Barriers to urinary incontinence care seeking in White, Black, and Latina women.

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2015-03

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Abstract

Objective

We compared barriers to urinary incontinence (UI) healthcare seeking between white, black, and Latina women.

Methods

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.

Results

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; P < 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; P = 0.006). There were no significant differences between black women compared with other groups in the adjusted analyses.

Conclusions

Latinas experience more barriers to UI healthcare seeking compared with white and black women.

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Journal article

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Humans, Urinary Incontinence, Regression Analysis, Cross-Sectional Studies, Adult, Aged, Middle Aged, Health Services Accessibility, Patient Acceptance of Health Care, United States, Female, Young Adult, Surveys and Questionnaires, Hispanic or Latino, White People, Black or African American

Citation

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https://hdl.handle.net/10161/29983

Rights

https://creativecommons.org/licenses/by-nc/4.0

Published Version (Please cite this version)

10.1097/spv.0000000000000100

Publication Info

Willis-Gray, Marcella G, Juan S Sandoval, Jean Maynor, Hayden B Bosworth and Nazema Y Siddiqui (2015). Barriers to urinary incontinence care seeking in White, Black, and Latina women. Female pelvic medicine & reconstructive surgery, 21(2). pp. 83–86. 10.1097/spv.0000000000000100 Retrieved from https://hdl.handle.net/10161/29983.

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Siddiqui

Nazema Yusuf Siddiqui

Associate Professor of Obstetrics and Gynecology

Research on pelvic floor disorders. Specific interests include: 1) studying the urinary microbiome in aging, recurrent urinary tract infections, and overactive bladder; 2) pathophysiology of overactive bladder with particular emphasis on translational biology.

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