Ash B. Alpert , Tresne Hernandez , Roman Ruddick , Charlie Manzano , Spencer Adams , Lex Rivers , Alixida Ramos-Pibernus , Jae Sevelius , Tonia Poteat , Juno Obedin-Maliver , Ethan C. Cicero , Asa Radix , Elle Lett , Don Operario , Ben Chapman , Marsha Wittink , AnaPaula Cupertino , Gabriel R. Murchison , Marcella Nunez-Smith , Francisco Cartujano-Barrera
{"title":"区分性别、性和生物学：性别认同数据收集工具的混合方法研究","authors":"Ash B. Alpert , Tresne Hernandez , Roman Ruddick , Charlie Manzano , Spencer Adams , Lex Rivers , Alixida Ramos-Pibernus , Jae Sevelius , Tonia Poteat , Juno Obedin-Maliver , Ethan C. Cicero , Asa Radix , Elle Lett , Don Operario , Ben Chapman , Marsha Wittink , AnaPaula Cupertino , Gabriel R. Murchison , Marcella Nunez-Smith , Francisco Cartujano-Barrera","doi":"10.1016/j.pec.2024.108473","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>We used community-based mixed methods to test whether transgender and gender diverse (TGD) people preferred gender identity questions developed by community members over current questions in use and generate hypotheses about data collection preferences.</div></div><div><h3>Methods</h3><div>We interviewed twenty TGD adults in English and Spanish, asking them to rate and discuss their responses to questions. We analyzed quantitative data with descriptive statistics and qualitative data with template analysis, then integrated them.</div></div><div><h3>Results</h3><div>More participants preferred gender identity questions that were currently in use. Themes: 1) TGD participants find questions about “gender” and related terminology unclear because of conflations of sex, gender, and other constructs. 2) TGD participants resist cisgenderism in questions about gender identity. 3) TGD people desire questions that allow for autonomy, privacy, and safety. 4) Contextual factors, particularly safety, influence whether and how TGD people answer questions about gender and sex.</div></div><div><h3>Conclusions</h3><div>TGD people have varied concepts of sex and gender and preferences about data collection. Future research should investigate the impacts of disentangling gender, sex, and biological factors, which could decrease stigma for TGD people.</div></div><div><h3>Practice implications</h3><div>Medical care that disentangles gender, sex, and biological factors could improve data collection effectiveness and the safety of TGD people.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"130 ","pages":"Article 108473"},"PeriodicalIF":2.9000,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Disentangling gender, sex, and biology: a mixed methods study of gender identity data collection tools\",\"authors\":\"Ash B. Alpert , Tresne Hernandez , Roman Ruddick , Charlie Manzano , Spencer Adams , Lex Rivers , Alixida Ramos-Pibernus , Jae Sevelius , Tonia Poteat , Juno Obedin-Maliver , Ethan C. Cicero , Asa Radix , Elle Lett , Don Operario , Ben Chapman , Marsha Wittink , AnaPaula Cupertino , Gabriel R. Murchison , Marcella Nunez-Smith , Francisco Cartujano-Barrera\",\"doi\":\"10.1016/j.pec.2024.108473\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>We used community-based mixed methods to test whether transgender and gender diverse (TGD) people preferred gender identity questions developed by community members over current questions in use and generate hypotheses about data collection preferences.</div></div><div><h3>Methods</h3><div>We interviewed twenty TGD adults in English and Spanish, asking them to rate and discuss their responses to questions. We analyzed quantitative data with descriptive statistics and qualitative data with template analysis, then integrated them.</div></div><div><h3>Results</h3><div>More participants preferred gender identity questions that were currently in use. Themes: 1) TGD participants find questions about “gender” and related terminology unclear because of conflations of sex, gender, and other constructs. 2) TGD participants resist cisgenderism in questions about gender identity. 3) TGD people desire questions that allow for autonomy, privacy, and safety. 4) Contextual factors, particularly safety, influence whether and how TGD people answer questions about gender and sex.</div></div><div><h3>Conclusions</h3><div>TGD people have varied concepts of sex and gender and preferences about data collection. Future research should investigate the impacts of disentangling gender, sex, and biological factors, which could decrease stigma for TGD people.</div></div><div><h3>Practice implications</h3><div>Medical care that disentangles gender, sex, and biological factors could improve data collection effectiveness and the safety of TGD people.</div></div>\",\"PeriodicalId\":49714,\"journal\":{\"name\":\"Patient Education and Counseling\",\"volume\":\"130 \",\"pages\":\"Article 108473\"},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2024-10-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Patient Education and Counseling\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0738399124003409\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Patient Education and Counseling","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0738399124003409","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Disentangling gender, sex, and biology: a mixed methods study of gender identity data collection tools
Objectives
We used community-based mixed methods to test whether transgender and gender diverse (TGD) people preferred gender identity questions developed by community members over current questions in use and generate hypotheses about data collection preferences.
Methods
We interviewed twenty TGD adults in English and Spanish, asking them to rate and discuss their responses to questions. We analyzed quantitative data with descriptive statistics and qualitative data with template analysis, then integrated them.
Results
More participants preferred gender identity questions that were currently in use. Themes: 1) TGD participants find questions about “gender” and related terminology unclear because of conflations of sex, gender, and other constructs. 2) TGD participants resist cisgenderism in questions about gender identity. 3) TGD people desire questions that allow for autonomy, privacy, and safety. 4) Contextual factors, particularly safety, influence whether and how TGD people answer questions about gender and sex.
Conclusions
TGD people have varied concepts of sex and gender and preferences about data collection. Future research should investigate the impacts of disentangling gender, sex, and biological factors, which could decrease stigma for TGD people.
Practice implications
Medical care that disentangles gender, sex, and biological factors could improve data collection effectiveness and the safety of TGD people.
期刊介绍：
Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.
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