scholarly journals Modernizing Gender, Sex and Sexual Orientation Information Practices for Culturally Competent Care: A Rapid Review (Preprint)

2020 ◽  
Author(s):  
Kelly Davison ◽  
Roz Queen ◽  
Francis Lau ◽  
Marcy Antonio
Keyword(s):  
Sexual Orientation ◽  
Health Equity ◽  
Research Team ◽  
Grey Literature ◽  
Health Inequities ◽  
Rapid Review ◽  
Sex And Gender ◽  
Information Practices ◽  
Orientation Information ◽  
And Gender

BACKGROUND Outdated gender, sex, and sexual orientation information practices in healthcare contribute to health inequities for sexual and gender minorities (SGM). Some governments, statistics organizations and healthcare services have developed and implemented modernized practices that support health equity for SGM. Extending the work of our research team, we conducted a rapid review of grey literature to explore information practices that support quality healthcare for SGM. OBJECTIVE To elucidate modern gender, sex and sexual orientation information practices from leading agencies for adaptation, adoption and application by healthcare providers and organizations seeking to redress outdate information practices that contribute to health inequities for SGM. METHODS We searched MEDLINE and Google from 2015 to 2020 with terms related to gender, sex, sexual orientation, and electronic health/medical records for English-language grey literature resources including government and non-governmental organization publications, whitepapers, data standards, toolkits, healthcare organization and health quality practice and policy guides, conference proceedings, unpublished academic work and statistical papers. Peer-reviewed journal articles were excluded, as were resources irrelevant to information practices. In addition to reviewed search results, we screened references sections of included articles for additional resources, and canvassed an working group of international topic experts for resources. Duplicates were eliminated. ATLAS.tiTM was used to support analysis. Themes and codes were developed through an iterative process of writing and discussion with the research team. RESULTS Twenty-six grey literature resources met the inclusion criteria. The overarching theme that emerged from the literature are the congruent behaviours, attitudes and policies that constitute SGM cultural competence: shared language with unambiguous definitions of GSSO concepts; welcoming and inclusive care environments and affirming practices to reduce barriers to access; healthcare policy that supports competent healthcare; and adoption of modernized GSSO information practices and EHR design requirements that address invisibility in health data. CONCLUSIONS Health equity for sex and gender minoritized people requires a holistic approach to systemic change that equips the agencies and agents in healthcare with the tools they need to cultivate modern attitudes, policies and practices with respect to sex and gender diversity that enable health equity. Adopting small but important changes to the language and terminology used to interact with SGM and their care records is a core requirement for institutionalizing SGM-competence in human and technical systems. Modern GSSO information practices both depend on and reinforce SGM-competency in healthcare.

scholarly journals Culturally Competent Gender, Sex, and Sexual Orientation Information Practices and Electronic Health Records: Rapid Review

10.2196/25467 ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. e25467
Author(s):  
Kelly Davison ◽  
Roz Queen ◽  
Francis Lau ◽  
Marcy Antonio
Keyword(s):  
Health Care ◽  
Sexual Orientation ◽  
Health Equity ◽  
Grey Literature ◽  
Health Inequities ◽  
Rapid Review ◽  
Health Records ◽  
Information Practices ◽  
Electronic Health ◽  
And Gender

Background Outdated gender, sex, and sexual orientation (GSSO) information practices in health care contribute to health inequities for sexual and gender minorities (SGMs). Governments, statistics agencies, and health care organizations are developing and implementing modernized practices that support health equity for SGMs. Extending our work, we conducted a rapid review of grey literature to explore information practices that support quality health care for SGMs. Objective The aim of this rapid review of grey literature was to elucidate modern GSSO information practices from leading agencies for adaptation, adoption, and application by health care providers and organizations seeking to modernize outdated GSSO information practices that contribute to health inequities among SGMs. Methods We searched MEDLINE and Google from 2015 to 2020 with terms related to gender, sex, sexual orientation, and electronic health/medical records for English-language grey literature resources including government and nongovernment organization publications, whitepapers, data standards, toolkits, health care organization and health quality practice and policy guides, conference proceedings, unpublished academic work, and statistical papers. Peer-reviewed journal articles were excluded, as were resources irrelevant to information practices. We also screened the reference sections of included articles for additional resources, and canvassed a working group of international topic experts for additional relevant resources. Duplicates were eliminated. ATLAS.ti was used to support analysis. Themes and codes were developed through an iterative process of writing and discussion with the research team. Results Twenty-six grey literature resources met the inclusion criteria. The overarching themes that emerged from the literature were the interrelated behaviors, attitudes, and policies that constitute SGM cultural competence as follows: shared language with unambiguous definitions of GSSO concepts; welcoming and inclusive care environments and affirming practices to reduce barriers to access; health care policy that supports competent health care; and adoption of modernized GSSO information practices and electronic health record design requirements that address invisibility in health data. Conclusions Health equity for SGMs requires systemic change. Binary representation of sex and gender in electronic health records (EHRs) obfuscates natural and cultural diversity and, in the context of health care, places SGM patients at risk of clinical harm because it leads to clinical assumptions. Agencies and agents in health care need to be equipped with the knowledge and tools needed to cultivate modern attitudes, policies, and practices that enable health equity for SGMs. Adopting small but important changes in the language and terminology used in technical and social health care systems is essential for institutionalizing SGM competency. Modern GSSO information practices depend on and reinforce SGM competency in health care.

