Acquisition of sexual orientation and gender identity data among NCI Community Oncology Research Program practice groups.


Journal

Cancer
ISSN: 1097-0142
Titre abrégé: Cancer
Pays: United States
ID NLM: 0374236

Informations de publication

Date de publication:
15 04 2019
Historique:
received: 09 06 2018
revised: 12 11 2018
accepted: 13 11 2018
pubmed: 19 12 2018
medline: 15 1 2020
entrez: 19 12 2018
Statut: ppublish

Résumé

Sexual and gender minority individuals face numerous cancer-related inequities, many of which appear to be underreported. However, to the best of the authors' knowledge, no one has assessed rates of acquisition of sexual orientation and gender identity (SOGI) data within community oncology settings. Community oncology practices that were part of the NCI Community Oncology Research Program (NCORP) network were asked whether they routinely collected SOGI information and coded this information in their electronic medical records. The proportion of practice groups reporting routine collection of sexual and/or gender minority information was calculated. Potential associations between the collection of SOGI information and practice group-level and state-level characteristics (from Gallup poll data) were also provided. Twenty-four percent of the responding NCORP practice groups reported routine collection of sexual orientation information, and 10% reported collection of gender identity information. Practices located in western regions of the United States, practices in states with higher proportions of sexual and gender minority-identifying individuals, and practices with lower proportions of non-Hispanic patients were more likely to ask patients about sexual orientation and/or gender identity. US oncology practices that participate in research do not frequently collect SOGI information from patients with cancer. Educational initiatives should inform oncology staff and providers about the importance of collecting gender identity and sexual orientation information to improve existent disparities faced by sexual and gender minority patients.

Sections du résumé

BACKGROUND
Sexual and gender minority individuals face numerous cancer-related inequities, many of which appear to be underreported. However, to the best of the authors' knowledge, no one has assessed rates of acquisition of sexual orientation and gender identity (SOGI) data within community oncology settings.
METHODS
Community oncology practices that were part of the NCI Community Oncology Research Program (NCORP) network were asked whether they routinely collected SOGI information and coded this information in their electronic medical records. The proportion of practice groups reporting routine collection of sexual and/or gender minority information was calculated. Potential associations between the collection of SOGI information and practice group-level and state-level characteristics (from Gallup poll data) were also provided.
RESULTS
Twenty-four percent of the responding NCORP practice groups reported routine collection of sexual orientation information, and 10% reported collection of gender identity information. Practices located in western regions of the United States, practices in states with higher proportions of sexual and gender minority-identifying individuals, and practices with lower proportions of non-Hispanic patients were more likely to ask patients about sexual orientation and/or gender identity.
CONCLUSIONS
US oncology practices that participate in research do not frequently collect SOGI information from patients with cancer. Educational initiatives should inform oncology staff and providers about the importance of collecting gender identity and sexual orientation information to improve existent disparities faced by sexual and gender minority patients.

Identifiants

pubmed: 30561776
doi: 10.1002/cncr.31925
pmc: PMC6443419
mid: NIHMS999780
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1313-1318

Subventions

Organisme : NCI NIH HHS
ID : UG1 CA189974
Pays : United States
Organisme : NCI NIH HHS
ID : UG1 CA189828
Pays : United States
Organisme : NCI NIH HHS
ID : UG1 CA189823
Pays : United States
Organisme : NCI NIH HHS
ID : UG1 CA189961
Pays : United States
Organisme : NCI NIH HHS
ID : UG1 CA189824
Pays : United States

Informations de copyright

© 2018 American Cancer Society.

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Auteurs

Elizabeth J Cathcart-Rake (EJ)

Department of Oncology, Mayo Clinic, Rochester, Minnesota.

Tyler Zemla (T)

Division of Biostatistics, Mayo Clinic, Rochester, Minnesota.

Aminah Jatoi (A)

Department of Oncology, Mayo Clinic, Rochester, Minnesota.

Kathryn E Weaver (KE)

Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, North Carolina.

Heather Neuman (H)

Department of Surgery, University of Wisconsin, Madison, Wisconsin.

Anne E Kazak (AE)

Nemours Center for Healthcare Delivery Science, Nemours Children's Health System, Wilmington, Delaware.

Ruth Carlos (R)

Department of Radiology, University of Michigan, Ann Arbor, Michigan.

Lucy Gansauer (L)

Spartanburg Medical Center, Spartanburg, South Carolina.

Joseph M Unger (JM)

SWOG Statistical Center, Fred Hutchinson Cancer Research Center, Seattle, Washington.

Nicholas M Pajewski (NM)

Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina.

Charles Kamen (C)

Cancer Control Unit, University of Rochester, Rochester, New York.

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