Urinary Incontinence Care-Seeking Barriers Among Latina Patients: What Are We Missing?

Autor:	Pancheshnikov A; From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD., Harrington BJ; Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD., Handa VL; From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD., Yanes LI; Universidad Iberoamericana UNIBE, Santo Domingo, Dominican Republic., Le Neveu M; Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD., Voegtline KM, Olson SB; Biostatistics, Epidemiology and Data Management (BEAD) Core, Johns Hopkins University School of Medicine, Baltimore, MD., Blomquist JL; Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology, Greater Baltimore Medical Center, Baltimore, MD., Jacobs S; Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology, Greater Baltimore Medical Center, Baltimore, MD., Patterson D; From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD., Chen CCG; From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD.
Jazyk:	angličtina
Zdroj:	Urogynecology (Philadelphia, Pa.) [Urogynecology (Phila)] 2024 Jul 22. Date of Electronic Publication: 2024 Jul 22.
DOI:	10.1097/SPV.0000000000001555
Abstrakt:	Importance: The Latina population is the largest growing ethnic group in the United States with high levels of health disparities in urinary incontinence (UI) treatment and complications rates, which may be due to disproportionately high barriers to UI care-seeking among Latinas. Objectives: The objectives of this study were to compare barriers to UI care-seeking among Latina, non-Latina Black, and non-Latina White patients by utilizing the Barriers to Incontinence Care Seeking Questionnaire (BICS-Q) total scores, and to compare specific barriers utilizing BICS-Q subscales. Study Design: In this cross-sectional study, patients accessing primary care were recruited to complete the BICS-Q, International Consultation on Incontinence Questionnaire-Short Form, and Prolapse and Incontinence Knowledge Questionnaire-Urinary Incontinence. The BICS-Q total and subscale scores were compared among ethnic/racial groups. Results: A total of 298 patients were included in the study with 83 Black, 144 Latina, and 71 White participants per self-identified ethnicity/race. The total BICS-Q score was highest for Latina participants, followed by White and Black participants (11.2 vs 8.2 vs 4.9, respectively, P < 0.0001). Latina participants had significantly higher BICS-Q subscale scores compared with Black participants with no significant differences between Latina and White participants. After controlling for potential confounders, Latina ethnicity/race was still associated with a higher BICS-Q score when compared to Black ethnicity/race (P = 0.0077), and lower Prolapse and Incontinence Knowledge Questionnaire-Urinary Incontinence scores remained independently associated with higher BICS-Q scores (P = 0.0078). Conclusions: In our study population, Latina patients and patients with lower UI knowledge experience higher barriers to UI care-seeking compared with Black patients and patients with higher UI knowledge. Addressing these barriers may increase care-seeking and improve health equity in the field. Competing Interests: The authors have declared they have no conflicts of interest. A.P. received the Gender and Racial Justice Scholars Award through the Johns Hopkins University Women’s Suffrage Centennial Commemoration Committee. The authors of this paper report no conflict of interest and no further disclosures. (Copyright © 2024 American Urogynecologic Society. All rights reserved.)
Databáze:	MEDLINE
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