Barriers to Urinary Incontinence Care Seeking in White, Black, and Latina Women. Issue 2 (March 2015)

• Record Type: Journal Article
• Authors: Willis-Gray, Marcella G.; Sandoval, Juan S.; Maynor, Jean; Bosworth, Hayden B.; Siddiqui, Nazema Y.
• Is Part Of: Female pelvic medicine & reconstructive surgery. Volume 21:Issue 2(2015:Mar./Apr.)
• Publication Date: 2015-03
• Subjects: Pelvis -- Diseases -- Periodicals; Pelvis -- Surgery -- Periodicals; Genital Diseases, Female -- surgery -- Periodicals; Urologic Diseases -- surgery -- Periodicals; Colonic Diseases -- surgery -- Periodicals; Rectal Diseases -- surgery -- Periodicals; Surgical Procedures, Operative -- methods -- Periodicals; 616.6
• DOI: 10.1097/SPV.0000000000000100
• Languages: English
• ISSNs: 2151-8378

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Objective</title> <p>We compared barriers to urinary incontinence (UI) healthcare seeking between white, black, and Latina women.</p> </sec> <sec> <title>Methods</title> <p>This is a cross-sectional study using a convenience sample of white, black, and Latina women. Women completed the Barriers to Incontinence Care Seeking Questionnaire (BICS-Q), the Incontinence Quality of Life Instrument (I-QOL), the Questionnaire for Urinary Incontinence Diagnosis, and the Incontinence Severity Index (ISI). The primary objective was to assess barriers to UI care seeking among groups, as measured by the BICS-Q. Secondary objectives were to assess factors associated with barriers to incontinence care and to compare specific barriers using BICS-Q subscale scores. Regression analyses were used to further assess for differences among groups while adjusting for potential confounding variables.</p> </sec> <sec> <title>Results</title> <p>We included a total of 93 subjects, including 30 white, 33 black, and 30 Latina women. Mean I-QOL, Questionnaire for Urinary Incontinence Diagnosis, and ISI scores were not significantly different among our 3 groups. Barriers, based on BICS-Q scores, were lowest in white women and higher in blacks and Latinas (2.9 vs 7.3 vs 10.9, respectively; <italic>P</italic> < 0.001). When adjusting for potential confounders such as age, income, education, presence of UI, ISI score, and I-QOL score, Latinas continued to demonstrate higher barriers compared with white or black women (β = 7.4; 95% CI, 2.2–12.7; <italic>P</italic> = 0.006). There were no significant differences between black women compared with other groups in the adjusted analyses.</p> </sec> <sec> <title>Conclusions</title> <p>Latinas experience more barriers to UI healthcare seeking compared with white and black women.</p> </sec> </abstract>