Brady Sonya S, Klusaritz Heather A, Falke Chloe, Gahagan Sheila, Hebert-Beirne Jeni, Hortsch Sarah B, Kenton Kimberly, Lewis Cora E, Lipman Terri H, McGwin Gerald, Nodora Jesse N, Norton Jenna M, Nuscis Katlin, Rodriguez-Ponciano Dulce P, Rudser Kyle D, Sutcliffe Siobhan, Wilson-Powers Eliza, Cunningham Shayna D
University of Minnesota Medical School, Department of Family Medicine and Community Health, Program in Health Disparities Research, Minneapolis, MN, USA.
University of Pennsylvania Perelman School of Medicine, Department of Family Medicine and Community Health, Philadelphia, PA, USA.
Soc Sci Med. 2025 Jan 16:117694. doi: 10.1016/j.socscimed.2025.117694.
To inform policies and programs designed to prevent lower urinary tract symptoms (LUTS) and promote bladder health among different social groups, this research utilized RISE FOR HEALTH data to examine potential health inequities in LUTS and bladder health by different indices of socioeconomic position, as well as ethnic and racial social identity. Data were collected in 2022-2023 from 3322 adult women from nine regions of the United States. Higher socioeconomic position-regardless of whether it was measured as education, percent federal poverty level, or health insurance coverage and type-was associated with fewer, less frequent LUTS and better bladder health independent of ethnic and racial identity. These findings are consistent with the broader literature on LUTS, while also extending this literature to encompass different facets of bladder health, including perceived impact of bladder health status on social and occupational activities, physical activity, travel, and emotions. Poorer bladder health among women of Hispanic ethnic identity relative to Non-Hispanic White women appeared to be largely driven by socioeconomic disadvantage. Independent of socioeconomic position, women who identified as Non-Hispanic Black or Non-Hispanic Asian reported better bladder health relative to Non-Hispanic White women. Future qualitative research may be useful in identifying health promoting attitudes, behavioral habits, and intergenerational messages about caring for the bladder that can be incorporated into health promotion programs tailored to women's ethnic and racial identity, as well as universal programs. Consistent with the World Health Organization's Conceptual Framework for Action on Social Determinants of Health (Solar and Irwin, 2010), findings highlight the importance of policies that ensure equitable access to health promoting resources, including education, poverty-alleviating assistance, and high-quality health care. Reference: Solar, O., & Irwin, A. (2010). A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy and Practice).https://www.who.int/publications-detail-redirect/9789241500852.
为了为旨在预防下尿路症状（LUTS）并促进不同社会群体膀胱健康的政策和项目提供信息，本研究利用“健康崛起”（RISE FOR HEALTH）数据，通过社会经济地位的不同指标以及族裔和种族社会身份，来研究LUTS和膀胱健康方面潜在的健康不平等问题。数据于2022年至2023年从美国九个地区的3322名成年女性中收集。较高的社会经济地位——无论以教育程度、联邦贫困水平百分比还是医疗保险覆盖范围和类型来衡量——与较少、不太频繁的LUTS以及更好的膀胱健康相关，且不受族裔和种族身份的影响。这些发现与关于LUTS的更广泛文献一致，同时也将该文献扩展到涵盖膀胱健康的不同方面，包括膀胱健康状况对社会和职业活动、体育活动、旅行及情绪的感知影响。与非西班牙裔白人女性相比，西班牙裔族裔身份的女性膀胱健康较差似乎在很大程度上是由社会经济劣势导致的。在不考虑社会经济地位的情况下，自我认同为非西班牙裔黑人或非西班牙裔亚洲人的女性相对于非西班牙裔白人女性报告了更好的膀胱健康状况。未来的定性研究可能有助于确定促进健康的态度、行为习惯以及关于膀胱护理的代际信息，这些信息可纳入针对女性族裔和种族身份的健康促进项目以及通用项目中。与世界卫生组织的《健康社会决定因素行动概念框架》（索拉尔和欧文，2010年）一致，研究结果凸显了确保公平获取促进健康资源（包括教育、扶贫援助和高质量医疗保健）的政策的重要性。参考文献：索拉尔，O.，& 欧文，A.（2010年）。健康社会决定因素行动概念框架。《健康社会决定因素讨论文件2》（政策与实践）。https://www.who.int/publications-detail-redirect/9789241500852 。
