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Published on: April 27, 2014
Bladder Symptoms and Attitudes in an Ethnically Diverse Population.
Sybil G Dessie1, Sonia R Adams, Anna M Modest
1From the *Division of Urogynecology, Department of Obstetrics and Gynecology, Mount Auburn Hospital, Cambridge, MA; †Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center; ‡Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School; and §Department of Obstetrics and Gynecology, St. Elizabeth's Medical Center, Boston, MA.
Pelvic floor symptoms like nocturia and urinary frequency are common in diverse women. Attitudes toward urinary function generally align across racial/ethnic groups, though some differences exist in reporting symptoms.
Area of Science:
- Urogynecology
- Public Health
- Women's Health
Background:
- Pelvic floor disorders affect many women.
- Understanding symptom prevalence and attitudes across diverse populations is crucial for equitable care.
Purpose of the Study:
- To assess pelvic floor symptoms and attitudes in an ethnically diverse population of women.
- To identify potential racial/ethnic disparities in symptom experience and perception.
Main Methods:
- Cross-sectional survey conducted in community-based gynecology clinics.
- Questionnaire administered to women before their provider visit.
- Inclusion of 312 women: 32.7% white, 50.3% African American, 17.0% Hispanic.
Main Results:
- Nocturia and urinary frequency were the most common symptoms.
- African American women were more likely to report nocturia than white women.
- Hispanic women were less likely to consider post-childbirth urinary leakage normal compared to white women.
- Symptom bother and general attitudes toward urinary function showed little variation by race/ethnicity.
- African American women were more likely to discuss urinary leakage with their doctors.
Conclusions:
- Bladder symptoms and attitudes are largely similar across diverse racial/ethnic groups of reproductive-age women.
- Minor differences in specific symptoms and attitudes warrant further investigation.
- Community-based settings provide valuable insights into real-world symptom prevalence and perceptions.
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Urinary Tract Infection IV: Nursing Management

