Evidence map›Paper›PMID 41106710›Full record

ArticleAnnals of epidemiology2025

Availability of sexual orientation and gender identity (SOGI) information in a cohort of transgender and gender diverse people: An analysis of electronic health records.

Cynthia N Ramirez, Michael Goodman, Kristine Magnusson, Wendy Leyden, Alexandra N Lea, Darios Getahun, Courtney McCracken, Suma Vupputuri, Lee Cromwell, Timothy L Lash and 3 more

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In one paragraph

Article in Annals of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Cynthia N RamirezDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA. Electronic address: Cynthia.N1.Ramirez@kp.org.
Michael GoodmanDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Kristine MagnussonDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Wendy LeydenDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
Alexandra N LeaDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
Darios GetahunDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA; Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA.
Courtney McCrackenCenter for Research and Evaluation, Kaiser Permanente Georgia, Atlanta, GA, USA.
Suma VupputuriMid-Atlantic Permanente Research Institute, Kaiser Permanente Mid-Atlantic States, Washington, DC, USA.
Lee CromwellCenter for Research and Evaluation, Kaiser Permanente Georgia, Atlanta, GA, USA.
Timothy L LashDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Oumaima KaabiDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Guneet K JasujaCenter for Health Optimization & Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA; Section of General Internal Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA; Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA, USA.
Michael J SilverbergDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.

Funding

Characteristics of COVID-19 in transgender peopleR01AG066956 · NIA · EMORY UNIVERSITY · PI GOODMAN, MICHAEL · 2021 to 2025
$3.5M
NIA NIH HHS R01 AG066956
6 · The paper itself

Abstract

purposeElectronic health records (EHR) offer a unique opportunity to systematically collect sexual orientation and gender identity (SOGI) data. This study examined the prevalence and determinants of SOGI reporting in an EHR-based cohort of transgender and gender diverse (TGD) individuals.

methodsWe identified TGD people with and without SOGI documentation across four Kaiser Permanente health plans from January 1, 2022-2024. TGD status was determined through clinical notes, diagnostic codes, and SOGI data based on a previously established cohort. Factors associated with SOGI reporting were assessed using log-binomial regression, yielding prevalence ratios (PR) and the 95 % confidence intervals (CI).

resultsAmong 23,060 TGD individuals, 71 % had SOGI documentation in the EHR. Reporting varied by sociodemographic and clinical characteristics. For example, compared to those < 20 years, SOGI reporting was higher for those aged 21-59 (PRs 1.10-1.21; 95 % CIs 1.06-1.24) and lower for those > 60 (0.93; 0.88-0.99). Documentation was slightly lower for those assigned male at birth (0.98; 0.97-1.00) and varied by race and ethnicity (e.g., Hispanic: 0.97; 0.95-0.99; Other: 1.02; 0.98-1.05 vs. White).

conclusionsKP's EHRs captured SOGI data for over 70 % of TGD individuals, though more research is needed to understand factors associated with missing data not captured in structured fields.

Indexed as

Electronic Health RecordsGender IdentitySexual and Gender MinoritiesSexual BehaviorTransgender PersonsAdolescentAdultCohort StudiesFemaleHumansMaleMiddle AgedYoung AdultElectronic health recordsGender identitySexual orientationTransgender

Identifiers

PMID41106710
PMCPMC12684433

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.