MP21-06 PREVENTATIVE / ROUTINE CARE USE AMONG HISPANIC/LATINA WOMEN IN THE UNITED STATES WITH URINARY INCONTINENCE: FINDINGS FROM THE HISPANIC COMMUNITY HEALTH STUDY/ STUDY OF LATINOS

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP21-06 PREVENTATIVE / ROUTINE CARE USE AMONG HISPANIC/LATINA WOMEN IN THE UNITED STATES WITH URINARY INCONTINENCE: FINDINGS FROM THE HISPANIC COMMUNITY HEALTH STUDY/ STUDY OF LATINOS Ashley Gordon, Syan Raveen, Xeniamari Rodriguez-Satlzman, Christina Cordero, Krista Perreira, Katherine Amin, Martha Daviglus, and Olga Garcia Ashley GordonAshley Gordon More articles by this author , Syan RaveenSyan Raveen More articles by this author , Xeniamari Rodriguez-SatlzmanXeniamari Rodriguez-Satlzman More articles by this author , Christina CorderoChristina Cordero More articles by this author , Krista PerreiraKrista Perreira More articles by this author , Katherine AminKatherine Amin More articles by this author , Martha DaviglusMartha Daviglus More articles by this author , and Olga GarciaOlga Garcia More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003246.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Studies note differences in routine healthcare among Hispanic/Latina women. However, data on preventative care use among these women with urinary incontinence (UI) is lacking. We aim to describe this usage among Hispanic/Latina women with UI. METHODS: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) is a multi-center epidemiologic study that recruited Hispanic/Latinos from four U.S. cities (Bronx, Chicago, Miami, San Diego) from 2008-2011. A second visit in 2014-2017 included questionnaires on UI, healthcare use, and insurance coverage. We performed a multivariable logistic regression analysis to examine predictors of preventative/routine care among Hispanic/Latina women with UI, modeled to include study site, background, nativity/time in the US, age, income, education, employment status, acculturation, and insurance coverage. We assessed reasons reported for lack of healthcare utilization and insurance. All estimates were weighted to account for HCHS/SOL survey design. RESULTS: Of 3376 women with self-reported UI, 86% reported preventative/routine healthcare use within the past 12 months and 77% reported current health insurance coverage. Factors associated with preventative/ routine healthcare use include age ≥65 years (OR=2.2), lower incomes: <$10K (OR=0.3), $20-30K (OR=0.5), and $30K-50K (OR=0.4), part-time employment (OR=0.4), no health insurance coverage (OR=0.3; Table 1). Compared to Mexican women, Central American (OR=2.1), Dominican (OR=4.6), and Puerto Rican (OR=3.1) women had increased odds of preventative/routine healthcare use. The most frequently reported reasons for no healthcare visit within the last year were “Too expensive/no insurance” (59%) and “doesn’t need a doctor/haven’t had any problems” (43%). Reasons for no health insurance included “high cost” (73%) and “not eligible due to citizenship status” (44%). CONCLUSIONS: We observed differences in preventative healthcare use in women with UI by insurance coverage, age, income, employment, and background. Lack of routine care/coverage seems due to financial and non-financial reasons. Knowledge of why Hispanic/Latina women lack preventative/routine healthcare utilization specific to UI is needed. Source of Funding: n/a © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e286 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ashley Gordon More articles by this author Syan Raveen More articles by this author Xeniamari Rodriguez-Satlzman More articles by this author Christina Cordero More articles by this author Krista Perreira More articles by this author Katherine Amin More articles by this author Martha Daviglus More articles by this author Olga Garcia More articles by this author Expand All Advertisement PDF downloadLoading ...