ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2019
Routine collection of sexual orientation and gender identity data: a mixed-methods study.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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25 citing papers in PubMed.
- Implementing the screening for poverty and related social determinants and intervening to improve knowledge of and links to resources (SPARK) in primary care clinics across Canada.Family practice · 2026Article
- Understanding patient preferences on providing sociodemographic information in an acute care setting: a qualitative study.BMC health services research · 2025Article
- Advancing Health Equity Through Primary Care: Protocol for the Spread, Scale, and Multimethod Developmental Evaluation of the Deep End Canada Network.JMIR research protocols · 2025Article
- Sexual identity, child maltreatment, mental health, and substance use among emerging adults aged 18 to 23 years.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Article
- Adolescent Comfort With Sexual Orientation and Gender Identity Collection and Preferences for Electronic Health Record Documentation in the Ambulatory Setting.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Risk of impairment in cognitive instrumental activities of daily living for sexual and gender minority adults with reported Parkinson's disease.The Clinical neuropsychologist · 2025Article
- Collecting sociodemographic data in primary care: qualitative interviews in community health centres.BJGP open · 2025Article
- Disentangling gender, sex, and biology: a mixed methods study of gender identity data collection tools.Patient education and counseling · 2025Article
- Systems Thinking, Causal Loop Diagram, and Systems Dynamic in Public Health Challenges: Navigating Long COVID Syndrome and Sense of Smell in LGBTQIA+ Communities.Public health challenges · 2024Review
- Screening for poverty and related social determinants to improve knowledge of and links to resources (SPARK): development and cognitive testing of a tool for primary care.BMC primary care · 2023Article
- An affirming approach to caring for transgender and gender-diverse youth.Paediatrics & child health · 2023Review
- Une approche d'affirmation pour les soins aux jeunes transgenres et de diverses identités de genre.Paediatrics & child health · 2023Review
- Association between the Expression of Sexual Orientation and/or Gender Identity and Mental Health Perceptions in the Peruvian LGBTI Population.International journal of environmental research and public health · 2023Article
- Words matter: The language of difference in human genetics.Genetics in medicine : official journal of the American College of Medical Genetics · 2023Article
- Gender and Age Effects on Public Attitudes to, and Knowledge of, Animal Welfare in China.Animals : an open access journal from MDPI · 2022Article
- Effects of Including Gender Pronoun Questions in Surveys.Frontiers in psychology · 2022Article
- An Environmental Scan of Sex and Gender in Electronic Health Records: Analysis of Public Information Sources.Journal of medical Internet research · 2020Article
- Disparities in the hospital cost of cardiometabolic diseases among lesbian, gay, and bisexual Canadians: a population-based cohort study using linked data.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
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Abstract
backgroundSexual orientation and gender identity are key social determinants of health, but data on these characteristics are rarely routinely collected. We examined patients' reactions to being asked routinely about their sexual orientation and gender identity, and compared answers to the gender identity question against other data in the medical chart on gender identity.
methodsWe analyzed data on any patient who answered at least 1 question on a routinely administered sociodemographic survey between Dec. 1, 2013, and Mar. 31, 2016. We also conducted semistructured interviews with 27 patients after survey completion.
resultsThe survey was offered to 15 221 patients and 14 247 (93.6%) responded to at least 1 of the sociodemographic survey questions. Most respondents answered the sexual orientation (90.6%) and gender identity (96.1%) questions. Many patients who had been classified as transgender or gender diverse in their medical chart did not self-identify as transgender, but rather selected female (22.9%) or male (15.4%). In the semistructured interviews, many patients expressed appreciation at the variety of options available, although some did not see their identities reflected in the options and some felt uncomfortable answering the questions.
interpretationWe found a high response rate to questions about sexual orientation and gender identity. Fitting with other research, we suggest using a 2-part question to explore gender identity. Future research should evaluate the acceptability and feasibility of administering these questions in a variety of care settings. These data can help organizations identify health inequities related to sexual orientation and gender identity.
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