Sexual Orientation Demographic Data in a Clinical Cohort of Transgender Patients.
Journal
Applied clinical informatics
ISSN: 1869-0327
Titre abrégé: Appl Clin Inform
Pays: Germany
ID NLM: 101537732
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
pubmed:
18
3
2021
medline:
16
11
2021
entrez:
17
3
2021
Statut:
ppublish
Résumé
There are specific issues regarding sexual orientation (SO) collection and analysis among transgender and nonbinary patients. A limitation to meaningful SO and gender identity (GI) data collection is their consideration as a fixed trait or demographic data point. A de-identified patient database from a single electronic health record (EHR) that allows for searching any discrete data point in the EHR was used to query demographic data (sex assigned at birth and current GI) for transgender individuals from January 2011 to March 2020 at a large urban tertiary care academic health center. A cohort of transgender individuals were identified by using EHR data from a two-step demographic question. Almost half of male identified (46.70%, Current SO categories do not fully capture transgender individuals' identities and experiences, and limit the clinical and epidemiological utility of collecting this data in the current form. Anatomical assumptions based on SO should be seen as a potential shortcoming in over-reliance on SO as an indicator of screening needs and risk factors.
Sections du résumé
BACKGROUND
There are specific issues regarding sexual orientation (SO) collection and analysis among transgender and nonbinary patients. A limitation to meaningful SO and gender identity (GI) data collection is their consideration as a fixed trait or demographic data point.
METHODS
A de-identified patient database from a single electronic health record (EHR) that allows for searching any discrete data point in the EHR was used to query demographic data (sex assigned at birth and current GI) for transgender individuals from January 2011 to March 2020 at a large urban tertiary care academic health center.
RESULTS
A cohort of transgender individuals were identified by using EHR data from a two-step demographic question. Almost half of male identified (46.70%,
CONCLUSION
Current SO categories do not fully capture transgender individuals' identities and experiences, and limit the clinical and epidemiological utility of collecting this data in the current form. Anatomical assumptions based on SO should be seen as a potential shortcoming in over-reliance on SO as an indicator of screening needs and risk factors.
Identifiants
pubmed: 33730758
doi: 10.1055/s-0041-1725184
pmc: PMC7968987
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
222-228Informations de copyright
Thieme. All rights reserved.
Déclaration de conflit d'intérêts
None declared.
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