Behavioral barriers and facilitators for sexual orientation and gender identity (SOGI) data collection in a community health clinic in southern Puerto Rico: A rapid qualitative analysis

Autores/as

  • Joshua J. Rivera-Custodio Ponce Health Sciences University Autor/a
  • Noelia Sánchez-Colón Ponce Health Sciences University Autor/a
  • Katherinmarie Mounier-Lorenzo Ponce Health Sciences University Autor/a
  • Elvin O. Alvarado-Cardona Ponce Health Sciences University Autor/a
  • Fabio J. Barreto-Ayes Ponce Health Sciences University Autor/a
  • Elina I. Aguilar-Jiménez Ponce Health Sciences University Autor/a
  • Eliut Rivera-Segarra Ponce Health Sciences University Autor/a
  • Matthew Schabath H. Lee Moffitt Cancer Center & Research Institute Autor/a
  • Alíxida Ramos-Pibernus Ponce Health Sciences University Autor/a

DOI:

https://doi.org/10.71332/9bd9gw03

Palabras clave:

SOGI, rapid qualitative analysis, implementation science, behavioral determinants

Resumen

Collecting sexual orientation and gender identity (SOGI) is essential to provide affirming and evidence-based care and to address health inequities, especially among sexual and gender minorities (SGM). Despite the importance of collecting SOGI, there are multilevel barriers that hinder such implementation. However, in the context of Puerto Rico, few studies have examined these barriers and facilitators, and none have explored them through a behavioral lens. Objective: The purpose of this qualitative study is to explore the behavioral barriers and facilitators of SOGI data collection in a Community Health Clinic (CHC) in Southern Puerto Rico. Method: We conducted semi-structured interviews (N=10) among healthcare providers (n=5) and healthcare personnel (n=5). We analyzed the data using the Planning for and Assessing Rigor in Rapid Qualitative Analysis (PARRQA) approach and guided by the Theoretical Domains Framework (TDF). Results: Findings from the analysis indicate that key barriers to SOGI data collection include beliefs about consequences, emotion, social influence, and environmental context and resources. In contrast, behavioral facilitators include knowledge, skills, behavioral regulation, and reinforcement. Conclusions: We discuss pragmatic strategies for behavioral change to improve SOGI data collection in healthcare settings.

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Publicado

2025-12-09

Número

Sección

Sección Regular

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