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- W4213333162 abstract "To analyze online visibility of LGBTQ, specifically, transgender gynecologic health services on obstetrics and gynecology clinic websites and correlate visibility with geographic location. The term “Obstetrics and Gynecology Clinic [state name of interest]” was used to locate gynecologic clinics’ websites on Google Maps (GM) between May 2021 and August 2021. The first 40 GM results of the states’ North and South regions were analyzed. Data points collected included zip code, practice size, hysterectomy offered, mention of LGBTQ services, and academic affiliation. Clinics without websites were excluded. Clinic zip code was used to extract data on income, ethnic distribution, and population size from the US Census Public Data. Chi-square test of independence cross examined association between each variable and LGBTQ visibility on clinic websites. 818 Ob/Gyn clinics were found through GM search. 82 providers (10%) explicitly advertised LGBTQ care provided on their website. Cities were classified by population >250,000(n=159) and population <250,000(n=659), 20.1% vs 7.6% mentioned ability to provide LGBTQ inclusive care (p < 0.001). Clinics affiliated with an academic institution were 3 times more likely to advertise LGBTQ services than clinics not affiliated with an academic institution (9% vs 31.6%, p < 0.001). Analysis of ethnic distribution found clinics in cities with majority Caucasian vs non-Caucasian population showed no significant difference in transgender care visibility (9.3% vs 12.4%, p =0.202). Comparing median household income as greater than or less than national average, no difference was noted in advertised services for LGBTQ populations (9.8% vs 10.1%, p= 0.874). Larger clinics, defined as having 6 or more providers, were twice as likely to list LGBTQ services available than smaller clinics, 5 or less providers, (15.1% vs 6.3%, p<0.001). Clinics that specifically mention hysterectomy services were not more likely to mention LGBTQ services than those that don’t mention hysterectomy services (8.1% vs 11.6%, p=0.104). Of the five geographical regions of the US, the Southeast had a significantly lower incidence of clinics that advertised LGBTQ services when compared to the West and Northeast (p < 0.001). Online visibility of LGBTQ health services in OB/GYN are low, with less than 10% of clinics advertising LGBTQ services. Clinics in cities with a large population, associated with an academic institute, or considered a large clinic are more likely to advertise for such services. These findings demonstrate disparity in access to LGBTQ healthcare, specifically transgendered patients seeking gynecological services. Further efforts should be made to increase inclusivity in promoting LGBTQ services on Obstetrics and Gynecology clinics' websites as many patients use the internet as a tool to locate a suitable physician." @default.
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- W4213333162 date "2022-03-01" @default.
- W4213333162 modified "2023-10-12" @default.
- W4213333162 title "Bridging the gap: online availability of gynecological care for lesbian, gay, bisexual, transgender, and questioning communities" @default.
- W4213333162 doi "https://doi.org/10.1016/j.ajog.2021.12.069" @default.
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