A comparison of urinary incontinence among African American, Asian, Hispanic, and white women
| Autor: | A. Korn, Thinh H. Duong |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty Ethnic group Urinary incontinence Physical examination Mongoloid California White People Urogynecology Ethnicity medicine Humans Aged African american Gynecology White (horse) medicine.diagnostic_test business.industry Obstetrics and Gynecology Hispanic or Latino Middle Aged Black or African American Urodynamics Urinary Incontinence Urodynamic testing medicine.symptom business Demography |
| Zdroj: | American Journal of Obstetrics and Gynecology. 184:1083-1086 |
| ISSN: | 0002-9378 |
| Popis: | Objective: This study was undertaken to compare urodynamic findings and the rate of incontinence diagnoses among various ethnic groups. Study Design: Data were collected for all new patients referred to the urogynecology clinic during a 10-year period. One hundred ninety-five Hispanic, 95 white, 66 Asian, and 59 African American women had urodynamic testing and were included in the study. All women had a complete history, physical examination, and multichannel urodynamic studies. Demographic data, urodynamic data, and final diagnoses differences were analyzed. Results: African American women had higher maximum urethral closure pressures than Hispanic, white, or Asian women (58 cm H 2 O vs 47, 47, and 48 cm H 2 O; P =.001, P =.005, and P =.02). African American women were less likely to be diagnosed with genuine stress incontinence than were Hispanic or white women (42% vs 67% and 59%; P P =.046). Detrusor instability was diagnosed more often in African American women than in Hispanic, white, or Asian women (29% vs 8%, 15%, and 14%; P P =.04, and P =.04). Conclusions: African American women with urinary incontinence have different urodynamic diagnoses than Hispanic, white, or Asian women. Hispanic, white, and Asian women have similar rates of genuine stress incontinence. Although African American women have lower rates of genuine stress incontinence than Hispanic and white women, they have higher rates of detrusor instability than all 3 groups. (Am J Obstet Gynecol 2001;184:1083-6.) |
| Databáze: | OpenAIRE |
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