STD – Binary Options göstəriciləri

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Increased Ascertainment of Transgender and Non-binary Patients Using a 2-Step Versus 1-Step Gender Identity Intake Question in an STD Clinic Setting

Affiliation

  • 1 Public Health, Seattle & King County HIV/STD Program.
  • PMID: 30516726
  • DOI: 10.1097/OLQ.0000000000000952

Increased Ascertainment of Transgender and Non-binary Patients Using a 2-Step Versus 1-Step Gender Identity Intake Question in an STD Clinic Setting

Authors

Affiliation

  • 1 Public Health, Seattle & King County HIV/STD Program.
  • PMID: 30516726
  • DOI: 10.1097/OLQ.0000000000000952

Abstract

Background: Transgender inclusive and gender affirmative healthcare includes asking patients about gender identity and sex assigned at birth through what is known as the “2-step” methodology. In May 2020, the sexually transmitted disease (STD) clinic in Seattle, WA switched from using a 1-step to a 2-step gender identity question. We aimed to determine if the updated questions increased ascertainment of transgender and gender nonconforming (TGNC) patients and used the improved gender identity data to describe the human immunodeficiency virus/STD risk profile of TGNC patients.

Methods: We conducted a pre-post analysis comparing the proportion of patients that identified as TGNC during the year before and after implementation of the 2-step questions. Gender identity and medical history questions were ascertained using a computer-assisted self-interview. The 2-step question included 2 new gender response options: non-binary/genderqueer and write-in.

Results: Institution of the 2-step question resulted in a 4.8-fold increase in patients who were identified as TGNC: 36 (0.5%) of 6635 to 172 (2.4%) of 7025 patients (P Conclusions: Using a 2-step gender identity question and including non-binary/genderqueer options increased our clinic’s ascertainment of TGNC patients and more accurately captured gender identity among STD clinic patients.

std:: optional

Language
Standard Library Headers
Freestanding and hosted implementations
Named requirements
Language support library
Concepts library (C++20)
Diagnostics library
Utilities library
Strings library
Containers library
Iterators library
Ranges library (C++20)
Algorithms library
Numerics library
Localizations library
Input/output library
Filesystem library (C++17)
Regular expressions library (C++11)
Atomic operations library (C++11)
Thread support library (C++11)
Technical Specifications
Language support
Type support (basic types, RTTI, type traits)
Library feature-test macros (C++20)
Dynamic memory management
Program utilities
Error handling
Coroutine support (C++20)
Variadic functions
Three-way comparison (C++20)
General utilities
Date and time
Function objects
Formatting library (C++20)
Relational operators (deprecated in C++20)
Integer comparison functions
Swap and type operations
Common vocabulary types
Elementary string conversions
Member functions
Non-member functions
Deduction guides
Helper classes
Helper objects

The class template std::optional manages an optional contained value, i.e. a value that may or may not be present.

A common use case for optional is the return value of a function that may fail. As opposed to other approaches, such as std:: pair T, bool > , optional handles expensive-to-construct objects well and is more readable, as the intent is expressed explicitly.

Any instance of optional at any given point in time either contains a value or does not contain a value.

If an optional contains a value, the value is guaranteed to be allocated as part of the optional object footprint, i.e. no dynamic memory allocation ever takes place. Thus, an optional object models an object, not a pointer, even though operator*() and operator->() are defined.

When an object of type optional is contextually converted to bool, the conversion returns true if the object contains a value and false if it does not contain a value.

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The optional object contains a value in the following conditions:

  • The object is initialized with/assigned from a value of type T or another optional that contains a value.

The object does not contain a value in the following conditions:

  • The object is default-initialized.
  • The object is initialized with/assigned from a value of type std::nullopt_t or an optional object that does not contain a value.
  • The member function reset() is called.

There are no optional references; a program is ill-formed if it instantiates an optional with a reference type. Alternatively, an optional of a std::reference_wrapper of type T may be used to hold a reference. In addition, a program is ill-formed if it instantiates an optional with the (possibly cv-qualified) tag types std::nullopt_t or std::in_place_t .

STD – Binary Options göstəriciləri

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