt SO/GI was not relevant in most clinical circumstances because similar care is provided to all patients regardless of SO/GI. Patients and providers agreed there are risks associated with collecting SO/GI in the ED.ConclusionsED clinicians do not perceive routine collection of SO/GI to be medically relevant in most circumstances. However, patients feel routine SO/GI collection allows for recognition of individual identity and improved therapeutic relationships in the ED. These discordant perspectives may be hindering patient-centred care, especially for sexual and gender minority patients.

scholarly journals LGBTQ Bullying: Translating Research to Action in Pediatrics

2021 ◽  
pp. 60-69
Author(s):  
Valerie A. Earnshaw ◽  
Sari L. Reisner ◽  
Jaana Juvonen ◽  
Mark L. Hatzenbuehler ◽  
Jeff Perrotti ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Orientation ◽  
Gender Identity ◽  
Clinical Care ◽  
Government Officials ◽  
Community Members ◽  
Lgbtq Youth ◽  
Innovative Strategies ◽  
And Gender ◽  
Bullying Interventions

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth experience significant bullying that undermines their mental and physical health. National health organizations have called for the development of innovative strategies to address LGBTQ bullying. Pediatricians and other clinicians, medical and public health students, interdisciplinary researchers, government officials, school leaders, community members, parents, and youth from around the country came together at a national symposium entitled “LGBTQ Bullying: Translating Research to Action to Improve the Health of All Youth” in May 2016 to generate strategies to prevent LGBTQ bullying and meet the needs of LGBTQ youth experiencing bullying. This article describes key scientific findings on bullying, LGBTQ stigma, and LGBTQ bullying interventions that were shared at the symposium and provides recommendations for pediatricians to address LGBTQ bullying via clinical care, research, interventions, and policy. Symposium participants recommended that pediatricians engage in efforts to foster inclusive and affirming health care environments wherein LGBTQ youth feel comfortable discussing their identities and experiences, identify youth experiencing LGBTQ bullying, and prevent the negative health consequences of bullying among youth. Moreover, pediatricians can attend to how multiple identities (eg, sexual orientation, gender identity, race and/or ethnicity, disability, and others) shape youth experiences of bullying and expand intervention efforts to address LGBTQ bullying in health care settings. Pediatricians can further advocate for evidence-based, antibullying policies prohibiting bullying on the basis of sexual orientation and gender identity. Collaboration between pediatricians and diverse stakeholders can contribute to the development and implementation of lasting change in all forms of bullying, including LGBTQ bullying.

scholarly journals Sexual orientation, gender identity and gender expression-based violence in Catalan universities: qualitative findings from university students and staff

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Elena María Gallardo-Nieto ◽  
Aitor Gómez ◽  
Regina Gairal-Casadó ◽  
María del Mar Ramis-Salas
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
University Students ◽  
Life Quality ◽  
Well Being ◽  
Two Dimensions ◽  
Structured Interviews ◽  
Gender Expression ◽  
Wide Range ◽  
And Gender

