Communication Barriers Among Spanish-Speaking Women With Pelvic Floor Disorders

Khan, Aqsa; Sevilla, Claudia; Wieslander, Cecilia K.; Moran, Meghan Bridgid; Rashid, Rezoana; Mittal, Brita; Maliski, Sally L.; Rogers, Rebecca G.; Anger, Jennifer T.

doi:10.1097/spv.0b013e318288ac1c

Cited by 30 publications

(15 citation statements)

References 25 publications

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“…Provider-related barriers included poor interpreter knowledge of pelvic floor vocabulary and office staff that interacted with patients but did not have interpreting credentials. System-related barriers included poor access to information [21]. Through focus groups, Spanish-speaking women with POP were more often offered conservative therapies as opposed to English-speakers, who were more often offered surgical management as first-line treatment.…”

Section: Discussionmentioning

confidence: 99%

Attendance at Prescribed Pelvic Floor Physical Therapy in a Diverse, Urban Urogynecology Population

Shannon

Genereux

Brincat

et al. 2017

PM&R

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Section: Discussionmentioning

confidence: 99%

Attendance at Prescribed Pelvic Floor Physical Therapy in a Diverse, Urban Urogynecology Population

Shannon

Genereux

Brincat

et al. 2017

PM&R

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“…Prior work from our group has also found that there are many communication barriers for Latina women with pelvic floor disorders that contribute to a lack of understanding [17]. One of these barriers was the use of interpreters with limited knowledge of the appropriate vocabulary to discuss pelvic floor disorders and the use of non-credentialed interpreters.…”

Section: Discussionmentioning

confidence: 99%

Pelvic Organ Prolapse

Dunivan¹,

Anger²,

Alas³

et al. 2014

Female Pelvic Medicine &Amp; Reconstructive Surgery

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Objectives To better understand women's experience with pelvic organ prolapse and to compare this experience between English and Spanish speaking women. Methods Women with pelvic organ prolapse were recruited from female urology and urogynecology clinics. Eight focus groups of 6-8 women each were assembled; four groups in English and four in Spanish. A trained bilingual moderator conducted the focus groups. Topics addressed patients' perceptions, their knowledge and experience with pelvic organ prolapse symptoms, diagnostic evaluation, physician interactions, and treatments. Results Both English and Spanish speaking women expressed the same preliminary themes: lack of knowledge regarding the prevalence of pelvic organ prolapse, feelings of shame regarding their condition, difficulty in talking with others, fear related to symptoms, and emotional stress from coping with pelvic organ prolapse. In addition, Spanish speaking women included fear related to surgery and communication concerns regarding the use of interpreters. Two overarching concepts emerged: first - a lack of knowledge which resulted in shame and fear; and second - public awareness regarding pelvic organ prolapse is needed. From the Spanish speaking an additional concept was the need to address language barriers and the use of interpreters. Conclusions Both English and Spanish speaking women felt ashamed of their pelvic organ prolapse and were uncomfortable speaking with anyone about it, including physicians. Educating women on the meaning of pelvic organ prolapse, symptoms, and available treatments may improve patients' ability to discuss their disorder and seek medical advice; for Spanish speaking women, access to translators for efficient communication is needed.

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“…These women also faced communication barriers, which have been shown in previous studies to contribute to their lack of understanding. 13 …”

Section: Discussionmentioning

confidence: 99%

“…11,12 One barrier that has been identified is mis-communication secondary to cultural and language differences. 13 …”

mentioning

confidence: 99%

Health Care Disparities Among English-Speaking and Spanish-Speaking Women With Pelvic Organ Prolapse at Public and Private Hospitals: What Are the Barriers?

Alas¹,

Dunivan²,

Wieslander³

et al. 2016

Female Pelvic Med Reconstr Surg

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Objectives The objective of this study was to compare perceptions and barriers between Spanish-speaking and English-speaking women in public and private hospitals being treated for pelvic organ prolapse (POP). Methods Eight focus groups, 4 in English and 4 in Spanish, were conducted at 3 institutions with care in female pelvic medicine and reconstructive surgery. Standardized questions were asked regarding patients' emotions to when they initially noticed the POP, if they sought family support, and their response to the diagnosis and treatment. Transcripts were analyzed using grounded theory qualitative methods. Results Thirty-three women were Spanish-speaking and 25 were English-speaking. Spanish speakers were younger (P = 0.0469) and less likely to have a high school diploma (P < 0.0001) than English speakers. Spanish-speaking women had more concerns that the bulge or treatments could lead to cancer, were more resistant to treatment options, and were less likely to be offered surgery. Women in the private hospital desired more information, were less embarrassed, and were more likely to be offered surgery as first-line treatment. The concept emerged that patient care for POP varied based on socioeconomic status and language and suggested the presence of disparities in care for underserved women with POP. Conclusions The discrepancies in care for Spanish-speaking women and women being treated at public hospitals suggest that there are disparities in care for POP treatment for underserved women. These differences may be secondary to profit-driven pressures from private hospitals or language barriers, low socioeconomic status, low health literacy, and barriers to health care.

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Communication Barriers Among Spanish-Speaking Women With Pelvic Floor Disorders

Cited by 30 publications

References 25 publications

Attendance at Prescribed Pelvic Floor Physical Therapy in a Diverse, Urban Urogynecology Population

Attendance at Prescribed Pelvic Floor Physical Therapy in a Diverse, Urban Urogynecology Population

Pelvic Organ Prolapse

Health Care Disparities Among English-Speaking and Spanish-Speaking Women With Pelvic Organ Prolapse at Public and Private Hospitals: What Are the Barriers?

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