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

dc.contributor.author

Willis-Gray, Marcella G

dc.contributor.author

Sandoval, Juan S

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Maynor, Jean

dc.contributor.author

Bosworth, Hayden B

dc.contributor.author

Siddiqui, Nazema Y

dc.date.accessioned

2024-02-01T15:12:52Z

dc.date.available

2024-02-01T15:12:52Z

dc.date.issued

2015-03

dc.description.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.
dc.identifier.issn

2151-8378

dc.identifier.issn

2154-4212

dc.identifier.uri

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

dc.language

eng

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Ovid Technologies (Wolters Kluwer Health)

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Female pelvic medicine & reconstructive surgery

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10.1097/spv.0000000000000100

dc.rights.uri

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

dc.subject

Humans

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Urinary Incontinence

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Regression Analysis

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Cross-Sectional Studies

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Adult

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Aged

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Middle Aged

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Health Services Accessibility

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Patient Acceptance of Health Care

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United States

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Female

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Young Adult

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Surveys and Questionnaires

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Hispanic or Latino

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White People

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Black or African American

dc.title

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

dc.type

Journal article

duke.contributor.orcid

Bosworth, Hayden B|0000-0001-6188-9825

duke.contributor.orcid

Siddiqui, Nazema Y|0000-0003-4453-4488

pubs.begin-page

83

pubs.end-page

86

pubs.issue

2

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Duke

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School of Medicine

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Basic Science Departments

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Clinical Science Departments

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Institutes and Centers

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Medicine

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Obstetrics and Gynecology

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Psychiatry & Behavioral Sciences

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Medicine, General Internal Medicine

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Obstetrics and Gynecology, Urogynecology

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Duke Cancer Institute

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Duke Clinical Research Institute

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Institutes and Provost's Academic Units

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Center for the Study of Aging and Human Development

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Initiatives

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Duke Science & Society

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Population Health Sciences

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Duke Innovation & Entrepreneurship

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Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences

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Duke - Margolis Center For Health Policy

pubs.publication-status

Published

pubs.volume

21

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