Author: Mayo Clinic
Published: 9th Mar 2018
Peer-Reviewed Publication: N/A
Additional References: Sexual Health Information Publications
Summary: Research by Mayo Clinic shows approx. 97% of patients are comfortable with a health care provider asking sexual orientation and gender identity questions.
New Mayo Clinic research suggests up to 97 percent of patients are comfortable with their health care provider asking sexual orientation and gender identity questions. Before this research, it was unclear if the questions - which researchers say are important to reduce health disparities among LGBTI patients - would offend patients. The findings were published today in Health Services Research.
"Our results should help ease the concerns of providers who want to deliver the highest-quality care for their patients but may not ask sexual orientation or gender identity questions for fear of distressing or offending their patients," says Joan Griffin, Ph.D., a health services researcher at Mayo Clinic who is a co-author. Dr. Griffin is the Robert D. and Patricia E. Kern Scientific Director for Care Experience at Mayo Clinic.
Although multiple governmental reports have recommended asking these questions, there was little evidence about patient acceptance of these questions, the researchers say.
Sexual and gender minorities are at an increased risk for a number of health threats, including higher rates of alcohol and tobacco use, and psychological distress. They are also less likely to seek medical care, according to the Centers for Disease Control and Prevention. However, to decrease health inequities for these patients, health care providers first need to identify them.
Previous research showed many health care providers assumed sexual orientation and gender identity questions would offend patients.
"In previous studies, there was more concern from health care providers about using the questions, but nobody had asked patients about their thoughts," Dr. Griffin says. "Therefore, we were not sure what to expect from patients, but we were not surprised that patients were less concerned about the questions than the providers in other studies thought they would be."
Patients will receive the questions at Mayo Clinic as it switches to a single, integrated electronic health record and billing system. The system was implemented across Mayo Clinic Health System in 2017 and is scheduled to launch on Mayo Clinic's Rochester campus in May, and on Mayo Clinic's Arizona and Florida campuses in October.
"At Mayo Clinic, the needs of the patient come first. These questions will help Mayo Clinic identify the unique, unmet needs of LGBTI patients and highlight that equitable care for all people is a top priority," Dr. Griffin says.
The researchers conducted the study at three Mayo Clinic sites in Minnesota between June 29, 2015, and Feb. 29, 2016. The sites were chosen for their diversity in patient populations. One site is a women's health clinic serving local, regional and national patients. Another serves regional and national patients 65 and older. And the third site is in a rural community of less than 10,000 people. They gave 491 new patients routine intake forms, or intake forms with sexual orientation and gender identity questions. Both groups received feedback forms that inquired about the intake questions. Responses between the two groups then were compared.
Mayo Clinic's new sexual orientation and gender identity questions are:
The researchers say that, while their study looked at multiple patient populations, more research may be needed to capture other concerns.
"These findings may generalize to relatively similar areas in the country, especially the Midwest, but there may be differences in other regions in the U.S. or by cultural groups that we did not capture in our sample," Dr. Griffin says.
As institutions adopt sexual orientation and gender identity questions, a simple explanation of why the information is being collected may increase patient participation, the researchers suggest. Patients also may benefit from being reminded of their health care institution's nondiscrimination and confidentiality policies, they say.
The study's lead author is Jordan Rullo, Ph.D., a psychologist at Mayo Clinic. The research received support from the Mayo Clinic Division of General Internal Medicine, the Mayo Clinic Office of Health Disparities Research, the Mayo Clinic Department of Psychiatry and Psychology, and the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery.
Post to Twitter Add to Facebook
| Latest Sexual Health Information Publications | |
|---|---|
The above information is from our reference library of resources relating to Sexual Health Information that includes: | |
 | Making Mental Health Services Accessible for LGBTIQA+ People in Distress Barriers to accessing potentially life-saving support persist, according to new research into suicidality in the LGBTIQA+ community. Publish Date: 7th Sep 2023 |
 | Health Studies Often Exclude Gender Diverse Impacting Health Care If researchers are serious about inclusive studies and surveys that focus on gender-diverse communities, they must measure both sex and gender. Publish Date: 24th Apr 2023 |
| Higher Risk of Sleep Problems in Gay, Lesbian, and Bisexual Youth Study finds depression, stress, and family conflict contribute to sleep problems in lesbian, gay, and bisexual youth. Publish Date: 24th Mar 2023 |
| Sexual Health Progress Score Card The study proposes sexual health indicators to document public health needs and assess progress. Publish Date: 10th Mar 2023 |
1How Many Genders Are There?
Alphabetical list of gender identities.
2Transgender Reporting Guide
How to write about transgender people.
3Glossary of Sexuality Terms
Definitions of sexual terms & acronyms.
4Glossary of Sexual Identities
Definitions of gender related terms.
5Am I Gay? Questions to Ask
Think you may be gay or bisexual?
• Submissions: Send us your coming events and LGBTQ related news stories.
• Report Errors: Please report outdated or inaccurate information to us.
• (APA): Mayo Clinic. (2018, March 9). Majority of Patients Comfortable with Sexual Orientation and Gender Identity Questions. SexualDiversity.org. Retrieved September 20, 2024 from www.sexualdiversity.org/sexuality/health/886.php
• Permalink: <a href="https://www.sexualdiversity.org/sexuality/health/886.php">Majority of Patients Comfortable with Sexual Orientation and Gender Identity Questions</a>