An Action Plan to Modernize Gender, Sex, and Sexual Orientation Information Practices in Canadian Electronic Health Record Systems

2021 ◽  
pp. 1-4
Author(s):  
Francis Lau
Keyword(s):  
Sexual Orientation ◽  
Electronic Health Record ◽  
Action Plan ◽  
Health Record ◽  
Sex And Gender ◽  
Information Practices ◽  
Gender Minorities ◽  
Electronic Health ◽  
And Gender ◽  
High Level

This brief report contains a summary version of the proposed action plan to modernize gender, sex, and sexual orientation (GSSO) information practices in Canadian electronic health record (EHR) systems. The plan was co-created by a research team with guidance from the Infoway Sex and Gender Working Group, organizations and communities involved with sexual and gender minorities (SGM), and those with lived and living experiences as SGM. The plan describes seven high level actions needed to improve the principles, approaches, policies, and processes of defining, collecting, organizing, sharing, and using GSSO information in EHRs.

Influence of Listener Characteristics on Perceptions of Sex and Gender

2017 ◽  
Vol 36 (5) ◽  
pp. 599-610 ◽  
Author(s):  
Adrienne B. Hancock ◽  
Sara F. Pool
Keyword(s):  
Sexual Orientation ◽  
Speech Perception ◽  
Transgender Women ◽  
Sex And Gender ◽  
Significant Evidence ◽  
Speech Treatment ◽  
And Gender ◽  
Gender Display

Inclusion of sex-atypical voices in speech perception protocols can reveal variations in listener perception and is particularly applicable in developing guidelines for transgender speech treatment. Ninety-three listeners, divided into four groups based on sex and sexual orientation, provided auditory-perceptual measures of sex and gender display for 21 cisgender men, 21 cisgender women, and 22 transgender women. There was no significant evidence that those listener characteristics were influential, except transgender women were perceived as significantly more feminine by nonstraight compared with straight listeners.

scholarly journals Community attitudes on genetic research of gender identity, sexual orientation, and mental health

2019 ◽  
Author(s):  
Taylor R. Thomas ◽  
Dabney Hofammann ◽  
Brooke G. McKenna ◽  
Anna I.R. van der Miesen ◽  
Mark A. Stokes ◽  
...  
Keyword(s):  
Mental Health ◽  
Sexual Orientation ◽  
Gender Identity ◽  
Genetic Research ◽  
Mental Health Research ◽  
Sex And Gender ◽  
Willingness To Participate ◽  
Biological Basis ◽  
And Gender ◽  
New Research

ABSTRACTBiological sex is an important factor in mental health, and a non-binary view of how variation in sex and gender influence mental health represents a new research frontier that may yield new insights. The recent acceleration of research into sexual orientation, gender identity, and mental health has generally been conducted without sufficient understanding of the opinions of sexual and gender minorities (SGM) toward this research. We surveyed 768 individuals, with an enrichment of LGBTQ+ stakeholders, for their opinions regarding genetic research of SGM and mental health. We found that the key predictors of attitudes toward genetic research specifically on SGM are 1) general attitudes toward genetic and mental health research 2) tolerance of SGM and associated behaviors 3) non-cisgender stakeholder status and 4) age of the respondent. Non-heterosexual stakeholder status was significantly associated with increased willingness to participate in genetic research if a biological basis for gender identity were discovered. We also found that non-stakeholders with a low tolerance for SGM indicated their SGM views would be positively updated if science showed a biological basis for their behaviors and identities. These findings represent an important first step in understanding and engaging the LGBTQ+ stakeholder community in the context of genetic research.

