Exploring disparities: Urinary incontinence treatment seeking in mid-life women

探索差异：中年女性寻求尿失禁治疗

• 批准号: 8385464
• 负责人: L ELAINE WAETJEN
• 金额: $ 23.03万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-17 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8385464
• 关键词: Accounting; Affect; African American; Behavior; Body Weight Changes; Caring; Characteristics; Chinese People; Cohort Studies; Communities; Complex; Data; Development; Discrimination; Economics; Education; Educational Background; Educational Status; Ethnic Origin; Frequencies; Health Educators; Health Personnel; Health Professional; Investigation; Japanese Population; Knowledge; Logistic Regressions; Longitudinal Studies; Measures; Medical; Menopause; Mental Health; Minority; Modeling; Natural History; Patients; Personality Traits; Public Health; Questionnaires; Race; Reporting; Research; Risk; Sampling; Social Characteristics; Socioeconomic Status; Staging; Statistical Models; Symptoms; Time; Urinary Incontinence; Woman; Women' s Health; base; care seeking; depressive symptoms; effective therapy; experience; hazard; health economics; help-seeking behavior; improved; low socioeconomic status; middle age; novel; prospective; psychologic; racial and ethnic; social; socioeconomics; time use; treatment planning

DESCRIPTION (provided by applicant): Urinary incontinence (UI) is a frequent midlife problem that disproportionately affects women. While a number of effective treatments exist for UI, women can be inhibited in seeking care for this problem. This study proposes to explore racial/ethnic, socioeconomic, and educational level disparities in treatment seeking behavior for UI over time using 10 years of annual questionnaire and physical measures data from the Study of Women's Health Across the Nation (SWAN), a multi-racial/ethnic, community-based, prospective cohort study of women transitioning through menopause. With longitudinal logistic regression and discrete proportional hazards statistical modeling, we will analyze the complex interplay between demographic characteristics and longitudinal changes in UI characteristics, economic, social psychological, and health factors that may affect: 1) not seeking UI treatment and reported reasons for not seeking treatment from health care providers, and 2) the types of treatments prescribed for and tried by community-dwelling midlife women who do seek UI care. With information from this study, public health educators can target messages to specific groups with bothersome UI symptoms at risk for not accessing UI care. For health care providers, a better understanding of what factors make a woman more or less likely to report UI to them and try their recommended treatments will allow them to improve and individualize assessment of and treatment plans for their incontinent patients. PUBLIC HEALTH RELEVANCE: Urinary incontinence (UI) is a frequent midlife problem that disproportionately affects women, and while a number of effective treatments exist, women can be inhibited in seeking care for this problem. This longitudinal study proposes to explore racial/ethnic, socioeconomic, and education level disparities in treatment seeking behavior in community-dwelling women transitioning through menopause. More detailed knowledge about demographic, economic, social, psychological and health factors that may change across time affect whether or not women seek UI treatment can help public health educators and health care providers develop strategies to reduce disparities in treatment seeking behavior.

描述（由申请人提供）：尿失禁（UI）是一个常见的中年问题，对女性的影响不成比例。尽管对UI存在许多有效的治疗方法，但可以抑制妇女在为此问题寻求护理时。这项研究建议使用10年的年度调查表和身体措施数据探索ui的种族/族裔，社会经济和教育水平差异，并从全国妇女健康研究（SWAN）（SWAN）（一项多）/种族/族裔，社区，基于社区，基于社区的，前瞻性的，前瞻性的妇女通过少年进行过渡的妇女群体研究中。 With longitudinal logistic regression and discrete proportional hazards statistical modeling, we will analyze the complex interplay between demographic characteristics and longitudinal changes in UI characteristics, economic, social psychological, and health factors that may affect: 1) not seeking UI treatment and reported reasons for not seeking treatment from health care providers, and 2) the types of treatments prescribed for and tried by community-dwelling midlife women who do seek UI care.有了这项研究的信息，公共卫生教育工作者可以针对特定群体的消息，患有UI症状的特定群体，有可能无法获得UI护理。对于医疗保健提供者，更好地了解哪些因素使女性或多或少地向她们报告UI并尝试其推荐治疗的可能性将使她们改善和个性化对失禁患者的评估和治疗计划。 公共卫生相关性：尿失禁（UI）是一个常见的中年问题，对妇女产生不成比例的影响，尽管存在许多有效的治疗方法，但妇女可以被抑制在寻求这一问题的护理时。这项纵向研究建议探索在寻求治疗的种族/种族，社会经济和教育水平差异，以寻求社区居民通过更年期过渡的妇女。关于人口，经济，社会，心理和健康因素的更详细的知识可能会随着时间的流逝而改变，这些因素会影响妇女是否寻求UI治疗可以帮助公共卫生教育者和医疗保健提供者制定策略，以减少寻求治疗行为的差异。