MP07-13 PELVIC FLOOR DISORDERS AMONG MINORITY WOMEN: DIFFERENCES IN PREVALENCE AND SEVERITY BASED ON RACE/ETHNICITY AND HEALTHCARE SETTING

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP07-13 PELVIC FLOOR DISORDERS AMONG MINORITY WOMEN: DIFFERENCES IN PREVALENCE AND SEVERITY BASED ON RACE/ETHNICITY AND HEALTHCARE SETTING Aaron Gurayah, Nathalie Perez, Manish Narasimman, Katherine Amin, Ekene Enemchukwu, and Raveen Syan Aaron GurayahAaron Gurayah More articles by this author , Nathalie PerezNathalie Perez More articles by this author , Manish NarasimmanManish Narasimman More articles by this author , Katherine AminKatherine Amin More articles by this author , Ekene EnemchukwuEkene Enemchukwu More articles by this author , and Raveen SyanRaveen Syan More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003222.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Nearly 25% of women experience pelvic floor disorders (PFDs), with a significant impact on quality of life. Prior studies suggest mixed results in PFD prevalence and severity by race/ethnicity. South Florida has a Hispanic minority-majority population with diverse socioeconomic backgrounds, creating a unique opportunity to explore racial/ethnic disparities. Our aim is to characterize the prevalence and severity of PFDs in different healthcare settings. METHODS: Recruitment began in June 2022 using the following clinical settings: private urogynecology (UG) clinics at our institution, urology clinics at our public safety-net hospital (SNH), and community outreach mobile clinic (MC). We used the Urinary Distress Index-6 (UDI), Pelvic Organ Prolapse Distress Inventory-6 (POPDI), and Female Genitourinary Pain Index (GUPI) to identify patients with stress urinary incontinence (SUI), overactive bladder (OAB), and chronic pelvic pain syndrome (CPPS). Disease severity was defined by using a standard cutoff for UDI or greater than the third quartile for POPDI and GUPI. Logistic regression was performed in R (V4.1.1). RESULTS: Of the 107 participants, half identified as Hispanic, and half were recruited from UG clinics. Overall, self-reported PFDs included SUI in 45.8%, OAB in 73.8%, and CPPS in 43.9% of women (Table 1). We found that Hispanic women were 1.6 more likely to have severe UDI scores (p<0.001) and 1.3 times more likely to report OAB symptoms (p=0.005), compared to Black women. We report no differences in rates of SUI and CPPS based on race/ethnicity. Private UG patients were 1.6 times more likely to have severe UDI scores (p<0.001), 1.4 times more likely to report OAB symptoms (p<0.001), and 1.2 times more likely to have severe POPDI scores (p=0.03), compared to MC patients. CONCLUSIONS: In our study, Hispanic women were more likely to report overactive bladder and more severe symptoms than Black women; however, stress incontinence, prolapse and pelvic pain were similar between race/ethnicity. Patients seeking care at UG clinics had a higher prevalence of overactive bladder and severe urinary distress scores, as expected. Our results build upon the work exploring PFDs among minorities and diverse socioeconomic backgrounds as relates to location of healthcare access. Source of Funding: Urology Care Foundation Research Scholar Award 2021 to RS © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e89 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Aaron Gurayah More articles by this author Nathalie Perez More articles by this author Manish Narasimman More articles by this author Katherine Amin More articles by this author Ekene Enemchukwu More articles by this author Raveen Syan More articles by this author Expand All Advertisement PDF downloadLoading ...