Screening for Gender Identity in Adolescent Well Visits: Is It Feasible and Acceptable?

Lau, Josephine S.; Kline-Simon, Andrea H.; Sterling, Stacy; Hojilla, J Carlo; Hartman, Lauren

doi:10.1016/j.jadohealth.2020.07.031

Cited by 7 publications

(9 citation statements)

References 29 publications

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“…Additionally, qualitative opinions supported the inclusion of pronoun specification to represent oneself more accurately. This suggests that the collection of pronoun questions in social surveys is received with relatively positive attitudes, and is inline with previous research advocating the collection of SOGI information ( Cahill et al, 2014 ; Westbrook and Saperstein, 2015 ; Thompson, 2016 ; Dichter et al, 2018 ; Haider et al, 2018 ; Rullo et al, 2018 ; Grasso et al, 2019 ; Pinto et al, 2019 ; Guss et al, 2020 ; Puckett et al, 2020 ; Suen et al, 2020 ; Lau et al, 2021 ). This experiment highlights the importance of pronoun clarity for genderqueer populations; additionally, for cisgender populations, no negative reaction is likely to be perceived by the inclusion of a pronoun question.…”

Section: Discussionsupporting

confidence: 82%

“…Previous research has shown that including SOGI questions in healthcare intake forms is acceptable, relevant, and important to patients and providers, especially since sexual and gender minorities experience significant health disparities and require care and services tailored to their unique needs ( Cahill et al, 2014 ; Thompson, 2016 ; Dichter et al, 2018 ; Haider et al, 2018 ; Rullo et al, 2018 ; Pinto et al, 2019 ; Puckett et al, 2020 ; Lau et al, 2021 ). Importantly, these findings suggest that most individuals are not offended by SOGI questions.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Including Gender Pronoun Questions in Surveys

Palanica

Lopez

Gómez³

et al. 2022

Front. Psychol.

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This research examines whether the mere presence of asking about gender pronouns (e.g., she/her, he/him, they/them, and ze/zir) in a survey enhances participants’ attitudes and satisfaction of answering the questions. A large sample (N = 1,511) of heterosexual, cisgender, and LGBTQIA+ participants across the United States (US) were surveyed an online “personality test” (as a deception), with the real purpose of examining whether asking a pronoun question enhanced their perceptions of the survey. Three demographic groups were included: (i) heterosexual–cisgender (n = 503), (ii) gay–cisgender (n = 509), and (iii) genderqueer (trans, non-conforming, other, n = 499). Half of each group were randomly given either a survey that included a gender pronoun question (test) or not (control), and then all rated their perceptions of the survey questions. For participants who identified as heterosexual or gay, no major differences were found between survey conditions. However, participants who identified as genderqueer experienced significant increases of satisfaction, comfort level, and perceived relevance of the questions when given a survey that asked their gender pronouns versus the survey that did not. These findings have implications for any surveys that ask about personal demographics, and suggest that any form of written communication should include clarity about gender pronouns.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Effects of Including Gender Pronoun Questions in Surveys

Palanica

Lopez

Gómez³

et al. 2022

Front. Psychol.

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“…Beyond supporting the acceptability of pediatric mental health screening in primary care settings to parents, the present work also suggests potential areas for optimization in future efforts. First, our findings suggest that home-based screenings can minimize workflow interruptions and time costs associated with screening 24,25,29,34,48 and is an acceptable solution for most parents. As web-based screeners become more widely available, and are integrated into electronic health record systems, healthcare offices may consider this route of administration.…”

Section: Discussionmentioning

confidence: 87%

“…Preliminary findings suggest that parents are generally supportive of pediatric mental health screening, [26][27][28][29][30] though, preferences do exist. For example, recent studies have proposed that both parents and medical staff prefer mental health screening to occur during annual, routine visits.…”

Section: Introductionmentioning

confidence: 99%

“…30 Although these studies often show relatively high acceptance rates (75-85%), certain topics had significantly lower acceptance rates (e.g., 50.4%) and percentages of acceptance appear to drastically differ according to the topic. 30 Attitudes towards a growing number of mental health topics are being assessed in the literature (e.g., suicidality, 25,30,34,35 substance use, 24,30 firearms, 26,30,36 depression, 22,25,30,37 attention-deficit hyperactivity disorder, 22,37 anxiety, 22,37 and gender identity 29 ), though typically in isolation of one another 24,25,29,34,38 -precluding a comprehensive picture. 22,26,30,37 Additionally, these studies often focused on the attitudes of patients and medical staff rather than parents and caregivers; they rarely studied the impact of the report option for the topic in question (e.g., parent-report or a child selfreport questionnaire).…”

Section: Introductionmentioning

confidence: 99%

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Robust Parental Preferences in Mental Health Screening in Youth From a Multinational Online Survey

