Sexual Orientation and Gender Identity Data Reporting Among U.S. Health Centers

Sexual orientation and gender identity data collection is necessary to address health inequities. This study examines sexual orientation and gender identity data reporting among community health centers. Using the 2016–2019 Uniform Data System for 1,381 community health centers, trends in reporting...

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Published in:American journal of preventive medicine 2022-06, Vol.62 (6), p.e325-e332
Main Authors: McDowell, Alex, Myong, Catherine, Tevis, Delaney, Fung, Vicki
Format: Article
Language:English
Subjects:
Adolescent
Adult
American Indians
Community health services
Data Collection
Female
Gender Identity
Health
Health disparities
Health facilities
Humans
Indigenous peoples
Indigent care
Inequality
Male
Patients
Race
Research Design
Sexual and Gender Minorities
Sexual Behavior
Sexual orientation
Sexuality
Veterans
Young Adult
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container_issue 6
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container_title American journal of preventive medicine
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creator McDowell, Alex
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Tevis, Delaney
Fung, Vicki
description Sexual orientation and gender identity data collection is necessary to address health inequities. This study examines sexual orientation and gender identity data reporting among community health centers. Using the 2016–2019 Uniform Data System for 1,381 community health centers, trends in reporting of sexual orientation and gender identity data were examined. Multivariable logistic regression was used to assess associations between community health center characteristics and whether sexual orientation and gender identity data were available for ≥75% of a community health center's patients in 2019. Data were analyzed in 2021. In 2016-2019, the percentage of community health centers with sexual orientation and gender identity data for ≥75% of patients increased from 14.9% to 53.0%. In 2019, community health centers were more likely to have this data for ≥75% of patients if they were in nonmetro counties (OR=1.48, 95% CI=1.04, 2.10 versus metro), were in the South (OR=2.27, 95% CI=1.57, 3.31) or West (OR=1.91, 95% CI=1.27, 2.88 versus the Northeast), and had more patients aged between 18 and 39 years (OR=1.04, 95% CI=1.02, 1.07), between 40 and 64 years (OR=1.04, 95% CI=1.02, 1.06 vs 20,000 patients (OR=0.44, 95% CI=0.32, 0.61 vs
doi_str_mv 10.1016/j.amepre.2021.12.017
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This study examines sexual orientation and gender identity data reporting among community health centers. Using the 2016–2019 Uniform Data System for 1,381 community health centers, trends in reporting of sexual orientation and gender identity data were examined. Multivariable logistic regression was used to assess associations between community health center characteristics and whether sexual orientation and gender identity data were available for ≥75% of a community health center's patients in 2019. Data were analyzed in 2021. In 2016-2019, the percentage of community health centers with sexual orientation and gender identity data for ≥75% of patients increased from 14.9% to 53.0%. In 2019, community health centers were more likely to have this data for ≥75% of patients if they were in nonmetro counties (OR=1.48, 95% CI=1.04, 2.10 versus metro), were in the South (OR=2.27, 95% CI=1.57, 3.31) or West (OR=1.91, 95% CI=1.27, 2.88 versus the Northeast), and had more patients aged between 18 and 39 years (OR=1.04, 95% CI=1.02, 1.07), between 40 and 64 years (OR=1.04, 95% CI=1.02, 1.06 vs &lt;18 years), or veterans (OR=1.10, 95% CI=1.01, 1.20). This was less likely among community health centers serving 10,000–20,000 patients (OR=0.70, 95% CI=0.52, 0.95) and &gt;20,000 patients (OR=0.44, 95% CI=0.32, 0.61 vs &lt;10,000) and community health centers with more patients of American Indian/Alaskan Native (OR=0.98, 95% CI=0.97, 0.99) or unknown race (OR=0.92, 95% CI=0.86, 0.97 versus White). 