Survey of U.S. adults with spina bifida
Christopher P Morley1, Sara Struwe2, Morgan A Pratte3
1Department of Public Health & Preventive Medicine, Upstate Medical University, 750 E Adams St, Syracuse, NY, USA; Department of Family Medicine, Upstate Medical University, Syracuse, NY, USA; Department of Psychiatry & Behavioral Sciences, Upstate Medical University, Syracuse, NY, USA.
Insights
Adults with Spina Bifida (SB) experience significant skin breakdown and pain, with mobility issues being key predictors. Urinary tract infections (UTIs) are also common, but their predictors require further study.
Area of Science:
- Neurology
- Public Health
- Rehabilitation Medicine
Background:
- Spina Bifida (SB) is a prevalent birth defect in the US, causing lifelong disability.
- Approximately 3.5 per 10,000 live births are affected by Spina Bifida.
Purpose of the Study:
- To identify complications in adults with Spina Bifida, focusing on skin breakdown, pain, and urinary tract infections (UTIs).
- To investigate socio-demographic factors associated with these Spina Bifida complications.
Main Methods:
- An online, exploratory cross-sectional study was conducted.
- A national convenience sample of US adults with Spina Bifida participated.
Main Results:
- 43.1% reported skin breakdown, predicted by assistive device use and wheelchair use.
- 46.9% reported pain; single status and higher education were protective, while assistive device use increased likelihood.
- 32.7% reported UTIs, with no significant socio-demographic predictors identified.
Conclusions:
- Adults with Spina Bifida face numerous complications that may be under-monitored.
- Predictors for Spina Bifida-related complications warrant additional investigation to improve patient outcomes.
Background:
Spina Bifida (SB) is one of the most common birth defects and causes of permanent disability in the United States (US), with approximately 3.5 cases per 10,000 live births.
Objective:
To identify complications associated with SB related to skin breakdown, pain, and urinary tract infections (UTIs), and to examine socio-demographic differences related to these complications.
Methods:
Exploratory cross-sectional study via online of a national US convenience sample of adults with SB.
Results:
We collected 1485 survey responses, of which 852 had complete, useable data. Skin breakdown in one or more locations during the past year was reported by 43.1%. After controlling for socio-demographic characteristics, only mobility variables remained significant predictors of skin breakdown (assistive device use OR = 3.119, 95% CI: 1.749, 5.564; using a wheelchair OR = 6.336, 95% CI: 3.442, 11.662). Pain in past seven days was reported by 46.9%. Single respondents (OR = 0.621; 95% CI: 0.419, 0.921) and those with at least a Bachelor's degree (vs high school degree or less, OR = 0.468; 95% CI: 0.283, 0.774) were less likely, and those using assistive devices were significantly more likely (OR = 1.960; 95% CI: 1.163, 3.303), to report pain. About one-third (32.7%) reported having a UTI within the past 12 months. Notably, almost half (49.6%) of respondents did not answer this question. The presence of UTIs was not significantly related to any socio-demographic characteristics assessed.
Conclusions:
Adults with SB in the US live with a wide range of complications which are potentially under-monitored, with predictors of complications that require further research.
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