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Do racial differences in knowledge about urogynecologic issues exist?

Aparna D Shah1, Susan Shott, Neeraj Kohli

  • 1Division of Urogynecology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. aparnadiwan@yahoo.com

International Urogynecology Journal and Pelvic Floor Dysfunction
|May 10, 2008
PubMed
Summary

White women demonstrated higher tested knowledge of urinary incontinence compared to nonwhite women. This racial disparity in understanding incontinence persists even after accounting for other factors.

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Published on: December 4, 2020

Area of Science:

  • Urogynecology
  • Health Disparities
  • Patient Education

Background:

  • Urinary incontinence and pelvic organ prolapse are common gynecological conditions.
  • Understanding of these conditions is crucial for effective management and treatment.
  • Racial and ethnic disparities in healthcare knowledge are well-documented.

Purpose of the Study:

  • To compare the knowledge levels regarding urinary incontinence and pelvic organ prolapse between white and nonwhite women.
  • To investigate potential racial differences in patient understanding of these prevalent gynecological issues.

Main Methods:

  • A validated two-scale questionnaire was administered to 126 women at a gynecology clinic.
  • Patient responses were compared between white and nonwhite groups using nonparametric statistical tests.
  • Logistic regression analysis was employed to adjust for potential confounding variables.

Main Results:

  • White women achieved significantly higher mean scores on the urinary incontinence knowledge scale compared to nonwhite women (p = 0.019).
  • No significant difference in knowledge scores was observed for the pelvic organ prolapse scale between racial groups (p = 0.354).
  • A higher percentage of white patients (37.9%) scored 80% or above on the incontinence scale versus nonwhite patients (19.1%), a finding that remained significant after controlling for confounders (p = 0.039).

Conclusions:

  • White women exhibited superior tested knowledge concerning urinary incontinence compared to their nonwhite counterparts.
  • The observed difference in incontinence knowledge highlights a potential area for targeted patient education interventions.
  • Further research is warranted to explore the underlying reasons for these knowledge disparities and to develop culturally sensitive educational strategies.