Kass

Alexander

Moskowitz

et al. 2023

Preprint

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Importance. Screening youth for mental disorders may assist in prevention, promote early identification, and reduce related lifetime impairment and distress. Objective. The goal was to survey parents about their comfort and preferences for pediatric mental health screening, as well as factors associated with these preferences. Design. The online survey was available July 11-14, 2021 on Prolific Academic. Analyses were conducted from November 2021 to November 2022. Setting. Online survey. Participants. The survey was administered to English-speaking parents with at least one 5-21-year old child at home. The sample included 972 parents, aged 21 and older, from the United States (n=265), United Kingdom (n=282), Canada (n=171), and Other Countries (n=254). Exposure(s). None. Main Outcome(s)/Measure(s). Parental preferences regarding the screening content, implementation preferences, and screener reviewing preferences of pediatric mental health screening were assessed in a novel survey. Mixed effects logistic models were employed to evaluate factors that influence parental comfort levels. Results. Parents, aged 21 to 65 (M=39.4; 62.3% female), supported annual mental health screening for their child and preferred reviewing the screening results with professional staff (e.g., physicians). Parents preferred parent-report over child self-reports, though they were generally comfortable with both options. Despite slight variations based on country of residence, screening topic, and child's age, parents were generally comfortable discussing all 21 topics. The greatest comfort was with sleep problems; the least comfort was with firearms, gender identity, suicidality, and substance use/abuse. Conclusions/Relevance. Our data indicated that parents support annual parent- and child self-report mental health screening in primary care settings, but comfort levels differ according to various factors, such as screening topic. Parents preferred screening to occur in the healthcare office and to discuss screening results with professional staff. In addition to parental need for expert guidance, the growing awareness of child mental health needs highlights the importance of addressing mental health concerns early via regular mental health screenings.

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Parental Preferences for Mental Health Screening of Youths From a Multinational Survey

et al. 2023

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ImportanceScreening youths for mental disorders may assist in prevention, promote early identification, and be associated with reduced related lifetime impairment and distress.ObjectiveTo assess parents’ and caregivers’ comfort with and preferences for pediatric mental health screening and factors associated with these preferences.Design, Setting, and ParticipantsThis survey study used an online survey available from July 11 to 14, 2021, through Prolific Academic. Analyses were conducted from November 2021 to November 2022. The survey was administered to English-speaking parents and caregivers in the US, UK, Canada, and 16 other countries who were aged 21 years or older and had at least 1 child aged 5 to 21 years living at home.Main Outcomes and MeasuresThe main outcomes were parental preferences regarding content, implementation, and review of the findings of pediatric mental health screening. Parental comfort with screening topics was reported on a 6-point Likert scale with 6 indicating highest comfort. Mixed-effects logistic regression models were used to evaluate factors associated with parental comfort levels.ResultsOf 1200 survey responses requested, data were collected from 1136 participants (94.7%). The final sample meeting the inclusion criteria comprised 972 parents and caregivers aged 21 to 65 years (mean [SD] age, 39.4 [6.9] years; 606 [62.3%] female). A total of 631 participants (64.9%) supported annual mental health screening for their child, and 872 (89.7%) preferred reviewing the screening results with professional staff (eg, physicians). Participants reported significantly decreased comfort with child self-report compared with parent-report screening assessments (b = −0.278; SE = 0.009; P &lt; .001), although they were generally comfortable with both options. Despite slight variations based on country of residence, screening topic, and child’s age, participants were generally comfortable discussing all 21 screening topics on the survey. The greatest comfort was with sleep problems (mean [SE] score, 5.30 [0.03]); the least comfort was with firearms (mean [SE] score, 4.71 [0.05]), gender identity (mean [SE] score, 4.68 [0.05]), suicidality (mean [SE] score, 4.62 [0.05]), and substance use or abuse (mean [SE] score, 4.78 [0.05]).Conclusions and RelevanceIn this survey study of parents and caregivers, parent-reported and child self-reported mental health screening in primary care settings was supported by the majority of the sample, although comfort levels differed according to various factors (eg, screening topic). Participants preferred to discuss screening results with professional health care staff. In addition to parental need for expert guidance, the study findings highlight the growing awareness of child mental health needs and the importance of addressing mental health concerns early via regular mental health screenings.

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Screening for Gender Identity in Adolescent Well Visits: Is It Feasible and Acceptable?

Cited by 7 publications

References 29 publications

Effects of Including Gender Pronoun Questions in Surveys

Effects of Including Gender Pronoun Questions in Surveys

Robust Parental Preferences in Mental Health Screening in Youth From a Multinational Online Survey

Parental Preferences for Mental Health Screening of Youths From a Multinational Survey

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