Abstract Background Hate crimes have raised in Spain and the gender and sexuality-based conflicts persist worldwide which leads to this problem having an effect on health and wellbeing. Following a focus of transforming Higher Education Institutions, this research analysed the problem that affects undergraduate students in six Spanish universities. The research goal is to improve the life quality of lesbian, gay, bisexual, transgender, queer and intersex university students, breaking the silence that exists around the violence that this group suffer in Catalonia, Spain. Methods Following the Communicative Methodology, this study has identified violence based on sexual orientation, gender identity or gender expression in the target universities and provided guidelines to improve anti-discrimination protocols. A qualitative method has reached experiences of university students, heads of equality commissions, professors and administrative staff regarding this conflict. Focussing on the qualitative research tools, 30 semi-structured interviews were conducted with university students and staff around issues related to the violence against lesbian, gay, bisexual transgender, queer and intersex students: 1) perception of violence and discrimination, 2) institutional measures, 3) actions against violence. An analysis of exclusionary and transformative dimensions was used to identify emergent themes. Results We have identified two dimensions for the analysis given their impact in contributing or overcoming violence: exclusionary and transformative. A wide range of forms of violence on the grounds of sexual orientation, gender identity and gender expression perpetrated at universities have been identified as exclusionary facts and described by participants in the study. Equality commissions have not received reports of violence based on sexual orientation, gender identity or gender expression, and university staff shows certain unfamiliarity regarding the measures and politics to prevent and intervene in cases of violence against the lesbian, gay, bisexual, transgender, queer and intersex community. Among the results identified as transformative are the ways through which actions of lesbian, gay, bisexual, transgender, queer and intersex groups against violence and the professors’ commitment to intervene have a relevant impact on student’s wellbeing. An improvement and implementation of anti-discrimination protocols with mandatory applicability has also been documented. Conclusions Findings highlight the need of collecting more evidence that contributes to the improvement of protocols, measures and politics to protect all the members of the university community. A better understanding of violence based on sexual orientation, gender identity and gender expression in HEI’s may guide national and international governments to improve the health and well-being of lesbian, gay, bisexual, transgender, queer and intersex persons.

scholarly journals Planning and implementing sexual orientation and gender identity data collection in electronic health records

2018 ◽  
Vol 26 (1) ◽  
pp. 66-70 ◽  
Author(s):  
Chris Grasso ◽  
Michal J McDowell ◽  
Hilary Goldhammer ◽  
Alex S Keuroghlian
Keyword(s):  
Health Care ◽  
Sexual Orientation ◽  
Data Collection ◽  
Gender Identity ◽  
Electronic Health Records ◽  
Current Evidence ◽  
Institute Of Medicine ◽  
Health Records ◽  
Electronic Health ◽  
And Gender

AbstractLesbian, gay, bisexual, transgender, and queer (LGBTQ) people experience significant health disparities across the life course and require health care that addresses their unique needs. Collecting information on the sexual orientation and gender identity (SO/GI) of patients and entering SO/GI data in electronic health records has been recommended by the Institute of Medicine, the Joint Commission, and the Health Resources and Services Administration as fundamental to improving access to and quality of care for LGBTQ people. Most healthcare organizations, however, have yet to implement a system to collect SO/GI data due to multiple barriers. This report addresses those concerns by presenting recommendations for planning and implementing high-quality SO/GI data collection in primary care and other health care practices based on current evidence and best practices developed by a federally qualified health center and leader in LGBTQ health care.

scholarly journals LGBTQ Bullying: Translating Research to Action in Pediatrics

2018 ◽  
pp. 20-29
Author(s):  
Valerie A. Earnshaw ◽  
Sari L. Reisner ◽  
Jaana Juvonen ◽  
Mark L. Hatzenbuehler ◽  
Jeff Perrotti ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Orientation ◽  
Gender Identity ◽  
Clinical Care ◽  
Government Officials ◽  
Community Members ◽  
Lgbtq Youth ◽  
Innovative Strategies ◽  
And Gender ◽  
Bullying Interventions

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth experience significant bullying that undermines their mental and physical health. National health organizations have called for the development of innovative strategies to address LGBTQ bullying. Pediatricians and other clinicians, medical and public health students, interdisciplinary researchers, government officials, school leaders, community members, parents, and youth from around the country came together at a national symposium entitled “LGBTQ Bullying: Translating Research to Action to Improve the Health of All Youth” in May 2016 to generate strategies to prevent LGBTQ bullying and meet the needs of LGBTQ youth experiencing bullying. This article describes key scientific findings on bullying, LGBTQ stigma, and LGBTQ bullying interventions that were shared at the symposium and provides recommendations for pediatricians to address LGBTQ bullying via clinical care, research, interventions, and policy. Symposium participants recommended that pediatricians engage in efforts to foster inclusive and affirming health care environments wherein LGBTQ youth feel comfortable discussing their identities and experiences, identify youth experiencing LGBTQ bullying, and prevent the negative health consequences of bullying among youth. Moreover, pediatricians can attend to how multiple identities (eg, sexual orientation, gender identity, race and/or ethnicity, disability, and others) shape youth experiences of bullying and expand intervention efforts to address LGBTQ bullying in health care settings. Pediatricians can further advocate for evidence-based, antibullying policies prohibiting bullying on the basis of sexual orientation and gender identity. Collaboration between pediatricians and diverse stakeholders can contribute to the development and implementation of lasting change in all forms of bullying, including LGBTQ bullying.

