A Multistakeholder Qualitative Study to Inform Sexual Orientation and Gender Identity Data Collection in the Cancer Care Setting.

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
LGBT health Pub Date : 2024-08-19 DOI:10.1089/lgbt.2024.0065
Matthew Triplette, Nicholas Giustini, Nicolas Anderson, Tiffany Go, N F N Scout, Jaimee L Heffner
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Abstract

Purpose: Sexual and gender minoritized (SGM) populations face health disparities along the cancer care continuum, although attempts to define these disparities are limited by a lack of comprehensive sexual orientation and gender identity (SOGI) data collection. The objective of this study was to interview a diverse group of stakeholders to understand attitudes, barriers, and facilitators to inform data collection approaches in a cancer care setting. Methods: This was a qualitative study conducted from March to July 2023 with paired surveys of stakeholders including patients, caregivers, providers, and cancer registry staff. Twenty participants across these categories, including half who identified as SGM, completed surveys and interviews. Qualitative data were reduced to themes with exemplar quotations using rapid qualitative analysis methods and compared to survey data. Results: Themes revealed general support for SOGI data collection as part of holistic cancer care, and all participants acknowledged that specific SOGI-related information, particularly correct pronoun usage, was essential to inform patient-centered care. Themes revealed tensions around optimal SOGI data collection methods, mixed opinions on the relevance of sexual orientation, experiences of discrimination and discomfort related to SOGI, and limited acknowledgment of population benefits of SOGI data collection. Conclusion: Themes demonstrated overall support for SOGI data collection but also revealed several barriers, such as a lack of recognition of population benefits and experiences of discrimination and discomfort, that will need to be addressed to comprehensively collect these data. Based on diverse preferences and limitations of all methods of collection, a multimodal approach may be needed to optimize completion.

一项多方利益相关者定性研究,为在癌症护理环境中收集性取向和性别认同数据提供信息。
目的:尽管由于缺乏全面的性取向和性别认同 (SOGI) 数据收集,界定这些差异的努力受到了限制,但性和性别少数群体(SGM)在癌症治疗过程中面临着健康差异。本研究的目的是采访一组不同的利益相关者,以了解他们的态度、障碍和促进因素,从而为癌症护理环境中的数据收集方法提供信息。研究方法这是一项定性研究,于 2023 年 3 月至 7 月进行,对包括患者、护理人员、医疗服务提供者和癌症登记处工作人员在内的利益相关者进行了配对调查。共有 20 名参与者完成了调查和访谈,其中一半人被认定为 SGM。采用快速定性分析方法,将定性数据还原为主题和范例引文,并与调查数据进行比较。结果:主题显示,作为癌症整体护理的一部分,SOGI 数据收集得到了普遍支持,所有参与者都承认,具体的 SOGI 相关信息,尤其是正确的代词用法,对于以患者为中心的护理至关重要。主题显示,围绕最佳的社会性别数据收集方法存在紧张关系、对性取向的相关性意见不一、与社会性别相关的歧视和不适经历,以及对社会性别数据收集对人群益处的认识有限。结论各主题表明,人们总体上支持收集有关社会性别与融合的数据,但也揭示了一些障碍,如缺乏对人口益处的认识以及歧视和不适经历,要全面收集这些数据,就必须解决这些障碍。基于所有收集方法的不同偏好和局限性,可能需要采用多模式方法来优化完成工作。
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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
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