MP07-14 THE ASSOCIATION BETWEEN SOCIOCULTURAL AND PSYCHOSOCIAL FACTORS AND THE SEXUAL FUNCTION OF LATINA WOMEN WITH PELVIC FLOOR DISORDERS

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP07-14 THE ASSOCIATION BETWEEN SOCIOCULTURAL AND PSYCHOSOCIAL FACTORS AND THE SEXUAL FUNCTION OF LATINA WOMEN WITH PELVIC FLOOR DISORDERS Unwanaobong Nseyo, Nanjun Chen, Madeleine Burg, Claudia Sevilla, Nahid Yousif, Christina Dancz, David Ginsberg, Mariana C. Stern, and Larissa V. Rodriguez Unwanaobong NseyoUnwanaobong Nseyo More articles by this author , Nanjun ChenNanjun Chen More articles by this author , Madeleine BurgMadeleine Burg More articles by this author , Claudia SevillaClaudia Sevilla More articles by this author , Nahid YousifNahid Yousif More articles by this author , Christina DanczChristina Dancz More articles by this author , David GinsbergDavid Ginsberg More articles by this author , Mariana C. SternMariana C. Stern More articles by this author , and Larissa V. RodriguezLarissa V. Rodriguez More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003222.14AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Female sexual function is impacted by the presence of pelvic floor disorders (PFDs). Racial disparities exist in the relationship between PFDs and sexual function. Little is understood regarding the factors that influence these disparities. We evaluated the demographic, sociocultural, and psychosocial factors, namely stress and discrimination, associated with sexual function among Latina women in a clinical setting. METHODS: We conducted a prospective cross-sectional study of Spanish and English-speaking Latina women with and without PFDs recruited from Urology and Urogynecology clinics at a large private or public hospital. We used validated questionnaires to assess the presence of PFDs, Pelvic Floor Disorders Inventory (PFDI-20), and sexual function, Pelvic Organ Prolapse/Urinary Incontinence Sexual Function questionnaire (PISQ-12). We performed a subset analysis of sexually active women with PFDs. Self-reported psychosocial stress was assessed with the 10-item Perceived Stress Scale (PSS), including protective and negative domains, and the Everyday Discrimination Scale (EDS). We performed linear regression analysis to assess the relationship between PISQ-12 score and demographic, cultural and psychosocial metrics, significant at a value of p-value ≤0.05. RESULTS: Of the 153 total study participants, 53 (34.6 %) completed the PISQ-12 with mean PISQ-12 scores of 29.9 with 8.0, 8.6 and 13.2 on the partner, behavior, and physical domains, respectively. Compared to non-sexually active women, sexually active women were slightly older (50.1 vs 47.9, p=0.34), with significantly worse bowel (27.3 vs 15.2, p=0.005), urinary (67.3 vs 31.8, p<0.001), and prolapse symptoms (45.9 vs 20.8, p<0.001). On linear regression analysis, positive associations were seen with better sexual function and Mexican-American values of familism (p=0.05), respect (p=0.04), religion (p=0.02), and being employed (p=0.05), with a trend towards significance for the PSS negative subscore (p=0.06). A negative correlation was observed for Mainstream values of independence (p=0.05), age (p=0.05). CONCLUSIONS: Among Latina women who presented to clinic for management of their PFDs, better sexual function was more associated with Mexican-American values. The specific domains of the Mexican-American values scale highlight areas of importance for maintaining sexual function despite PFDs for Latina women and suggest sociocultural drivers of disparities in sexual function among racial/ethnic minority women with PFDs. Source of Funding: CTSI Pilot Grant Funding © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e90 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Unwanaobong Nseyo More articles by this author Nanjun Chen More articles by this author Madeleine Burg More articles by this author Claudia Sevilla More articles by this author Nahid Yousif More articles by this author Christina Dancz More articles by this author David Ginsberg More articles by this author Mariana C. Stern More articles by this author Larissa V. Rodriguez More articles by this author Expand All Advertisement PDF downloadLoading ...