scholarly journals Web Accessibility Interventions for Citizens Living with Cognitive Impairment: A Rapid Evidence Assessment

2021 ◽  
Author(s):  
Paul Flynn ◽  
Sara Gartland ◽  
Joe Cullen ◽  
Maria Ana Carneiro ◽  
Jose de Sousa Fialho ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Policy Development ◽  
Research Team ◽  
Literature Search ◽  
Cognitive Impairments ◽  
Cognitive Disabilities ◽  
Grey Literature ◽  
Web Accessibility ◽  
Flow Diagram ◽  
Rapid Review

Abstract BackgroundThere is a clear and pressing need to understand the barriers to technology user experience, particularly in relation to people with cognitive disabilities. The COVID-19 pandemic and subsequent expansion of digital technologies associated with education, wellness and employment only makes the need to understand how people with cognitive disabilities interact with such technologies, within the naturalistic context of their lifeworld, increasingly urgent. Therefore a necessary first step is to develop a baseline understanding of the current state of web accessibility for people with cognitive disabilities. Thus, the purpose of this review is to conduct baseline research to understand the factors and processes that inhibit access to online content and services for people with cognitive impairments.MethodsThis systematic, rapid evidence assessment, review will employ a search strategy using defined terms within agreed search strings in the following databases: Web of Science, SCOPUS, EBSCOhost, ERIC and ProQuest. Internet searching through Google Scholar will be carried out as well as forward and backward tracking of citations from studies that are included in the review. All results, screening process results will be documented in tabular form and communicated in a PRISMA flow diagram. In addition, the research team consider it necessary to carry out a grey literature search due to the nature of the work being investigated. The expertise within the research team indicated that many programmes that support people with cognitive impairments do not formally report their work through academic dissemination pathways. Consequently it is intended that a grey literature search will be carried out to supplement that findings of study. In contrast to the focus on studies published in English for peer review returns, the grey literature search will actively seek out returns across all languages of the European Union.DiscussionThis rapid review protocol will focus on citizens ages 9 and up who live with cognitive impairment and establish a baseline for best practice in supporting web accessibility for people with cognitive impairments. It will achieve this by providing a time limited state-of-the-art evidence report, specific to the challenges people with cognitive impairment, that will help those involved in policy development, policy response initiatives and localised activity. It is intended that, depending on the outcome of the review process, additional opportunities for innovation and/or research may be communicated to relevant stakeholders and policy makers.Systematic Review RegistrationThis protocol has been submitted to the International Prospective Register for Systematic Reviews - PROSPERO, and is currently under review. Reference No. 269245.

scholarly journals Transmuting Gender Binaries: The Theoretical Challenge

2007 ◽  
Vol 12 (1) ◽  
pp. 90-104 ◽  
Author(s):  
Surya Monro
Keyword(s):  
Sexual Orientation ◽  
Gender Diversity ◽  
Cross Cultural ◽  
Sex And Gender ◽  
New Wave ◽  
Transgender Studies ◽  
Poststructuralist Theory ◽  
And Gender ◽  
The Uk ◽  
Empirical Material

This paper provides a cross-cultural account of gender diversity which explores the territory that is opened up when sex, gender, and sexual orientation, binaries are disrupted or displaced. Whilst many people who identify as trans or intersex see themselves as male or female, others identify in ways which destabilize sex/gender and sexual orientation binaries. The paper provides a typology of ways in which sex/gender diversity can be conceptualized, and draws out the implications for theorizing gender. It discusses the contributions made by the new wave of authors working in the field of transgender studies; authors who draw on and inform the sociology of sex and gender, feminisms, and poststructuralist theory. It based on empirical material from research carried out in India and the UK.

scholarly journals Toward Health Equity Guide Interview Project:

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Rachel Fields
Keyword(s):  
Public Health ◽  
Health Equity ◽  
Public Health Practice ◽  
Health Agency ◽  
Sex And Gender ◽  
Constructive Feedback ◽  
Training Resources ◽  
Gender Based ◽  
And Gender ◽  
User Friendly