scholarly journals In Our Own Words: A Qualitative Exploration of Complex Patient-Provider Interactions in an LGBTQ Population

2019 ◽  
Vol 2 (2) ◽  
pp. 83-93
Author(s):  
Saba Malik ◽  
Zubin Master ◽  
Wendy Parker ◽  
Barry DeCoster ◽  
Lisa Campo-Engelstein
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Ethnic Discrimination ◽  
Theory Approach ◽  
Structured Interviews ◽  
Physician Patient Relationship ◽  
Complex Needs ◽  
Gender Minorities ◽  
Increased Risk ◽  
And Gender

While sexual and gender minorities are at increased risk for poor health outcomes, there is limited data regarding patient-provider interactions. In this study, we explored the perspectives of LGBTQ patients and their encounters with physicians in order to improve our understanding of patient-physician experiences. Using purposive selection of self-identified LGBTQ patients, we performed fourteen in-depth semi-structured interviews on topics of sexual orientation and gender identity, as well as their perceived role in the patient-provider relationship. Coding using a modified grounded theory approach was performed to generate themes. We identified three major themes that demonstrate the complexity of LGBTQ patient experiences. The first, Lacking trust, identifies mistrust and loss of the physician-patient relationship resulting from physicians’ poor or judgmental communication, or from physicians making assumptions about gender, using incorrect pronouns, and not recognizing heterogeneity within the transgender community. A second theme, Being vulnerable, describes the challenges and fears related to comfort of patients with disclosing their sexual orientation and/or gender identity. A final theme, Navigating discrimination, outlines racial or ethnic discrimination which creates an additional burden on top of illness and stigmatized identity. Our results reveal the complex needs of individuals with multiple stigmatized identities when developing relationships with providers. By using an intersectional perspective that appreciates the plurality of patients’ identities, providers can help to improve their relationships with LGBTQ patients. Incorporating intersectional training for medical students and residents could greatly benefit both LGBTQ patients and their physicians.

Organizing Baristas in Halifax Cafes: Precarious Work and Gender and Class Identities in the Millennial Generation

2017 ◽  
Vol 45 (4-5) ◽  
pp. 485-500 ◽  
Author(s):  
Rachel K. Brickner ◽  
Meaghan Dalton
Keyword(s):  
Sexual Orientation ◽  
Nova Scotia ◽  
Gender Identity ◽  
Economic Analysis ◽  
Community Support ◽  
Gender And Sexuality ◽  
Young Workers ◽  
Structured Interviews ◽  
Gender Based ◽  
And Gender

In 2012–2015, baristas engaged in union drives at five cafes in Halifax, Nova Scotia. In a series of semi-structured interviews with participants in and supporters of these drives, it became clear that issues of gender, sexual orientation, and gender identity were critical in understanding why and how these union drives evolved: women and queer baristas experienced gender-based discrimination and marginalization at work; they were noted leaders in some of the drives and drew on activist networks to rally community support for the unionization effort. Finally, issues of gender and sexuality informed some of the baristas’ broader economic analysis. We argue that the barista union drive in Halifax illustrates a framework for understanding how gender, gender identity, and sexual orientation inform unjust experiences in precarious workplaces and strategies for confronting them. A gendered analysis of the barista union drives underscores the importance of organized labor’s outreach to young workers and, further, that engaging with workers with attention to intersectionality is an important organizational strategy.

Sign in / Sign up

Export Citation Format

Share Document