拉丁裔患者尿失禁寻求护理的障碍:我们错过了什么?
Anna Pancheshnikov1, Bryna J Harrington2, Victoria L Handa1
1From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD.
Urogynecology (Philadelphia, Pa.)
|July 29, 2024
概括
拉丁裔患者比黑人患者面临更大的尿失禁 (UI) 护理障碍,这与UI知识较低有关. 解决这些障碍是改善拉丁裔女性的UI护理和健康公平的关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 尿失禁 (UI) 不成比例地影响美国不断增长的拉丁裔人口,导致严重的健康差异.
- 拉丁裔女性寻求UI护理的高障碍可能会加剧治疗和并发症率的差异.
研究的目的:
- 为了比较拉丁裔,非拉丁裔黑人和非拉丁裔白人患者寻求UI护理的障碍.
- 为了分析特定的障碍,使用"失禁障碍者寻求护理问卷" (BICS-Q) 的子尺度来分析这些障碍.
主要方法:
- 一项涉及298名初级保健患者 (83名黑人,144名拉丁裔,71名白人) 的横截面研究.
- 使用了BICS-Q,国际商失禁问卷-简短形式,以及落和失禁知识问卷-尿失禁.
- 在种族/种族群体中比较BICS-Q总和分级分数.
主要成果:
- 拉丁裔参与者报告了最高的BICS-Q总得分 (11.2),其次是白人 (8.2) 和黑人 (4.9) 参与者 (P < 0.0001).
- 拉丁裔患者的BICS-Q分量得分明显高于黑人患者;与白人患者的差异并不显著.
- 较低的UI知识独立地与更高的BICS-Q分数相关 (P = 0.0078).
结论:
- 与黑人患者相比,拉丁裔患者和UI知识较低的患者在寻求UI护理方面遇到更大的障碍.
- 针对这些障碍的干预措施对于增加寻求护理行为的行为至关重要.
- 解决寻求护理的障碍可以促进贫困人口尿失禁管理的健康公平.
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