Veterans’ Reported Comfort in Disclosing Sexual Orientation and Gender Identity
Bibliographic Data
| ID | 9101505 |
|---|---|
| Authors | Mollie A Ruben (0000-0001-8918-8932, University of Maine, corresponding author), Michael R Kauth (0000-0002-0766-8404, Veterans Health Administration), Mark Meterko (0000-0002-2818-8725, Veterans Health Administration, corresponding author), Andrea M Norton (Aleda E. Lutz Veteran Affairs Medical Center, Veterans Health Administration, Saginaw, MI), Alexis R Matza (Veterans Health Administration), Alexis Matza (0000-0002-1692-7797, Veterans Health Administration), Jillian C Shipherd (0000-0001-6742-7912, Veterans Health Administration) |
| Year | 2021 |
| Volume | 59 |
| Issue | 6 |
| Pages | 550-556 |
| Publication date | 2021-06-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001543 |
| PMID | 33797509 |
| OpenAlex | W3151753448 |
| Language | EN |
| Citations received | 4 |
| References cited | 18 |
BACKGROUND: The Veterans Health Administration (VHA) does not routinely collect and document sexual orientation and gender identity (SOGI) data despite research on health disparities among sexual and gender minority (SGM) veterans. Due to the legacy of previous Department of Defense policies that prohibited disclosure of sexual or gender minority identities among active-duty personnel, minority veterans may be reluctant to respond to SOGI questions on confidential VHA surveys and in discussions with their VHA providers. Veterans may generally find SOGI questions uncomfortable and may not appreciate their relevance to health care. OBJECTIVE: The purpose of this research was to examine veterans' comfort in reporting identity characteristics on confidential VHA surveys and in discussion with their VHA providers and whether comfort differed by sociodemographic characteristics. RESEARCH DESIGN: The project involves the secondary analysis of quantitative data from a quality improvement survey project. SUBJECTS: A total of 806 veterans were surveyed. RESULTS: Overall, 7.15% endorsed sexual or gender minority identity which is a higher rate than the 4.5% noted in the general US population. Cisgender and heterosexual veterans were more comfortable reporting identity characteristics both on VHA confidential surveys and in discussion with VHA providers compared with SGM veterans. CONCLUSIONS: These data suggest that the majority of veterans feel comfortable reporting their identities both on surveys and in the context of health care. Understanding these perceptions can assist VHA programs in implementing SOGI data collection and disclosure in clinical care, creating a welcoming environment of care for SGM veterans that does not make veterans from other backgrounds feel uncomfortable
Active duty · Confidentiality · Context (archaeology) · Environmental health · Family medicine · Health care · Military personnel · Political science · Population · Sexual minority · Sexual orientation · Veterans Affairs · LGBTQ Health, Identity, and Policy · Medicine · Patient Dignity and Privacy · Psychology · Sex and Gender in Healthcare · Social Psychology
College Students’ Willingness To Answer Sex, Sexual Identity, and Gender Identity Questions on College Application Forms
A scoping review of the structuring of questions about sexual orientation and gender identity
Patient and Health Care Staff Perspectives on Sexual Orientation and Gender Identity Data Collection
University Student Attitudes Regarding Answering Sex, Sexual Orientation, and Gender Identity Questions on University Application Forms
Will Veterans Answer Sexual Orientation and Gender Identity Questions
The Challenges Presented Around Collection of Patient Sexual Orientation and Gender Identity Information For Reduction of Health Disparities
Collecting Sexual Orientation and Gender Identity Information
Veterans’ perceptions of racial bias in VA mental healthcare and their impacts on patient engagement and patient-provider communication
Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations
| Citations per year | 1.33 |
|---|---|
| Citation span | 2023 - 2026 (4) |
| Highly cited | No |