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: 8546346
• 负责人: L ELAINE WAETJEN
• 金额: $ 18.52万
• 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 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8546346
• 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.

描述（由申请人提供）：尿失禁（UI）是一种常见的中年问题，对女性的影响尤为严重。虽然对于 UI 存在许多有效的治疗方法，但女性可能不愿意寻求针对该问题的治疗。本研究拟利用全国妇女健康研究 (SWAN) 的 10 年年度调查问卷和身体测量数据，探讨随着时间的推移，UI 治疗寻求行为中的种族/族裔、社会经济和教育水平差异。 /针对更年期妇女的基于种族、社区的前瞻性队列研究。通过纵向逻辑回归和离散比例风险统计模型，我们将分析人口特征与UI特征、经济、社会心理和健康因素的纵向变化之间复杂的相互作用，这些因素可能会影响：1）不寻求UI治疗以及报告的不寻求UI治疗的原因向医疗保健提供者寻求治疗，以及 2) 为确实寻求 UI 护理的居住在社区的中年妇女开处方并尝试的治疗类型。根据这项研究的信息，公共卫生教育者可以将信息定位到具有令人烦恼的 UI 症状且面临无法获得 UI 护理风险的特定群体。对于医疗保健提供者来说，更好地了解哪些因素导致女性更有可能或不太可能向他们报告尿失禁并尝试他们推荐的治疗方法，将使他们能够改进和个性化对失禁患者的评估和治疗计划。