跨性别者和性别多样化人群的性取向和性别认同（SOGI）信息的可用性：电子健康记录分析

IF 3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology Pub Date : 2025-10-15 DOI:10.1016/j.annepidem.2025.10.016

Cynthia N. Ramirez , Michael Goodman , Kristine Magnusson , Wendy Leyden , Alexandra N. Lea , Darios Getahun , Courtney McCracken , Suma Vupputuri , Lee Cromwell , Timothy L. Lash , Oumaima Kaabi , Guneet K. Jasuja , Michael J. Silverberg

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引用次数: 0

摘要

目的：电子健康记录（EHR）为系统地收集性取向和性别认同（SOGI）数据提供了独特的机会。本研究调查了基于ehr的跨性别和性别多样化（TGD）个体队列中SOGI报告的患病率和决定因素。方法：从2022年1月1日至2024年1月1日，我们在四个Kaiser Permanente健康计划中确定了有或没有SOGI文件的TGD患者。TGD状态通过临床记录、诊断代码和基于先前建立的队列的SOGI数据来确定。使用对数二项回归评估与SOGI报告相关的因素，得出患病率（PR）和95%置信区间（CI）。结果：在23,060名TGD患者中，71%在电子病历中有SOGI记录。报告因社会人口学和临床特征而异。例如，与60人相比（0.93;0.88-0.99）。出生时被指定为男性的记录略低（0.98;0.97-1.00），并且因种族和民族而异（例如，西班牙裔：0.97;0.95-0.99；其他：1.02;0.98-1.05 vs.白人）。结论：KP的电子病历捕获了超过70%的TGD个体的SOGI数据，尽管需要更多的研究来了解与结构化领域未捕获的丢失数据相关的因素。

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

Purpose

Electronic 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.

Methods

We 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).

Results

Among 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).

Conclusions

KP’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.

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来源期刊

Annals of Epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.40

自引率

1.80%

发文量

207

审稿时长

59 days

期刊介绍： The journal emphasizes the application of epidemiologic methods to issues that affect the distribution and determinants of human illness in diverse contexts. Its primary focus is on chronic and acute conditions of diverse etiologies and of major importance to clinical medicine, public health, and health care delivery.