Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI.
Lifespan Biostatistics, Epidemiology and Research Design, Rhode Island Hospital, Providence, RI.
R I Med J (2013). 2023 Sep 1;106(8):36-41.
Recent literature suggests that sexual orientation and gender identity (SOGI) documentation is poor. We hypothesized that an adolescent clinic would have higher rates of SOGI documentation than a pediatric primary care clinic.
We performed a single-center, retrospective, observational study of patients ages 10-26 presenting to the primary care or adolescent medicine clinics of a tertiary care hospital from 2019 to 2021. Electronic medical record (EMR) data were analyzed using Python and Stata/MP 16.1.
Patients in the adolescent clinic were five times more likely to have to have complete SOGI documentation compared to primary care. Gender diverse youth were over six times more likely to have a recorded sexual orientation than cisgender youth across both clinics.
Adolescent providers document SOGI more often than primary care providers. Sexual orientation information for cisgender patients remains poor across environments. This study emphasizes the need for ongoing provider education on SOGI documentation.
最近的文献表明，性取向和性别认同（SOGI）的记录很差。我们假设，青少年诊所的 SOGI 记录率会高于儿科初级保健诊所。
我们对 2019 年至 2021 年间在一家三级保健医院的初级保健或青少年医学诊所就诊的 10-26 岁患者进行了一项单中心、回顾性、观察性研究。使用 Python 和 Stata/MP 16.1 对电子病历（EMR）数据进行了分析。
与初级保健相比，在青少年诊所就诊的患者有完整 SOGI 记录的可能性高出五倍。在两个诊所中，跨性别青年的记录性取向的可能性是顺性别青年的六倍多。
青少年提供者比初级保健提供者更经常记录 SOGI。跨性别患者的性取向信息在各种环境中仍然很差。这项研究强调了需要对 SOGI 记录进行持续的提供者教育。
