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Perceived Barriers to Care for Urinary Tract Infections in Emerging Adulthood
Jennifer Yarger1,2, Anne M Suskind3,4, Ina U Park4,5
1Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA. jennifer.yarger@ucsf.edu.
Journal of General Internal Medicine
|May 9, 2025
Summary
Emerging adults face significant barriers to urinary tract infection (UTI) care, particularly those from socially disadvantaged backgrounds. Interventions addressing these challenges are crucial for improving UTI health equity.
Area of Science:
- Public Health
- Healthcare Access
- Urology
Background:
- Urinary tract infections (UTIs) are prevalent in emerging adulthood.
- Barriers to accessing UTI care in this demographic are not fully understood.
Purpose of the Study:
- To investigate perceived barriers to UTI care among emerging adults.
- To analyze how social determinants of health influence these barriers.
Main Methods:
- A supplementary online survey study was conducted with 667 individuals aged 19-29.
- Data were collected from community colleges in California and Texas.
- Multivariable regression models analyzed common barriers and their predictors.
Main Results:
- The most frequent barriers included fear of bad news, appointment delays, cost, parental knowledge, time constraints, and STI concerns.
- Participants reported an average of 4.18 barriers.
- Younger age, Asian/Pacific Islander ethnicity, non-English home language, food insecurity, lack of insurance, and absence of a usual care source were associated with more barriers.
Conclusions:
- Emerging adults encounter significant obstacles in accessing UTI care.
- Socially disadvantaged individuals face disproportionately higher barriers.
- Youth-centered interventions, such as education and telehealth, are recommended to enhance UTI health equity.
Keywords:
Health services accessibilitySocial determinants of healthUrinary tract infectionsYoung adultMore Related Videos
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