Seeking healthcare for pelvic floor disorders: a population-based study

Morrill, Michelle Y.; Lukacz, Emily S.; Lawrence, Jean M.; Nager, Charles W.; Contreras, Richard; Luber, Karl M.

doi:10.1016/j.ajog.2007.02.051

Cited by 70 publications

(77 citation statements)

References 13 publications

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“…Poor knowledge about treatment options serves as a major barrier to care-seeking for women with PFD (5-7). Preventative and treatment strategies cannot be successfully implemented without adequate information to direct decision-making.…”

Section: Discussionmentioning

confidence: 99%

“…Despite their high prevalence, and known negative effects on women's quality of life (2), PFD are undertreated owing to many symptomatic women failing to seek care for their problems (3-7). There is a growing body of evidence suggesting that inadequate knowledge about the conditions and available treatment options plays a major role in the limited care seeking behaviors of women with PFD (3, 5).…”

Section: Introductionmentioning

confidence: 99%

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Racial Disparities in Knowledge of Pelvic Floor Disorders Among Community-Dwelling Women

Mandimika¹,

Murk²,

McPencow³

et al. 2015

Female Pelvic Medicine &Amp; Reconstructive Surgery

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Objective To evaluate racial and ethnic differences in knowledge about preventative and curative treatments for pelvic floor disorders (PFD). Methods The is a secondary analysis of responses from 416 community-dwelling women, aged 19-98 years, living in New Haven County, Connecticut, who completed the Prolapse and Incontinence Knowledge Questionnaire. Associations between race/ethnicity (categorized as White, African American, and Other Women of Color [OWOC, combined group of Hispanic, Asian or ‘Other’ women] and knowledge proficiency about modifiable risk factors and treatments for PFD were evaluated. Associations were adjusted for age, marital status, socioeconomic status, education, working in a medical field, and PFD history. Results Compared to White women, African American women were significantly less likely to recognize childbirth as a risk factor for UI and POP, to know that exercises can help control leakage, and to recognize pessaries as a treatment option for POP. OWOC were also significantly less likely to know about risk factors, preventative strategies and curative treatment options for POP and UI; however, these findings may not be generalizable given the heterogeneity and small size of this group. Conclusions Significant racial disparities exist in women's baseline knowledge regarding risk factors and treatment options for POP and UI. Targeted, culturally-sensitive educational interventions are essential to enhancing success in reducing the personal and economic burden of PFD, which have proven negative effects on women's quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Racial Disparities in Knowledge of Pelvic Floor Disorders Among Community-Dwelling Women

Mandimika¹,

Murk²,

McPencow³

et al. 2015

Female Pelvic Medicine &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…However, only 10-20% of affected women seek evaluation of their condition [4]. Although surgery is generally reserved for patients with bothersome prolapse symptoms at an advanced stage after failure of conservative treatments, a woman's life-time risk of surgery for POP is 12-19% [5].…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients

et al. 2017

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“…(6–9) Furthermore, despite comparable prevalence of UI amongst racial and ethnic groups,(1, 6, 10) there are conflicting reports of whether racial and ethnic factors play a role in which women endorse seeking care. (11, 12)…”

Section: Introductionmentioning

confidence: 99%

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

Siddiqui¹,

Ammarell²,

Wu³

et al. 2016

Female Pelvic Med Reconstr Surg

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Structured Abstract Objective Fewer than half of women with urinary incontinence (UI) seek care for their condition. Our objective was to qualitatively assess themes surrounding treatment seeking behaviors. Methods We conducted 12 focus groups in 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 due to 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 to 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.

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Seeking healthcare for pelvic floor disorders: a population-based study

Cited by 70 publications

References 13 publications

Racial Disparities in Knowledge of Pelvic Floor Disorders Among Community-Dwelling Women

Racial Disparities in Knowledge of Pelvic Floor Disorders Among Community-Dwelling Women

Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients

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

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