Toward More Inclusive Gender Identity Measurement in Speech, Language, and Hearing Practice and Research

Abstract

Purpose This article discusses current trends in clinical and research settings for collecting gender identity demographic information and argues for clinicians and researchers in communication disorders and sciences to adopt a two-question method for measuring the gender identity of clients and research participants. Traditional collection of gender demographic information has been constrained to a single question format with a binary response option. Increasing numbers of individuals across the life span identify with gender minorities such as transgender, nonbinary, and gender nonconforming, among others, and the traditional format for obtaining gender-identity related information is insufficient to capture and document this increasing diversity. An example of a two-question method for measuring gender identity demographic information is provided. The benefits and challenges of adopting such a measure in clinical and laboratory settings are discussed. Conclusions Gender minorities constitute a growing proportion of clinical caseloads and research participants within speech-language pathology and audiology. The adoption of demographic measurement tools that are inclusive of varying gender identities is necessary to acknowledge and quantify this growth and is a first step in normalizing transgender visibility in clinical and research settings. Such a move advances cultural responsiveness within the professions and promotes competent care and optimal health outcomes for individuals who are gender diverse.