在西班牙裔妇女中坚持过度活跃膀治疗的障碍
Gregory Vurture1, Nicole Jenkins, Nina Jacobson
1From the Division of Urogynecology, Department of Obstetrics and Gynecology, Hackensack Meridian Health - Jersey Shore University Medical Center, Neptune, NJ.
Urogynecology (Philadelphia, Pa.)
|August 7, 2024
概括
与非西班牙裔女性相比,西班牙裔女性对过度活性膀 (OAB) 治疗的不坚持明显更高. 诸如年轻的年龄和缺乏保险等因素可能会成为OAB治疗的一致性障碍.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 健康差异 在健康上的差异
- 妇女健康 妇女健康
背景情况:
- 过度活性膀 (OAB) 治疗的坚持是一般人群面临的重大挑战.
- 据报道,OAB在西班牙裔女性中比其他种族群体更为普遍.
研究的目的:
- 为了比较西班牙裔和非西班牙裔妇女之间的OAB治疗不坚持率.
- 确定导致西班牙裔女性OAB治疗差异的障碍.
主要方法:
- 从2018年至2022年对OAB患者的回顾性研究.
- 不坚持被定义为未能在一年内开始治疗.
- 对126名西班牙裔女性和126名随机选择的非西班牙裔女性进行比较.
主要成果:
- 西班牙裔女性的不遵守率 (44.0%) 与非西班牙裔女性 (20.9%) 相比较高.
- 在对共变量进行调整后,西班牙裔女性不遵守的风险增加了2.54倍.
- 较年轻的年龄,更高的平价,保险不足的状态和更少的办公室访问与西班牙裔女性的不遵守有关.
结论:
- 在西班牙裔女性中,对OAB治疗的不坚持明显更大.
- 西班牙裔女性面临的障碍包括年龄较小,更高的性别平等,缺乏保险和更少的医疗保健访问.
- 解决这些障碍可能有助于减少OAB护理差异.
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