Dessie Sybil G, Adams Sonia R, Modest Anna M, Hacker Michele R, Elkadry Eman A
From the *Division of Urogynecology, Department of Obstetrics and Gynecology, Mount Auburn Hospital, Cambridge, MA; †Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center; ‡Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School; and §Department of Obstetrics and Gynecology, St. Elizabeth's Medical Center, Boston, MA.
Female Pelvic Med Reconstr Surg. 2016 Jan-Feb;22(1):37-42. doi: 10.1097/SPV.0000000000000213.
The aim of the study was to assess pelvic floor symptoms and attitudes in an ethnically diverse population.
We conducted a cross-sectional survey of women presenting to 2 community-based, ethnically diverse gynecology clinics. Before being seen by a provider, participants were asked to complete a questionnaire.
A total of 312 women were included: 32.7% white, 50.3% African American, and 17.0% Hispanic. Other racial/ethnic groups were excluded secondary to small samples size. The median (interquartile range) age was 34.0 (27.0-44.0) years. The groups differed with respect to most demographic characteristics, such as income, education, and nation of origin. Nocturia and urinary frequency were the most commonly reported symptoms. African American respondents were more likely to report nocturia than white respondents (odds ratio, 2.4; 95% confidence interval, 1.2-4.8). Respondents' views of normal urinary function generally did not vary by race/ethnicity. However, Hispanic respondents were less likely than white respondents to agree that it is normal to leak urine after having children (odds ratio, 0.28; 95% confidence interval, 0.11-0.68). Among women who reported at least 1 symptom, 46.7% reported that at least 1 symptom bothered them, and this did not differ with respect to race/ethnicity (P ≥ 0.59). African American respondents were more likely than whites to report their urinary leakage to their doctors (P = 0.006).
Our study demonstrates that with few exceptions, bladder symptoms and attitudes are similar among reproductive-age women of various racial/ethnic groups in a community setting.
本研究旨在评估不同种族人群的盆底症状及态度。
我们对前往两家具有种族多样性的社区妇科诊所就诊的女性进行了横断面调查。在接受医生诊治之前，参与者被要求填写一份问卷。
共纳入312名女性：32.7%为白人，50.3%为非裔美国人，17.0%为西班牙裔。其他种族/族裔群体因样本量小而被排除。年龄中位数（四分位间距）为34.0（27.0 - 44.0）岁。这些群体在大多数人口统计学特征方面存在差异，如收入、教育程度和原籍国。夜尿症和尿频是最常报告的症状。非裔美国受访者比白人受访者更有可能报告夜尿症（优势比，2.4；95%置信区间，1.2 - 4.8）。受访者对正常排尿功能的看法通常不因种族/族裔而有所不同。然而，西班牙裔受访者比白人受访者更不太可能认同产后漏尿是正常现象（优势比，0.28；95%置信区间，0.11 - 0.68）。在报告至少一种症状的女性中，46.7%报告至少有一种症状困扰着她们，且这在种族/族裔方面没有差异（P≥0.59）。非裔美国受访者比白人更有可能向医生报告她们的尿失禁情况（P = 0.006）。
我们的研究表明，在社区环境中，除了少数例外情况，不同种族/族裔的育龄女性的膀胱症状及态度相似。
