scholarly journals Required Sexual Orientation and Gender Identity Reporting by US Health Centers: First-Year Data

2019 ◽  
Vol 109 (8) ◽  
pp. 1111-1118 ◽  
Author(s):  
Chris Grasso ◽  
Hilary Goldhammer ◽  
Danielle Funk ◽  
Dana King ◽  
Sari L. Reisner ◽  
...  
2021 ◽  
pp. e1-e5
Author(s):  
Anthony N. Almazan ◽  
Dana King ◽  
Chris Grasso ◽  
Sean Cahill ◽  
Micah Lattanner ◽  
...  

Objectives. To examine the relationship between city-level structural stigma pertaining to sexual orientation and gender identity (SOGI) and completeness of patient SOGI data collection at US federally qualified health centers (FQHCs). Methods. We used the Human Rights Campaign’s Municipal Equality Index to quantify city-level structural stigma against sexual and gender minority people in 506 US cities across 49 states. We ascertained the completeness of SOGI data collection at FQHCs from the 2018 Uniform Data System, which describes FQHC patient demographics and service utilization. We included FQHCs in cities captured by the structural stigma index in multinomial generalized linear mixed models to examine the relationship between city-level structural stigma and SOGI data completeness. Results. FQHCs in cities with more protective sexual orientation nondiscrimination policies reported more complete patient sexual orientation data (adjusted odds ratio [AOR] = 1.6; 95% confidence interval [CI] = 1.2, 2.1). This association was also found for gender identity nondiscrimination policies and gender identity data collection (AOR = 1.7; 95% CI = 1.3, 2.2). Conclusions. Municipal sexual and gender minority nondiscrimination laws are associated with social and municipal environments that facilitate patient SOGI data collection. (Am J Public Health. Published online ahead of print September 9, 2021:e1–e5. https://doi.org/10.2105/AJPH.2021.306414 )


2019 ◽  
Vol 62 (11) ◽  
pp. 4001-4014
Author(s):  
Melanie Weirich ◽  
Adrian Simpson

Purpose The study sets out to investigate inter- and intraspeaker variation in German infant-directed speech (IDS) and considers the potential impact that the factors gender, parental involvement, and speech material (read vs. spontaneous speech) may have. In addition, we analyze data from 3 time points prior to and after the birth of the child to examine potential changes in the features of IDS and, particularly also, of adult-directed speech (ADS). Here, the gender identity of a speaker is considered as an additional factor. Method IDS and ADS data from 34 participants (15 mothers, 19 fathers) is gathered by means of a reading and a picture description task. For IDS, 2 recordings were made when the baby was approximately 6 and 9 months old, respectively. For ADS, an additional recording was made before the baby was born. Phonetic analyses comprise mean fundamental frequency (f0), variation in f0, the 1st 2 formants measured in /i: ɛ a u:/, and the vowel space size. Moreover, social and behavioral data were gathered regarding parental involvement and gender identity. Results German IDS is characterized by an increase in mean f0, a larger variation in f0, vowel- and formant-specific differences, and a larger acoustic vowel space. No effect of gender or parental involvement was found. Also, the phonetic features of IDS were found in both spontaneous and read speech. Regarding ADS, changes in vowel space size in some of the fathers and in mean f0 in mothers were found. Conclusion Phonetic features of German IDS are robust with respect to the factors gender, parental involvement, speech material (read vs. spontaneous speech), and time. Some phonetic features of ADS changed within the child's first year depending on gender and parental involvement/gender identity. Thus, further research on IDS needs to address also potential changes in ADS.


2021 ◽  
pp. 095624782110193
Author(s):  
Vanesa Castán Broto

All over the world, people suffer violence and discrimination because of their sexual orientation and gender identity. Queer theory has linked the politics of identity and sexuality with radical democracy experiments to decolonize development. Queering participatory planning can improve the wellbeing of vulnerable sectors of the population, while also enhancing their political representation and participation. However, to date, there has been limited engagement with the politics of sexuality and identity in participatory planning. This paper identifies three barriers that prevent the integration of queer concerns. First, queer issues are approached as isolated and distinct, separated from general matters for discussion in participatory processes. Second, heteronormative assumptions have shaped two fields that inform participatory planning practices: development studies and urban planning. Third, concrete, practical problems (from safety concerns to developing shared vocabularies) make it difficult to raise questions of identity and sexuality in public discussions. An engagement with queer thought has potential to renew participatory planning.


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