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Is It Okay To Ask: Transgender Patient Perspectives on Sexual Orientation and Gender Identity Collection in Healthcare
Author(s) -
MaraghBass Allysha C.,
Torain Maya,
Adler Rachel,
Ranjit Anju,
Schneider Eric,
Shields Ryan Y.,
Kodadek Lisa M.,
Snyder Claire F.,
German Danielle,
Peterson Susan,
Schuur Jeremiah,
Lau Brandyn D.,
Haider Adil H.
Publication year - 2017
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/acem.13182
Subject(s) - medicine , transgender , sexual orientation , facilitator , lesbian , complaint , family medicine , health care , nursing , psychology , social psychology , political science , psychoanalysis , law , economics , economic growth
Objective The National Academy of Medicine and Joint Commission recommend routine documentation of sexual orientation ( SO ) and gender identity ( GI ) in healthcare to address lesbian, gay, bisexual, or transgender ( LGBT ) health disparities. We explored transgender patient–reported views on the importance on SO / GI collection, their willingness to disclose, and their perceived facilitators of SO / GI collection in primary care and emergency department ( ED ) settings. Methods We recruited a national sample of self‐identified transgender patients. Participants completed demographic questions, survey questions, and free‐response comments regarding their views on SO / GI collection. Data were analyzed using descriptive statistics; inductive content analysis was conducted with open‐ended responses. Results Patients mostly self‐identified as male gender (54.5%), white (58.4%), and SO other than heterosexual or LGB (33.7%; N = 101). Patients felt that it was more important for primary care providers to know their GI than SO (89.1% vs. 57%; p < 0.001); there was no difference among reported importance for ED providers to know the patients’ SO versus GI . Females were more likely than males to report medical relevance to chief complaint as a facilitator to SO disclosure (89.1% vs. 80%; p = 0.02) and less likely to identify routine collection from all patients as a facilitator to GI disclosure (67.4% vs. 78.2%; p = 0.09). Qualitatively, many patients reported that medical relevance to chief complaint and an LGBT ‐friendly environment would increase willingness to disclose their SO/GI. Patients also reported need for educating providers in LGBT health prior to implementing routine SO / GI collection. Conclusions Patients see the importance of providing GI more than SO to providers; nonetheless they are willing to disclose SO/GI in general.. Findings also suggest that gender differences may exist in facilitators of SO / GI disclosure. Given the underrepresentation of transgender patients in healthcare, it is crucial for providers to address their concerns with SO / GI disclosure, which include LGBT education for medical staff and provision of a safe environment.