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Chinese American Women's Overactive Bladder Care Experience: A Qualitative Study
Tsung Mou1, Grace S Su2, John B Wong3
1Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Tufts University School of Medicine and Tufts Medical Center.
Chinese American women reported poor overactive bladder (OAB) care experiences, citing barriers like language and dismissive providers. These factors led to persistent symptoms and feelings of futility.
Area of Science:
- Urology
- Health Services Research
- Health Disparities
Background:
- Chinese American women report dissatisfaction with healthcare, impacting health outcomes.
- Overactive bladder (OAB) care experiences for this demographic are largely undocumented.
Purpose of the Study:
- To investigate the patient experiences of Chinese American women seeking care for overactive bladder (OAB).
Main Methods:
- Qualitative study utilizing one-on-one semi-structured interviews.
- Inductive analysis to identify key themes in OAB care experiences.
Main Results:
- 84% of participants (21/25) reported poor OAB care experiences.
- 88% (22/25) experienced no symptom improvement.
- Barriers included language, dismissive providers, lack of social knowledge, socioeconomic disadvantage, ageism, and gender bias.
- Participants felt futile about care and accepted persistent symptoms.
Conclusions:
- Personal, interpersonal, and social factors negatively impact Chinese American women's OAB care.
- These factors contribute to persistent OAB symptoms and feelings of futility.
- Findings offer insights for developing improved OAB care interventions for this population.
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