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. Author manuscript; available in PMC: 2022 Jan 18.
Published in final edited form as: Soc Sci Med. 2021 Aug 4;285:114295. doi: 10.1016/j.socscimed.2021.114295

Table 2.

HRSA UDS Demographic Reporting on SOGI.

Patients by Sexual Orientation Patients by Gender Identity
Lesbian or gay Male
Straight (not lesbian or gay) Female
Bisexual Transgender Male/FTM
Something else Transgender Female/MTF
Don’t know Other
Choose not to disclose Choose not to disclose

Source: HRSA Program Assistance Letter (PAL 2016-02). “Approved Uniform Data System Changes for Calendar Year 2016.”

Note: The UDS demographic reporting mandate on SOGI includes items on patient sexual and gender identity. While both scholars and measurement working groups note the multiple dimensions of gender and sexuality, including identity, attraction, behavior, and embodiment (SMART 2009; FIWG 2016), the reporting mandate prioritizes population-identifying items given program focus on disparity monitoring. We note that the limited focus on patient identity as a means of assessing social difference fails to capture the full prism of gender and sexuality, including as these domains relate to the dynamics of stratification and associated inequity (Westbrook, Budnick, and Saperstein 2021; Cruz, 2017; Paine, 2018).