Urinary Incontinence and Health-Seeking Behavior Among White, Black, and Latina Women.

Abstract

Objective

Fewer than half of women with urinary incontinence (UI) seek care for their condition. Our objective was to qualitatively assess the themes surrounding treatment-seeking behaviors.

Methods

We conducted 12 focus groups with women and, using purposive sampling, we stratified by racial or ethnic group (white, black, Latina) and by UI frequency. All sessions were transcribed and coded for common themes. Comparative thematic analysis was used to describe similarities and differences among groups.

Results

In total, 113 (39 white, 41 black, and 33 Latina) community-dwelling women participated in focus groups. There were no differences in treatment-seeking themes between groups with different UI frequency. However, certain themes emerged when comparing racial/ethnic groups. Women from all groups shared experiences of embarrassment and isolation because of UI, which were impediments to care seeking. White and black women described discussions with close friends or family that led to normalization of symptoms and prevented care seeking. Latina women maintained more secrecy about UI and reported the longest delays in seeking care. Women articulated a higher likelihood of seeking care if they had knowledge of treatment options, but white women were more likely to seek UI-related knowledge compared with black or Latina women. Physician communication barriers were identified in all groups.

Conclusions

Despite similar experiences, there are different perceptions about care seeking among white, black, and Latina women. Culturally relevant educational resources that focus on a range of treatment options may improve knowledge and thus improve care-seeking behaviors in women with UI.

Type

Journal article

Department

Description

Provenance

Citation

Published Version (Please cite this version)

10.1097/spv.0000000000000286

Publication Info

Siddiqui, Nazema Y, Natalie Ammarell, Jennifer M Wu, Jennifer M Wu, Juan S Sandoval and Hayden B Bosworth (2016). Urinary Incontinence and Health-Seeking Behavior Among White, Black, and Latina Women. Female pelvic medicine & reconstructive surgery, 22(5). pp. 340–345. 10.1097/spv.0000000000000286 Retrieved from https://hdl.handle.net/10161/29916.

This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.

Scholars@Duke

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.


Unless otherwise indicated, scholarly articles published by Duke faculty members are made available here with a CC-BY-NC (Creative Commons Attribution Non-Commercial) license, as enabled by the Duke Open Access Policy. If you wish to use the materials in ways not already permitted under CC-BY-NC, please consult the copyright owner. Other materials are made available here through the author’s grant of a non-exclusive license to make their work openly accessible.