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Differences in urinary incontinence between Hispanic and non-Hispanic white women: a population-based study
Firouz Daneshgari1, Peter B Imrey, Betsy Risendal
1Glickman Urological Institute, The Cleveland Clinic, Cleveland, OH OH 44195, USA. daneshf@ccf.org
BJU International
|January 15, 2008
Summary
Hispanic women have a higher prevalence of urinary incontinence (UI) compared to non-Hispanic White women. Factors like parity, BMI, and diabetes contribute to these differences in UI prevalence.
Area of Science:
- Urology
- Public Health
- Epidemiology
Background:
- Urinary incontinence (UI) is a prevalent condition affecting women's quality of life.
- Ethnic disparities in UI prevalence may exist but require further investigation.
Purpose of the Study:
- To compare the prevalence of moderate to severe urinary incontinence (UI) between Hispanic and non-Hispanic White women.
- To identify factors associated with UI disparities in these populations.
Main Methods:
- Population-based study including 250 Hispanic and 491 non-Hispanic White women.
- Prevalence of moderate to severe UI (Sandvik severity score >=3) assessed.
- Logistic regression models used to analyze UI prevalence by ethnicity, adjusting for age.
Main Results:
- Hispanic women reported significantly higher rates of stress UI (OR 1.7, P=0.005) and mixed UI (OR 1.8, P=0.005).
- Higher UI prevalence in Hispanic women was linked to differences in parity, body mass index, diabetes, hysterectomy, and oophorectomy.
Conclusions:
- Moderate to severe UI is more prevalent in Hispanic women compared to non-Hispanic White women in Colorado.
- Observed UI disparities are largely explained by differences in reproductive history, adiposity, and diabetes.
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