Gender-Inclusive Language in Public-Facing Labor and Delivery Web Pages in the New York Tristate Area: Cross-Sectional Study

Abstract BackgroundTransgender and nonbinary (TGNB) individuals are increasingly intentionally becoming pregnant to raise children, and hospital websites should reflect these trends. For prospective TGNB parents, a hospital website is the only way they can assess their safety...

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Main Authors: Sarah Mohsen Isaac, Mark Dawes, Emily Ruth Howell, Antonia Francis Oladipo
Format: Article
Language:English
Published: JMIR Publications 2025-01-01
Series:JMIR Human Factors
Online Access:https://humanfactors.jmir.org/2025/1/e53057
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author Sarah Mohsen Isaac
Mark Dawes
Emily Ruth Howell
Antonia Francis Oladipo
author_facet Sarah Mohsen Isaac
Mark Dawes
Emily Ruth Howell
Antonia Francis Oladipo
author_sort Sarah Mohsen Isaac
collection DOAJ
description Abstract BackgroundTransgender and nonbinary (TGNB) individuals are increasingly intentionally becoming pregnant to raise children, and hospital websites should reflect these trends. For prospective TGNB parents, a hospital website is the only way they can assess their safety from discrimination while receiving perinatal care. Cisnormativity enforced by communication gaps between medical institutions and TGNB patients can and has caused delays in receiving urgent care during their pregnancy. ObjectiveThe aim of this study was to evaluate the current prevalence of gender-inclusive terminology among labor and delivery services in the New York tristate area. MethodsThe labor and delivery web pages of 189 hospitals from New York, New Jersey, and Connecticut were examined for gender-inclusive language. “Fully inclusive” websites explicitly acknowledged lesbian, gay, bisexual, transgender, queer, intersex, and asexual plus other gender- and sexual-oriented (LGBTQIA+) parents, “inclusive” websites did not use gendered terminology for parents, and “noninclusive” websites used gendered terms at least once in the text reviewed. The hospitals’ web pages were further stratified by Healthcare Equality Index scores and population classifications defined by the 2013 National Center for Health Statistics Urban-Rural classification given to the county that each hospital was located in. ResultsOf the 300 hospital websites reviewed, only 189 websites met the criteria for inclusion. Overall, only 6.3% (n=12) of labor and delivery web pages were “inclusive” or “fully inclusive.” No geographic areas (PP ConclusionsHospitals need to use inclusive language to help TGNB people identify hospitals where their existence and needs are acknowledged and thus feel more comfortable in their transition to parenthood.
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spelling doaj-art-dcdcbb66839e415f8b9526aeddc82dac2025-01-22T11:55:23ZengJMIR PublicationsJMIR Human Factors2292-94952025-01-0112e53057e5305710.2196/53057Gender-Inclusive Language in Public-Facing Labor and Delivery Web Pages in the New York Tristate Area: Cross-Sectional StudySarah Mohsen Isaachttp://orcid.org/0009-0006-7090-0815Mark Daweshttp://orcid.org/0009-0005-3287-2705Emily Ruth Howellhttp://orcid.org/0009-0009-3536-9995Antonia Francis Oladipohttp://orcid.org/0000-0002-5285-0600 Abstract BackgroundTransgender and nonbinary (TGNB) individuals are increasingly intentionally becoming pregnant to raise children, and hospital websites should reflect these trends. For prospective TGNB parents, a hospital website is the only way they can assess their safety from discrimination while receiving perinatal care. Cisnormativity enforced by communication gaps between medical institutions and TGNB patients can and has caused delays in receiving urgent care during their pregnancy. ObjectiveThe aim of this study was to evaluate the current prevalence of gender-inclusive terminology among labor and delivery services in the New York tristate area. MethodsThe labor and delivery web pages of 189 hospitals from New York, New Jersey, and Connecticut were examined for gender-inclusive language. “Fully inclusive” websites explicitly acknowledged lesbian, gay, bisexual, transgender, queer, intersex, and asexual plus other gender- and sexual-oriented (LGBTQIA+) parents, “inclusive” websites did not use gendered terminology for parents, and “noninclusive” websites used gendered terms at least once in the text reviewed. The hospitals’ web pages were further stratified by Healthcare Equality Index scores and population classifications defined by the 2013 National Center for Health Statistics Urban-Rural classification given to the county that each hospital was located in. ResultsOf the 300 hospital websites reviewed, only 189 websites met the criteria for inclusion. Overall, only 6.3% (n=12) of labor and delivery web pages were “inclusive” or “fully inclusive.” No geographic areas (PP ConclusionsHospitals need to use inclusive language to help TGNB people identify hospitals where their existence and needs are acknowledged and thus feel more comfortable in their transition to parenthood.https://humanfactors.jmir.org/2025/1/e53057
spellingShingle Sarah Mohsen Isaac
Mark Dawes
Emily Ruth Howell
Antonia Francis Oladipo
Gender-Inclusive Language in Public-Facing Labor and Delivery Web Pages in the New York Tristate Area: Cross-Sectional Study
JMIR Human Factors
title Gender-Inclusive Language in Public-Facing Labor and Delivery Web Pages in the New York Tristate Area: Cross-Sectional Study
title_full Gender-Inclusive Language in Public-Facing Labor and Delivery Web Pages in the New York Tristate Area: Cross-Sectional Study
title_fullStr Gender-Inclusive Language in Public-Facing Labor and Delivery Web Pages in the New York Tristate Area: Cross-Sectional Study
title_full_unstemmed Gender-Inclusive Language in Public-Facing Labor and Delivery Web Pages in the New York Tristate Area: Cross-Sectional Study
title_short Gender-Inclusive Language in Public-Facing Labor and Delivery Web Pages in the New York Tristate Area: Cross-Sectional Study
title_sort gender inclusive language in public facing labor and delivery web pages in the new york tristate area cross sectional study
url https://humanfactors.jmir.org/2025/1/e53057
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AT emilyruthhowell genderinclusivelanguageinpublicfacinglaboranddeliverywebpagesinthenewyorktristateareacrosssectionalstudy
AT antoniafrancisoladipo genderinclusivelanguageinpublicfacinglaboranddeliverywebpagesinthenewyorktristateareacrosssectionalstudy