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Goldberg JM, Gong J, Blennerhassett CJ, Ross LE. A secondary mixed methods analysis examining midwives' responses regarding patient sexual orientation and gender identity (SOGI) disclosure. Midwifery 2023; 120:103648. [PMID: 36871488 DOI: 10.1016/j.midw.2023.103648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 01/31/2023] [Accepted: 02/09/2023] [Indexed: 03/06/2023]
Abstract
OBJECTIVE Recent research suggests that midwives generally have positive attitudes towards sexual and gender minority (SGM) clients; however, little research has examined whether and how these attitudes translate into specific clinical practices. In this study, we performed a secondary mixed methods analysis to examine midwives' beliefs and practices regarding the importance of asking and knowing their patients' sexual orientation and gender identity (SOGI). METHODS A confidential, anonymous paper survey was mailed to all midwifery practice groups (n = 131) in Ontario, Canada. Participants were midwives who were members of the Association of Ontario Midwives who responded to the survey (n = 267). Sequential explanatory mixed methods analysis was employed: quantitative SOGI questions were analyzed first, followed by qualitative open response comments to explain and contextualize the quantitative findings. FINDINGS Midwives' responses indicated that it was not important to know or ask about clients' SOGI because (1) it is not necessary to be able to provide the best care to everyone, and (2) the onus is on the client to disclose SOGI. Midwives indicated that they would like more training and knowledge to be able to confidently care for SGM. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE Midwives' hesitancy to ask or know SOGI demonstrates that positive attitudes do not necessarily translate into current best practices for obtaining SOGI data in the context of SGM care provision. Midwifery education and training programs should address this gap.
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Affiliation(s)
- Jennifer M Goldberg
- Division of Social and Behavioural Health Sciences, Dalla Lana School of Public Health, University of Toronto, College St., Toronto, Canada; Registered Midwife, Ontario 500-155, Canada.
| | - Jenny Gong
- National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK
| | - C J Blennerhassett
- Master of Health Administration Candidate, School of Health Administration, Dalhousie University, Sir Charles Tupper Medical Building 2nd floor, 5850 College Street, PO Box 15000, Halifax, NS B3H 4R2, Canada; Registered Midwife, Nova Scotia, Canada
| | - Lori E Ross
- Division of Social and Behavioural Health Sciences, Dalla Lana School of Public Health, University of Toronto, College St., Toronto, Canada
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Low A, Wright C, Platt J, Chang C, Mantell JE, Romero E, Hoos D, Mannheimer S, Greenleaf A, Castor D, El-Sadr WM. COVID-19 vaccine uptake and factors associated with being unvaccinated among lesbian, gay, bisexual, transgender, queer, and other sexual identities (LGBTQ+) New Yorkers. Open Forum Infect Dis 2022; 9:ofac260. [PMID: 35855958 PMCID: PMC9129197 DOI: 10.1093/ofid/ofac260] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 05/18/2022] [Indexed: 11/18/2022] Open
Abstract
Routine data on vaccine uptake are not disaggregated by lesbian, gay, bisexual, transgender, queer, and other sexual identities (LGBTQ+) populations, despite higher risk of infection and severe disease. We found comparable vaccination uptake patterns among 1032 LGBTQ+ New Yorkers and the general population. We identified critical socioeconomic factors that were associated with vaccine hesitancy in this economically vulnerable population.
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Affiliation(s)
- Andrea Low
- ICAP at Columbia, Mailman School of Public Health, New York, NY USA
- Department of Epidemiology, Mailman School of Public Health, New York, NY USA
| | - Connor Wright
- ICAP at Columbia, Mailman School of Public Health, New York, NY USA
| | - Joey Platt
- ICAP at Columbia, Mailman School of Public Health, New York, NY USA
| | - Christiana Chang
- ICAP at Columbia, Mailman School of Public Health, New York, NY USA
| | - Joanne E. Mantell
- Department of Epidemiology, Mailman School of Public Health, New York, NY USA
- HIV Center for Clinical and Behavioral Studies, Gender, Sexuality and Health Area, New York State Psychiatric Institute and Columbia University Department of Psychiatry, New York, NY USA
| | - Emily Romero
- ICAP at Columbia, Mailman School of Public Health, New York, NY USA
| | - David Hoos
- ICAP at Columbia, Mailman School of Public Health, New York, NY USA
| | - Sharon Mannheimer
- ICAP at Columbia, Mailman School of Public Health, New York, NY USA
- Division of Infectious Diseases, Department of Medicine, Harlem Hospital Center, New York, NY USA
| | - Abigail Greenleaf
- ICAP at Columbia, Mailman School of Public Health, New York, NY USA
- Department of Population and Family Health, Mailman School of Public Health, New York, NY USA
| | - Delivette Castor
- Department of Epidemiology, Mailman School of Public Health, New York, NY USA
- Division of Infectious Diseases, Department of Medicine, Columbia University Irving Medical Center, New York, NY USA
| | - Wafaa M. El-Sadr
- ICAP at Columbia, Mailman School of Public Health, New York, NY USA
- Department of Epidemiology, Mailman School of Public Health, New York, NY USA
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