Heffner Jaimee L, Giustini Nicholas, Anderson Nicolas, Go Tiffany, Scout N F N, Hippe Daniel S, Triplette Matthew
Division of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA 98109, United States.
Division of Hematology and Oncology, Department of Medicine, University of Washington, Seattle, WA 98195, United States.
J Natl Cancer Inst Monogr. 2025 Jul 1;2025(69):139-146. doi: 10.1093/jncimonographs/lgaf004.
Cancer research focusing on sexual and gender minority populations is limited by lack of sexual orientation and gender identity data in medical records and cancer registries. We implemented multimethod sexual orientation and gender identity data collection in 2 pilot clinics at a National Cancer Institute-Designated Comprehensive Cancer Center, with first-line collection by telephone intake schedulers and second-line via physical form in clinics. Changes in data completion were compared with 2 control clinics, and staff shared intervention experiences. In pilot clinics, completion rates statistically significantly increased for gender identity (from 55.6% to 65.1%), sex assigned at birth (from 58.4% to 63.2%), sexual orientation (from 45.1% to 53.7%), and all 3 (from 37.8% to 44.7%) when compared with control clinics (P < .05). Staff reported a mix of patient reactions to sexual orientation and gender identity data collection. Sexual orientation and gender identity data collection can be enhanced in the cancer care setting with multimethod approaches.
针对性少数群体和性别少数群体的癌症研究受到医学记录和癌症登记中缺乏性取向和性别认同数据的限制。我们在美国国立癌症研究所指定的综合癌症中心的两家试点诊所实施了多方法性取向和性别认同数据收集，一线由电话预约调度员收集，二线通过诊所的纸质表格收集。将数据填写情况的变化与两家对照诊所进行比较，工作人员分享了干预经验。与对照诊所相比，试点诊所中性别认同（从55.6%提高到65.1%）、出生时指定性别（从58.4%提高到63.2%）、性取向（从45.1%提高到53.7%）以及所有三项（从37.8%提高到44.7%）的数据填写率在统计学上显著提高（P < 0.05）。工作人员报告了患者对性取向和性别认同数据收集的各种反应。采用多方法途径可加强癌症护理环境中的性取向和性别认同数据收集。
