Elder American Indian women's knowledge of pelvic floor disorders and barriers to seeking care

Gena C. Dunivan, Yuko M. Komesu, Sara B. Cichowski, Christine Lowery, Jennifer T. Anger, Rebecca G. Rogers

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Objectives: The objectives of this study are to evaluate urinary incontinence and pelvic organ prolapse knowledge among elder southwestern American Indian women and to assess barriers to care for pelvic floor disorders through community-engaged research. Methods: Our group was invited to provide an educational talk on urinary incontinence and pelvic organ prolapse at an annual meeting of American Indian elders. Female attendees aged 55 years or older anonymously completed demographic information and 2 validated questionnaires, the Prolapse and Incontinence Knowledge Questionnaire (PIKQ) and Barriers to Incontinence Care Seeking Questionnaire (BICS-Q). Questionnaire results were compared with historical controls from the original PIKQ and BICS-Q validation study. Results: One hundred forty-four women completed the questionnaires. The mean age was 77.7 ± 9.1 years. The mean (SD) for PIKQ of urinary incontinence score was 6.6 (3.0) (similar to historic gynecology controls 6.8 [3.3], P = 0.49), and the mean (SD) for PIKQ on pelvic organ prolapse score was 5.4 (2.9) (better than historic gynecology controls 3.6 [3.2], P < 0.01). Barriers to care seeking reported by the elder women were highest on the BICS-Q subscales of "cost" and "inconvenience." Conclusions: Urinary incontinence knowledge is similar to historic gy-necology controls, and pelvic organ prolapse knowledge is higher than historic gynecology controls among elder southwestern American Indian women. American Indian elder women report high levels of barriers to care. The greatest barriers to care seeking for this population were related to cost and inconvenience, reflecting the importance of assessing socioeconomic status when investigating barriers to care. Addressing these barriers may enhance care-seeking southwestern American Indian women.

Original languageEnglish (US)
Pages (from-to)34-38
Number of pages5
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume21
Issue number1
DOIs
StatePublished - 2015
Externally publishedYes

Keywords

  • American Indian
  • Barriers to care
  • Barriers to Incontinence Care Seeking Questionnaire
  • Pelvic floor disorders
  • Prolapse and Incontinence Knowledge Questionnaire

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

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