For my practicum, I worked with the Health Equity Integration Team (HEIT) to improve the application of Sex- and Gender-Based Analysis + (SGBA+) at The Public Health Agency of Canada (PHAC). SGBA+ is an analytical tool used in the federal government to ensure the consideration of diversity and intersectionality in programs and policies. One of the training resources on SGBA+ at PHAC is called Toward Health Equity: The SGBA+ Guide. This guide provides an overview of SGBA+, associated concepts, and a case study. I was part of a team tasked with updating this document to make the guide more applicable to current agency priorities. However, in revising the guide it became clear that there was a significant gap in understanding what document users needed. To make this guide as user-friendly and relevant as possible, I suggested that we conduct interviews with key informants throughout the agency to gather feedback and identify barriers to SGBA+ application. This project was part of a Knowledge Translation (KT) process that involved employees from many different roles and divisions at PHAC. The interviews allowed readers to identify the guide’s strengths, weaknesses, and gaps in clarity and content. Improving SGBA+ application at the federal public health level is important, because it is the agency’s way of applying a health equity lens to the work that they do. This project was also significant because it interrupted the standard process of KT, which follows a linear path and only integrates user feedback at the end. Instead, this project promoted an iterative process, involving document users throughout the development and revision of the guide to create a final product that is more tailored to their needs. Clear and effective communication is crucial to public health practice; this project is an example of how to achieve that by incorporating constructive feedback.

scholarly journals Science in service of theology: Gender and sexual orientation

2021 ◽  
Vol 55 (1) ◽  
Author(s):  
Pieter H. Labuschagne
Keyword(s):  
Sexual Orientation ◽  
Environmental Factors ◽  
Natural Sciences ◽  
Theological Reflection ◽  
Future Research ◽  
Sex And Gender ◽  
Medical Sciences ◽  
And Gender ◽  
The Cost ◽  
The Way

By reflecting on sexuality, gender and gender roles, this article compared the contributions of two sources: one from the medical sciences and one from theology. These publications paved the way for an informed theological reflection on the ministry of people from an LGBT orientation. The motivation for this article was McHugh and Mayer’s statement that science offers limited answers to gender matters and that help should be sought from the humanities. The interdisciplinary nature of the research challenged us to consider non-theological data and to formulate our theological convictions better. An integrative literature review was used as research method and key research concepts included sex, gender and what influences these predispositions. The findings were analysed and synthesised and presented in a way that posed new questions for future research. It encouraged us to make informed decisions when offering theological responses to sex and gender. The inability of the natural sciences to identify causative factors of gender confusion opened the door to the humanities. It afforded theology an opportunity to engage with other sciences while addressing sex and gender from a faith perspective. This article presented a broad multi-disciplinary understanding of gender and sexual orientation and paved the way for theological reflection that is scientifically sound. Shifting our focus from causative to environmental factors in gender research was a profitable endeavour. Our first responsibility as religious practitioners is not to protect truth and condemn behaviour at the cost of people, but to liberate people to share in the fulness of life.Contribution: This article promoted collaboration between theology and the natural sciences on matters of gender and sexual orientation. It was found that there is room for theology to investigate the role that environmental factors play in this regard. This approach corresponds with the aim of In die Skriflig/In Luce Verbi to promote multi-disciplinary research where religious studies engage with social sciences, human sciences, or even natural sciences.

scholarly journals AMBIGUITY OF GENDER IDENTITY IN SHAKESPEARE’S TWELFTH NIGHT

JURNAL BASIS ◽  
2018 ◽  
Vol 5 (2) ◽  
pp. 1
Author(s):  
Resneri Daulay
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Secondary Data ◽  
Social Conditions ◽  
Sex And Gender ◽  
Twelfth Night ◽  
Men And Women ◽  
And Gender

Gender is often identified with sex and gender, even though they have different concepts. It is associated with men and women who are socially and culturally formed. Understanding about masculine and feminine discourses are formed to identify gender identity which men must behave masculine and women must behave feminine. Taking William Shakespeare’s Twelfth Night play as its object, this study aims to see how gender identity displayed and describe the ambiguity of gender identity that is acted by character in the play. The data which were taken from the play were analyzed by relating them to the secondary data taken from references discussing the gender identity depicted in the play. The study concluded that sex, gender and sexual orientation are something that is fluid, not natural and changing and constructed by social conditions. Changes of the identity can be said changing with the form performativity shown, namely by disguise.

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