Difference-Makers for Collecting Sexual Orientation and Gender Identity Data in Oncology Settings

Authors

Mandi L Pratt-Chapman
Edward J Miech
Megan A Mullins
Shine Chang
Gwendolyn P Quinn
Shail Maingi
Matthew B Schabath
Charles Kamen

Publication Date

3-1-2025

Journal

Cancer Medicine

Abstract

Purpose: The purpose of this analysis was to identify key difference-making conditions that distinguish oncology institutions that collect sexual orientation and gender identity (SOGI) data across a sample of American Society of Clinical Oncology (ASCO) members.

Methods: From October to November 2020, an anonymous 54-item web-based survey was distributed to ASCO members. Coincidence analysis was used to identify difference-making conditions for the collection of SOGI data.

Results: ASCO members' responses to just three items consistently distinguished practices that reported collecting both SO and GI data (n = 25) from those who did not (n = 20): (1)."Do you ask your patients what pronouns they want you to use for them?"; (2) "Institutional leadership supports collecting SOGI data from patients"; and (3)"Does the electronic health record (EHR) at your institution have a specific section to collect information about patients' SOGI?" The positive model exhibited both reliability (consistency = 0.87, or 20/23) and explanatory breadth (coverage = 0.80, or 20/25). The negative model for SOGI data collection consisted of different responses to the same three items and likewise showed both reliability (consistency = 0.94, or 16/17) and explanatory breadth (coverage = 0.80, or 16/20).

Conclusions: Specific levels of leadership support, frequency of asking patients about pronouns, and the presence or absence of EHR record structure were difference-makers for collecting SOGI data in this sample. The study underscores the importance of leadership support, structured data fields, and attention to patient pronouns, which are aligned with the ASCO and National Institutes of Health calls to action.

Keywords

Humans, Gender Identity, Female, Male, Medical Oncology, Sexual Behavior, Surveys and Questionnaires, Electronic Health Records, Data Collection, United States, coincidence analysis, gender identity, implementation, oncology, sexual orientation

DOI

10.1002/cam4.70727

PMID

40047060

PMCID

PMC11883291

PubMedCentral® Posted Date

3-6-2025

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes