Do racial differences in knowledge about urogynecologic issues exist?

被引:26
作者
Shah, Aparna D. [1 ]
Shott, Susan [2 ]
Kohli, Neeraj [1 ]
Wu, Jennifer M. [3 ]
Catlin, Sarah [1 ]
Hoyte, Lennox [4 ,5 ]
机构
[1] Brigham & Womens Hosp, Div Urogynecol, Boston, MA 02115 USA
[2] Rush Univ, Med Ctr, Dept Med, Chicago, IL 60612 USA
[3] Univ N Carolina, Div Urogynecol, Chapel Hill, NC USA
[4] Univ S Florida, Div Urogynecol & Reconstruct Surg, Tampa, FL USA
[5] Tampa Gen Hosp, Div Urogynecol, Tampa, FL USA
关键词
knowledge; pelvic organ prolapse; race; urinary incontinence;
D O I
10.1007/s00192-008-0639-2
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The objective of this study is to assess knowledge about urinary incontinence and pelvic organ prolapse in white versus nonwhite women. We hypothesize that there are racial differences in patient knowledge about these issues. One hundred twenty-six women presenting to our institution's gynecology clinic completed a two-scale, validated questionnaire assessing knowledge about incontinence and prolapse. Responses were compared for white versus nonwhite women using nonparametric statistical methods. Logistic regression was used to control for confounding variables. Mean score for white women exceeded that for nonwhite women for the incontinence (p=0.019) but not the prolapse scale (p=0.354). Of the white patients, 37.9% versus 19.1% of the nonwhite patients scored >= 80% on the incontinence scale (p=0.019). This difference remained significant after controlling for potential confounders using logistic regression (p=0.039). White women may have improved tested urinary incontinence knowledge as compared to nonwhite women.
引用
收藏
页码:1371 / 1378
页数:8
相关论文
共 20 条
[11]   Race as a predictor of urinary incontinence and pelvic organ prolapse [J].
Graham, CA ;
Mallett, VT .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2001, 185 (01) :116-120
[12]  
HOLST K, 1988, NEW ZEAL MED J, V101, P756
[13]  
Keller S L, 1999, J Wound Ostomy Continence Nurs, V26, P30, DOI 10.1016/S1071-5754(99)90008-6
[14]   Does socioeconomic status explain racial differences in urinary incontinence knowledge? [J].
Kubik, K ;
Blackwell, L ;
Heit, M .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2004, 191 (01) :188-193
[15]  
LORIG K, 1986, J RHEUMATOL, V13, P763
[16]   DOES PATIENT EDUCATION IN CHRONIC DISEASE HAVE THERAPEUTIC VALUE [J].
MAZZUCA, SA .
JOURNAL OF CHRONIC DISEASES, 1982, 35 (07) :521-529
[17]   Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors [J].
Samuelsson, EC ;
Victor, FTA ;
Tibblin, G ;
Svärdsudd, KF .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1999, 180 (02) :299-305
[18]  
SHAH AD, 2008, INT UROGYNE IN PRESS
[19]   Pelvic Organ Support Study (POSST): The distribution, clinical definition, and epidemiologic condition of pelvic organ support defects [J].
Swift, S ;
Woodman, P ;
O'Boyle, A ;
Kahn, M ;
Valley, M ;
Bland, D ;
Wang, W ;
Schaffer, J .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2005, 192 (03) :795-806
[20]   Stress urinary incontinence surgery in the United States [J].
Waetjen, LE ;
Subak, LL ;
Shen, H ;
Lin, F ;
Wang, TH ;
Vittinghoff, E ;
Brown, JS .
OBSTETRICS AND GYNECOLOGY, 2003, 101 (04) :671-676