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4 results

  • Patient comfort with sexual orientation and gender identity questions in adult congenital cardiology clinics

  • Stephen C. Cook, Brototo Deb, Tony Pastor, Clare Hobson, Kaitlyn Walsh, Susan Ofner, Katherine Salciccioli, Vincent Gonzalez, Leigh C. Reardon, Matthew Carazo
  • Journal:
    Cardiology in the Young / Volume 34 / Issue 9 / September 2024
    Published online by Cambridge University Press:
    13 September 2024, pp. 1997-2004
    • Article
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  • Background:

    Lack of sexual orientation and gender identity (SOGI) data creates barriers for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people in health care. Barriers to SOGI data collection include physician misperception that patients do not want to answer these questions and discomfort asking SOGI questions. This study aimed to assess patient comfort towards SOGI questions across five quaternary care adult congenital heart disease (ACHD) centres.

    Methods:

    A survey administered to ACHD patients (≥18 years) asked (1) two-step gender identity and birth sex, (2) acceptance of SOGI data, and (3) the importance for ACHD physicians to know SOGI data. Chi-square tests were used to analyse differences among demographic groups and logistic regression modelled agreement with statement of patient disclosure of SOGI improving patient–physician communication.

    Results:

    Among 322 ACHD patients, 82% identified as heterosexual and 16% identified as LGBTQ+, across the age ranges 18–29 years (39.4%), 30–49 years (47.8%), 50–64 years (8.7%), and > 65 years (4.0%). Respondents (90.4%) felt comfortable answering SOGI questions. Respondents with bachelor’s/higher education were more likely to “agree” that disclosure of SOGI improves patient–physician communication compared to those with less than bachelor’s education (OR = 2.45; 95% CI 1.41, 4.25; p = .0015).

    Conclusion:

    These findings suggest that in this largely heterosexual population, SOGI data collection is unlikely to cause patient discomfort. Respondents with higher education were twice as likely to agree that SOGI disclosure improves patient–physician communication. The inclusion of SOGI data in future studies will provide larger samples of underrepresented minorities (e.g. LGBTQ+ population), thereby reducing healthcare disparities within the field of cardiovascular research.

  • 29 - Natural Law, Rights of the Family, and International Human Rights Instruments

  • from Part V - Rival Interpretations and Interpretive Principles
  • Edited by Tom Angier, University of Cape Town, Iain T. Benson, University of Notre Dame, Australia, Mark D. Retter, University of Cambridge
  • Book:
    The Cambridge Handbook of Natural Law and Human Rights
    Published online:
    03 November 2022
    Print publication:
    17 November 2022, pp 432-447

  • Summary

    This Chapter argues that natural law philosophy gives the best conceptual resources for understanding the rights of the family in seminal international human rights instruments. The expression, ‘rights of the family,’ includes a broader discussion about marriage and the right to married life, rights of parents and children, the human person and his or her dignity. The interpretation of the texts is based on a good faith reading of the ordinary meaning of the words in their context taking into consideration the text’s object and purpose. Various challenges to the said interpretation are considered and responses to them are provided.

State Neutrality
  • The Sacred, the Secular and Equality Law
  • Kerry O'Halloran
  • Published online:
    15 January 2021
    Print publication:
    21 January 2021
  • The state is legally required to be neutral towards religion, but in many countries it is increasingly anything but. This book conducts a comparative legal analysis of the church–state relationship within and between western countries – including the USA, France and Israel – that are key players in international and domestic dynamics in which religion and religious conflict take centre stage. It analyses how government accommodates diversity, how policies of multiculturalism and pluralism translate into legislation, the extent to which they address matters of religion and belief and what pattern of related issues then come before the courts. Finally, it considers how civil society and democracy in general can maintain a balance between the interests of those of different religions and beliefs and those of none. In this illuminating study, Kerry O'Halloran shows how the relationship between religion and government affects civil society and the functioning of democracy in North America and Europe.

  • 46 - Early to mid-Edo kanshi

  • from Part IV - The Edo period (1600–1867)
  • Edited by Haruo Shirane, Columbia University, New York, Tomi Suzuki, Columbia University, New York, David Lurie, Columbia University, New York
  • Book:
    The Cambridge History of Japanese Literature
    Published online:
    05 January 2016
    Print publication:
    17 December 2015, pp 457-464

  • Summary

    The one figure centrally involved in championing renga or "linked verse" as a courtly genre was Tonna's student Nijo Yoshimoto. During 1345-1372 Yoshimoto produced four major treatises aimed at drawing attention to renga as a literary art, providing it with a historical narrative that connected it to the earliest times, and analyzing it in aesthetic terms taken from similar works in the waka tradition. In 1392 the shogun Ashikaga Yoshimitsu arranged a rapprochement that ended the era of the divided courts and inaugurated a period of relative peace and prosperity for both the court nobility and the military aristocracy. Sogi, a Zen monk who, more than any commoner poet before, seems to have made an explicit decision to make a career for himself as a renga master. Given his emphasis on maintaining the proper atmosphere in a renga gathering, it is no surprise that Sogi is regarded as the first renga master to realize the full potential of the hyakuin.