Experiences of Black Women With Pelvic Floor Disorders-A Qualitative Analysis Study.

Autor:	Chyu J; From the Section of Urology and Renal Transplantation, Virginia Mason Franciscan Health, Seattle, WA., Alimi O; From the Section of Urology and Renal Transplantation, Virginia Mason Franciscan Health, Seattle, WA., Popat S; From the Section of Urology and Renal Transplantation, Virginia Mason Franciscan Health, Seattle, WA., Smith-Mathus G; WakeMed Urology, Raleigh, NC., Lee UJ; From the Section of Urology and Renal Transplantation, Virginia Mason Franciscan Health, Seattle, WA.
Jazyk:	angličtina
Zdroj:	Urogynecology (Philadelphia, Pa.) [Urogynecology (Phila)] 2024 Jun 27. Date of Electronic Publication: 2024 Jun 27.
DOI:	10.1097/SPV.0000000000001542
Abstrakt:	Importance: Disparities research in Black women with pelvic floor disorders (PFDs) has primarily focused on epidemiology or surgical outcomes, but little is known about the patient perspective on seeking PFD care. Objective: To provide quality and equitable care to Black women with PFDs, we conducted a qualitative study to hear their perspectives and lived health care experiences. Study Design: Black women seeking care for PFDs at a tertiary care institution were invited to participate in qualitative interviews. Open-ended questions explored participants' knowledge, attitudes, and health care experiences. Interviews were transcribed verbatim and coded line-by-line. Inductive content analysis was performed to identify key themes, and consensus was achieved among the research team. Results: Eight Black women aged 21-83 years consented to participate. Patients noted a stigma surrounding PFDs, both among health care professionals and their community. They noted several barriers to care: financial, logistical, and racial bias. They cited difficulties in patient-health care professional communication, including not feeling heard or treated as an individual. They preferred gender and racial concordance with their physicians. These women expressed both a desire for more knowledge and to share this knowledge and advocate for other women. Conclusions: Black women expressed distinct obstacles in their PFD health care. They reported not feeling heard or treated as a unique individual. The themes derived from this study identify complex patient-centered needs that can serve as the basis for future quality improvement work and/or hypothesis-driven research. By grounding health disparities research in patient perspectives, we can improve the health care experiences of Black women. Competing Interests: The authors have declared they have no conflicts of interest. (Copyright © 2024 American Urogynecologic Society. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu