Abstract

You have accessJournal of UrologyCME1 Apr 2023MP75-08 PATIENT-PERCEIVED BARRIERS AND STIGMAS TO SEEKING HEALTHCARE FOR UROLOGY VS. NON-UROLOGY PATIENTS IN AN UNDERSERVED COMMUNITY CLINIC Tasha Posid, Aliza Khuhro, Zahra Khuhro, Alicia Scimeca, Dairon Denis-Diaz, Dinah Diab, Hafsa Asif, Chase Arnold, Kerestina Khalil, Lily Kaufman, Sabrina Amin, Dom DiGiacomo, Tyler Cronin, Michael Sourial, David Sharp, Courtenay Moore, Frank Begun, and Cheryl Lee Tasha PosidTasha Posid More articles by this author , Aliza KhuhroAliza Khuhro More articles by this author , Zahra KhuhroZahra Khuhro More articles by this author , Alicia ScimecaAlicia Scimeca More articles by this author , Dairon Denis-DiazDairon Denis-Diaz More articles by this author , Dinah DiabDinah Diab More articles by this author , Hafsa AsifHafsa Asif More articles by this author , Chase ArnoldChase Arnold More articles by this author , Kerestina KhalilKerestina Khalil More articles by this author , Lily KaufmanLily Kaufman More articles by this author , Sabrina AminSabrina Amin More articles by this author , Dom DiGiacomoDom DiGiacomo More articles by this author , Tyler CroninTyler Cronin More articles by this author , Michael SourialMichael Sourial More articles by this author , David SharpDavid Sharp More articles by this author , Courtenay MooreCourtenay Moore More articles by this author , Frank BegunFrank Begun More articles by this author , and Cheryl LeeCheryl Lee More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003349.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Physicians increasingly manage encounters with patients from diverse backgrounds. Given the sensitive nature of Urology as a specialty, whether underserved and underrepresented patients perceive similar barriers to seeking and accessing healthcare for their urologic condition is underreported. Our objective was to assess barriers to seeking/accessing healthcare for underserved patients. METHODS: Urology (n=46) and non-Urology (n=137) patients were seen at a local community clinic. 29.3% of patients spoke English as a first-language. Participants completed a short survey (standardized assessments) which asked them to provide demographic information, attitudes towards seeking/accessing healthcare (financial/insurance barriers, cultural/language barriers, health literacy barriers), plus perceived stigmas for their condition. RESULTS: Patients reported that financial/insurance barriers were the greatest obstacles for seeking and accessing healthcare (p<0.001), with less concern for culture/language and health literacy barriers. Urology patients reported greater financial (p<0.001) and culture/language (p<0.001) barriers than non-Urology patients. They also expressed greater perceived stigma (p<0.002) for seeking treatment for their specific condition. This effect was decreased by additional education (p=0.022). CONCLUSIONS: Urology patients seen at local, underserved community clinic boasting a high rate of non-English speaking and immigrants reported perceived stigmas regarding their condition compared to patients seen at the same clinic for non-urologic conditions. Given that health literacy was not associated with increased perceived stigma, our results suggest that cultural factors significantly affect this perception. These barriers and stigmas should be taken into consideration when training students and residents. Source of Funding: OSU Undergraduate Research Apprenticeship Program, OSUCOM Educational Research Stimulus Grant, AERA Research Service Projects Program, Arnold P. Gold Foundation © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1081 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tasha Posid More articles by this author Aliza Khuhro More articles by this author Zahra Khuhro More articles by this author Alicia Scimeca More articles by this author Dairon Denis-Diaz More articles by this author Dinah Diab More articles by this author Hafsa Asif More articles by this author Chase Arnold More articles by this author Kerestina Khalil More articles by this author Lily Kaufman More articles by this author Sabrina Amin More articles by this author Dom DiGiacomo More articles by this author Tyler Cronin More articles by this author Michael Sourial More articles by this author David Sharp More articles by this author Courtenay Moore More articles by this author Frank Begun More articles by this author Cheryl Lee More articles by this author Expand All Advertisement PDF downloadLoading ...

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