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Record W4406352714 · doi:10.5195/jmla.2025.1860

Automated tools for systematic review screening methods: an application of machine learning for sexual orientation and gender identity measurement in health research

2025· article· en· W4406352714 on OpenAlexfundno aff
Ashleigh J. Rich, Emma L. McGorray, Carrie Baldwin-SoRelle, Michelle Cawley, Karen Grigg, Lauren B. Beach, Gregory Phillips, Tonia Poteat

Bibliographic record

VenueJournal of the Medical Library Association JMLA · 2025
Typearticle
Languageen
FieldMedicine
TopicSex and Gender in Healthcare
Canadian institutionsnot available
FundersNational Institute on Alcohol Abuse and AlcoholismCanadian Institutes of Health Research
KeywordsSexual orientationIdentity (music)Orientation (vector space)Gender identityPsychologyComputer scienceArtificial intelligenceData scienceSocial psychologyArtMathematics

Abstract

fetched live from OpenAlex

Objective: Sexual and gender minority (SGM) populations experience health disparities compared to heterosexual and cisgender populations. The development of accurate, comprehensive sexual orientation and gender identity (SOGI) measures is fundamental to quantify and address SGM disparities, which first requires identifying SOGI-related research. As part of a larger project reviewing and synthesizing how SOGI has been assessed within the health literature, we provide an example of the application of automated tools for systematic reviews to the area of SOGI measurement. Methods: In collaboration with research librarians, a three-phase approach was used to prioritize screening for a set of 11,441 SOGI measurement studies published since 2012. In Phase 1, search results were stratified into two groups (title with vs. without measurement-related terms); titles with measurement-related terms were manually screened. In Phase 2, supervised clustering using DoCTER software was used to sort the remaining studies based on relevance. In Phase 3, supervised machine learning using DoCTER was used to further identify which studies deemed low relevance in Phase 2 should be prioritized for manual screening. Results: 1,607 studies were identified in Phase 1. Across Phases 2 and 3, the research team excluded 5,056 of the remaining 9,834 studies using DoCTER. In manual review, the percentage of relevant studies in results screened manually was low, ranging from 0.1 to 7.8 percent. Conclusions: Automated tools used in collaboration with research librarians have the potential to save hundreds of hours of human labor in large-scale systematic reviews of SGM health research.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.034
metaresearch head score (Gemma)0.029
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.854
Threshold uncertainty score0.995

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0340.029
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.256
GPT teacher head0.524
Teacher spread0.267 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; both teacher heads agree on what is shown here.

Study designSystematic review
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations5
Published2025
Admission routes1
Has abstractyes

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Same venueJournal of the Medical Library Association JMLASame topicSex and Gender in HealthcareFrench-language works237,207