ImportanceThe rising self-identifying lesbian, gay, bisexual, transgender, and queer (LGBTQ+) population makes understanding the unique health care needs of sexual and gender minoritized patients an urgent one. The interaction between minority stress and cardiovascular disease has been well described among underrepresented minoritized populations. The underrepresentation of minoritized populations in clinical research is partly responsible for worse cardiovascular outcomes in these populations. The absence of sexual orientation and gender identity and expression (SOGIE) data makes it difficult to understand the cardiovascular health of LGBTQ+ adults, thereby widening health care disparities in this population. Advancing cardiovascular health equity for LGBTQ+ patients must begin with careful and accurate SOGIE data collection.ObservationsCurrent SOGIE data capture remains inadequate despite federal mandates. Challenges in data collection include political and regulatory discrimination, patient/practitioner hesitancy, lack of supportive guidance on SOGIE data collection, improper terminology, regulatory inertia, and inadequate and often incorrect integration of SOGIE data into electronic health records (EHRs). Additional challenges include grouping participants as “others” for statistical significance. The inclusion of SOGIE data has demonstrated an impact in other fields like cancer survivorship and surgery. The same needs to be done for cardiology.Conclusions and RelevancePotential solutions for improving much-needed SOGIE data collection include (1) implementing LGBTQ+ inclusive policies, (2) integrating SOGIE data into the EHR, (3) educating health care professionals on the relevance of SOGIE to patient-centered care, and (4) creating a diverse cardiovascular workforce. These steps can substantially enhance the ability to collect SOGIE data to address LGBTQ+ cardiovascular health care disparities.

中文翻译：

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强调性取向和性别认同数据采集，以改善 LGBTQ+ 人群的心血管护理

重要性自我认同的女同性恋、男同性恋、双性恋、跨性别者和酷儿 (LGBTQ+) 人口不断增加，使得了解性和性别少数患者的独特医疗保健需求成为一项紧迫任务。在代表性不足的少数群体中，少数群体压力与心血管疾病之间的相互作用已得到充分描述。临床研究中少数群体的代表性不足是这些人群心血管结局较差的部分原因。由于缺乏性取向、性别认同和表达 (SOGIE) 数据，因此很难了解 LGBTQ+ 成年人的心血管健康状况，从而扩大了该人群的医疗保健差距。促进 LGBTQ+ 患者的心血管健康公平性必须从仔细、准确的 SOGIE 数据收集开始。观察尽管联邦有强制规定，但目前的 SOGIE 数据收集仍然不足。数据收集方面的挑战包括政治和监管歧视、患者/从业者犹豫不决、缺乏 SOGIE 数据收集的支持性指导、术语不当、监管惯性以及 SOGIE 数据与电子健康记录 (EHR) 的整合不充分且常常不正确。其他挑战包括将参与者分组为“其他人”以获得统计意义。SOGIE 数据的纳入已证明对癌症生存和手术等其他领域产生了影响。心脏病学也需要做同样的事情。 结论和相关性改善急需的 SOGIE 数据收集的潜在解决方案包括 (1) 实施 LGBTQ+ 包容性政策，(2) 将 SOGIE 数据整合到 EHR 中，(3) 对医疗保健专业人员进行相关性教育SOGIE 致力于以患者为中心的护理，以及 (4) 创建多元化的心血管劳动力队伍。这些步骤可以大大增强收集 SOGIE 数据的能力，以解决 LGBTQ+ 心血管医疗保健差异。