Department of Obstetrics and Gynecology, Hartford Hospital, Hartford, CT.
Am J Obstet Gynecol. 2013 Nov;209(5):476.e1-5. doi: 10.1016/j.ajog.2013.05.022. Epub 2013 May 11.
We sought to evaluate the prevalence of pelvic organ prolapse (POP) among a diverse group of women and to determine if race/ethnicity and/or socioeconomic status (SES) are factors in treatment-seeking behavior.
All data were collected from the National Institutes of Health-supported Boston Area Community Health Survey. SES was calculated by a 2-factor index that combined household income with years of education. Inferential statistics comprised 1-way analysis of variance, with a post hoc Scheffé test performed to evaluate whether there were differences between individual groups. A χ(2) test was used to evaluate whether distributions were equal among the various questions by race/ethnicity and SES category.
A total of 3205 women were included in the analysis. Hispanic ethnicity and younger age were associated with POP (P < .002 and P < .001, respectively) as well as with seeking treatment for prolapse (P = .007 and P < .001, respectively). These factors were also associated with subsequent surgical repair (P = .027 and P = .019, respectively). A regression model showed that women were 4.9% more likely to seek treatment for every year younger they were, across the range of age. Although women of a higher SES were more likely to have POP, SES was neither associated with a higher likelihood of seeking treatment nor with the surgical management of prolapse.
Hispanic ethnicity and younger age were associated with seeking treatment for POP. Hispanics were more likely than whites or blacks to proceed with surgical management. There was no correlation of SES with any of the above factors.
我们旨在评估不同种族/族裔和/或社会经济地位（SES）的女性中盆腔器官脱垂（POP）的患病率，并确定是否存在寻求治疗的行为因素。
所有数据均来自美国国立卫生研究院支持的波士顿地区社区健康调查。SES 通过结合家庭收入和受教育年限的两因素指数来计算。推断性统计包括单因素方差分析，并用事后 Scheffé 检验评估个体组之间是否存在差异。使用 χ(2)检验评估种族/族裔和 SES 类别中各个问题的分布是否相等。
共有 3205 名女性纳入分析。西班牙裔和年轻的年龄与 POP（P<.002 和 P<.001）以及脱垂的治疗寻求（P=.007 和 P<.001）相关。这些因素也与随后的手术修复相关（P=.027 和 P=.019）。回归模型显示，年龄每年轻一岁，女性寻求治疗的可能性增加 4.9%。尽管 SES 较高的女性更有可能出现 POP，但 SES 既与寻求治疗的可能性增加无关，也与脱垂的手术治疗无关。
西班牙裔和年轻的年龄与 POP 的治疗寻求相关。与白种人或黑人相比，西班牙裔更有可能进行手术治疗。SES 与上述任何因素均无相关性。