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In 2019, community health centers were more likely to have this data for ≥75% of patients if they were in nonmetro counties (OR=1.48, 95% CI=1.04, 2.10 versus metro), were in the South (OR=2.27, 95% CI=1.57, 3.31) or West (OR=1.91, 95% CI=1.27, 2.88 versus the Northeast), and had more patients aged between 18 and 39 years (OR=1.04, 95% CI=1.02, 1.07), between 40 and 64 years (OR=1.04, 95% CI=1.02, 1.06 vs &lt;18 years), or veterans (OR=1.10, 95% CI=1.01, 1.20). This was less likely among community health centers serving 10,000–20,000 patients (OR=0.70, 95% CI=0.52, 0.95) and &gt;20,000 patients (OR=0.44, 95% CI=0.32, 0.61 vs &lt;10,000) and community health centers with more patients of American Indian/Alaskan Native (OR=0.98, 95% CI=0.97, 0.99) or unknown race (OR=0.92, 95% CI=0.86, 0.97 versus White). Collection of sexual orientation and gender identity data by community health centers has increased substantially since 2016, although gaps remain.</description><subject>Adolescent</subject><subject>Adult</subject><subject>American Indians</subject><subject>Community health services</subject><subject>Data Collection</subject><subject>Female</subject><subject>Gender Identity</subject><subject>Health</subject><subject>Health disparities</subject><subject>Health facilities</subject><subject>Humans</subject><subject>Indigenous peoples</subject><subject>Indigent care</subject><subject>Inequality</subject><subject>Male</subject><subject>Patients</subject><subject>Race</subject><subject>Research Design</subject><subject>Sexual and Gender Minorities</subject><subject>Sexual Behavior</subject><subject>Sexual orientation</subject><subject>Sexuality</subject><subject>Veterans</subject><subject>Young Adult</subject><issn>0749-3797</issn><issn>1873-2607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kV1rFDEUhoModq3-A5GAN97MmI_ZfNwIZdW2UFiw9jpkkzNtlpnJmmRK--_NsrXaXniTQM5z3pP3vAi9p6SlhIrP29aOsEvQMsJoS1lLqHyBFlRJ3jBB5Eu0ILLTDZdaHqE3OW8JIVJR_Rod8SXjTFC9QOtLuJvtgNcpwFRsCXHCdvL4FCYPCZ_7-hrKPf5qi8U_YBdTCdM1PhljPa_ayxafgR3KDV5VEFJ-i171dsjw7uE-Rlffv_1cnTUX69Pz1clF4zpNSwNO2n6pfWe1sNoxDyCUgE6QWlHCguqX0G-oByG9cl5zSpUgupNM0k3X8WP05aC7mzcjeFenJzuYXQqjTfcm2mCeVqZwY67jrdGq42q5F_j0IJDirxlyMWPIDobBThDnbJjYL0kJKSv68Rm6jXOaqr1KScI115pVqjtQLsWcE_SPn6HE7BMzW3NIzOwTM5SZmlht-_CvkcemPxH9dQp1nbcBksmuZuXAhwSuGB_D_yf8BhVeqTc</recordid><startdate>20220601</startdate><enddate>20220601</enddate><creator>McDowell, Alex</creator><creator>Myong, Catherine</creator><creator>Tevis, Delaney</creator><creator>Fung, Vicki</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8078-5431</orcidid><orcidid>https://orcid.org/0000-0001-8858-4423</orcidid><orcidid>https://orcid.org/0000-0003-1435-7476</orcidid></search><sort><creationdate>20220601</creationdate><title>Sexual Orientation and Gender Identity Data Reporting Among U.S. Health Centers</title><author>McDowell, Alex ; 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This study examines sexual orientation and gender identity data reporting among community health centers. Using the 2016–2019 Uniform Data System for 1,381 community health centers, trends in reporting of sexual orientation and gender identity data were examined. Multivariable logistic regression was used to assess associations between community health center characteristics and whether sexual orientation and gender identity data were available for ≥75% of a community health center's patients in 2019. Data were analyzed in 2021. In 2016-2019, the percentage of community health centers with sexual orientation and gender identity data for ≥75% of patients increased from 14.9% to 53.0%. In 2019, community health centers were more likely to have this data for ≥75% of patients if they were in nonmetro counties (OR=1.48, 95% CI=1.04, 2.10 versus metro), were in the South (OR=2.27, 95% CI=1.57, 3.31) or West (OR=1.91, 95% CI=1.27, 2.88 versus the Northeast), and had more patients aged between 18 and 39 years (OR=1.04, 95% CI=1.02, 1.07), between 40 and 64 years (OR=1.04, 95% CI=1.02, 1.06 vs &lt;18 years), or veterans (OR=1.10, 95% CI=1.01, 1.20). This was less likely among community health centers serving 10,000–20,000 patients (OR=0.70, 95% CI=0.52, 0.95) and &gt;20,000 patients (OR=0.44, 95% CI=0.32, 0.61 vs &lt;10,000) and community health centers with more patients of American Indian/Alaskan Native (OR=0.98, 95% CI=0.97, 0.99) or unknown race (OR=0.92, 95% CI=0.86, 0.97 versus White). 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source Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Freedom Collection 2022-2024; Sociological Abstracts
subjects Adolescent
Adult
American Indians
Community health services
Data Collection
Female
Gender Identity
Health
Health disparities
Health facilities
Humans
Indigenous peoples
Indigent care
Inequality
Male
Patients
Race
Research Design
Sexual and Gender Minorities
Sexual Behavior
Sexual orientation
Sexuality
Veterans
Young Adult
title Sexual Orientation and Gender Identity Data Reporting Among U.S. Health Centers
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