Care of Sexual and Gender Minorities in the Emergency Department: A Scoping Review - 19/01/22
, Blair L. Bigham, MD, MSc d, Daniel Voloshin, BSc b, Melissa Wan, MD, BSc a, Alexandra Clarizio, BSc, MSc b, Suneel Upadhye, MD, MSc cAbstract |
Study objective |
This scoping review was conducted to collate and summarize the published research literature addressing sexual and gender minority care in the emergency department (ED).
Methods |
Using PRISMA-ScR criteria, an electronic search was conducted of CINAHL, Embase, Ovid Medline, and Web of Science for all studies that were published after 1995 involving sexual and gender minorities, throughout all life stages, presenting to an ED. We excluded non-US and Canadian studies and editorials. Titles and abstracts were screened, and full-text review was performed independently with 4 reviewers. Abstraction focused on study design, demographics, and outcomes, and the resulting data were analyzed using an ad hoc iterative thematic analysis.
Results |
We found 972 unique articles and excluded 743 after title and abstract screening. The remaining 229 articles underwent full-text review, and 160 articles were included. Themes identified were HIV in sexual and gender minorities (n=61), population health (n=46), provider training (n=29), ED avoidance or barriers (n=23), ED use (n=21), and sexual orientation/gender identity information collection (n=9).
Conclusion |
The current literature encompassing ED sexual and gender minority care cluster into 6 themes. There are considerable gaps to be addressed in optimizing culturally competent and equitable care in the ED for this population. Future research to address these gaps should include substantial patient stakeholder engagement in all aspects of the research process to ensure patient-focused outcomes congruent with sexual and gender minority values and preferences.
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| Supervising editor: David L. Schriger, MD, MPH. Specific detailed information about possible conflict of interest for individual editors is available at editors. |
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| Author contributions: MIK, DV, BLB, and SU conceived the study, confirmed appropriate scoping review methodology, and created the review protocol. MIK, DV, MW, and AC completed the search strategy, article retrieval, study reviews, and data abstraction. MIK and SU drafted the manuscript, and all authors contributed substantially to revisions. MIK take responsibility for the paper as a whole. |
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| All authors attest to meeting the four ICMJE.org authorship criteria: (1) Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND (2) Drafting the work or revising it critically for important intellectual content; AND (3) Final approval of the version to be published; AND (4) Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. |
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| Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist. The authors report this article did not receive any outside funding or support. |
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| Continuing Medical Education exam for this article is available at ACEPeCME/. |
Vol 79 - N° 2
P. 196-212 - février 2022 Retour au numéro
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