Table 3.
Suitability and understandability of terms for the assessment of gender (identity).
| How important is assessing the gender of patients or participants in clinical research independent of the research questions? | ||||||||
|---|---|---|---|---|---|---|---|---|
| Terms | First survey | Second survey | ||||||
| Answer Scale | ||||||||
| Very suitable n (%) |
Suitable n (%) |
Less suitable n (%) |
Not suitable n (%) |
Very suitable n (%) |
Suitable n (%) | Less suitable n (%) |
Not suitable n (%) |
|
| Femalea | 1 (5.9) | 3 (17.6) | 6 (35.3) | 7 (41.2) | – | – | – | – |
| Malea | 1 (5.9) | 3 (17.6) | 6 (35.3) | 7 (41.2) | – | – | – | – |
| Intersexa | 1 (5.9) | 1 (5.9) | 4 (23.5) | 11 (64.7) | – | – | – | – |
| Diverse | 5 (29.4) | 4 (23.5) | 4 (23.5) | 4 (23.5) | 1 (10.0) | 4 (40.0) | 2 (20.0) | 3 (30.0) |
| Womana | 12 (70.6) | 5 (29.4) | – | – | – | – | – | – |
| Mana | 12 (70.6) | 5 (29.4) | – | – | – | – | – | – |
| Transgenderb | 8 (47.1) | 3 (17.6) | 4 (23.5) | 2 (11.8) | 3 (30.0) | 4 (40.0) | 1 (10.0) | 2 (20.0) |
| Trans womana | 8 (47.1) | 9 (52.9) | – | – | – | – | – | – |
| Trans mana | 8 (47.1) | 9 (52.9) | – | – | – | – | – | – |
| Trans-masculinea | 5 (29.4) | 8 (47.1) | 4 (23.5) | – | – | – | – | – |
| Trans-femininea | 5 (29.4) | 8 (47.1) | 4 (23.5) | – | – | – | – | – |
| Nonbinarya | 11 (64.7) | 4 (23.5) | 2 (11.8) | – | – | – | – | – |
| Genderqueera | 10 (58.8) | 5 (29.4) | 2 (11.8) | – | – | – | – | – |
| Genderfluida | 10 (58.8) | 5 (29.4) | 2 (11.8) | – | – | – | – | – |
| Agendera | 10 (58.8) | 4 (23.5) | 3 (17.6) | – | – | – | – | – |
| Something other than male or femalea | 1 (5.9) | 2 (11.8) | 6 (35.3) | 8 (47.1) | – | – | – | – |
| Sometimes male, sometimes femalea | 1 (5.9) | 4 (23.5) | 5 (29.4) | 7 (41.2) | – | – | – | – |
| Two spiritb,c | – | – | – | – | 6 (60.0) | 2 (20.0) | – | 2 (20.0) |
| Cis manc | – | – | – | – | 4 (40.0) | 2 (20.0) | 3 (30.0) | 1 (10.0) |
| Cis womanc | – | – | – | – | 4 (40.0) | 2 (20.0) | 3 (30.0) | 1 (10.0) |
| No identificationc | – | – | – | – | 3 (30.0) | 3 (30.0) | 2 (20.0) | 2 (20.0) |
| How easy to understand are the following terms when assessing gender? | ||||||||
| Answer Scale | ||||||||
| Very easy n (%) |
Moderately easy n (%) |
Moderately difficult n (%) |
Very difficult n (%) | Very easy n (%) |
Moderately easy n (%) |
Moderately difficult n (%) |
Very difficult n (%) |
|
| Female | 3 (17.6) | 7 (41.2) | 3 (17.6) | 4 (23.5) | 2 (20.0) | 3 (30.0) | 3 (30.0) | 2 (20.0) |
| Male | 3 (17.6) | 7 (41.2) | 3 (17.6) | 4 (23.5) | 2 (20.0) | 3 (30.0) | 3 (30.0) | 2 (20.0) |
| Intersexa | – | 4 (23.5) | 6 (35.3) | 7 (41.2) | – | – | – | – |
| Diverse | 2 (11.8) | 5 (29.4) | 5 (29.4) | 5 (29.4) | – | 5 (50.0) | 2 (20.0) | 3 (30.0) |
| Womana | 12 (70.6) | 4 (23.5) | 1 (5.9) | – | – | – | – | – |
| Mana | 12 (70.6) | 4 (23.5) | 1 (5.9) | – | – | – | – | – |
| Transgenderb | 4 (23.5) | 5 (29.4) | 7 (41.2) | 1 (5.9) | 2 (20.0) | 5 (50.0) | 2 (20.0) | 1 (10.0) |
| Trans womana | 7 (41.2) | 7 (41.2) | 2 (11.8) | 1 (5.9) | – | – | – | – |
| Trans mana | 7 (41.2) | 7 (41.2) | 2 (11.8) | 1 (5.9) | – | – | – | – |
| Trans-masculineb | 3 (17.6) | 3 (17.6) | 9 (52.9) | 2 (11.8) | 5 (50.0) | 3 (30.0) | 1 (10.0) | 1 (10.0) |
| Trans-feminineb | 3 (17.6) | 3 (17.6) | 9 (52.9) | 2 (11.8) | 5 (50.0) | 3 (30.0) | 1 (10.0) | 1 (10.0) |
| Nonbinarya | 6 (35.3) | 6 (35.3) | 4 (23.5) | 1 (5.9) | – | – | – | – |
| Genderqueerb | 3 (17.6) | 5 (29.4) | 8 (47.1) | 1 (5.9) | 4 (40.0) | 3 (30.0) | 3 (30.0) | – |
| Genderfluid | 4 (23.5) | 3 (17.6) | 9 (52.9) | 1 (5.9) | 4 (40.0) | 2 (20.0) | 4 (40.0) | – |
| Agender | 4 (23.5) | 3 (17.6) | 6 (35.3) | 4 (23.5) | 3 (30.0) | 1 (10.0) | 5 (50.0) | 1 (10.0) |
| Something other than male or femalea | 1 (5.9) | 3 (17.6) | 5 (29.4) | 8 (47.1) | – | – | – | – |
| Sometimes male, sometimes femalea | 2 (11.8) | 3 (17.6) | 4 (23.5) | 8 (47.1) | – | – | – | – |
Terms in bold achieved a consensus of >70% in one of the two surveys, aterms reached a consensus in survey 1 and were not queried again, bterms reached a consensus in survey 2, cterms were requested by the experts and newly introduced in the 2nd survey.