Knowledge, Perceptions, and Attitudes Toward Pelvic Organ Prolapse and Urinary Incontinence in Spanish-Speaking Latinas

Jackson, Elisha; Hernandez, Loretta L; Mallett, Veronica; Montoya, T. Ignacio

doi:10.1097/spv.0000000000000393

Cited by 24 publications

(23 citation statements)

References 21 publications

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“…We found one disconfirming case in rural Mexico [36], which not only questioned this inevitability, but also gave a sense that although the body loses strength with every child, that children also brought strength and support [36]. We found one disconfirming case of women living on the USA/Mexico border [25], challenging this lack of understanding, although the study highlights women's misconceptions about the cause of POP.…”

Section: The Life Of a Women Can Take Its Tollmentioning

confidence: 69%

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A qualitative evidence synthesis using meta-ethnography to understand the experience of living with pelvic organ prolapse

et al. 2020

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Introduction and hypothesis Pelvic organ prolapse (POP) affects the lives of many people. We aimed to systematically search for, identify and synthesize qualitative research that explores what it is like to live with POP and make this knowledge available for healthcare improvement. Methods We systematically searched Medline, PsychInfo, Embase and CINAHL, from inception to March 2020, for qualitative research exploring the experience of living with POP. We used meta-ethnography to synthesize findings. This is a conceptual approach to qualitative evidence synthesis. We used the recent guidelines for reporting meta-ethnography. Results We screened 3103 titles and 255 abstracts and included 37 primary studies. These incorporated the experience of 777 women, (aged 18 to 95 years) from a range of countries. We organized 162 ideas into 27 conceptual categories and 10 themes. We developed a conceptual model that helps us to understand the experience of pelvic organ prolapse. This model indicates that (1) the physical losses of POP are intricately linked to loss of identity; (2) women conceptualized POP as part of womanhood, yet also its thief; (3) there is a vicious cycle of taboo, silence and misunderstanding about POP and its treatment; (4) this silence is exacerbated by a feeling that POP is not taken seriously in healthcare. Conclusions This meta-ethnography helps us to understand the experience of living with a POP. Our model illustrates the complex process of healthcare decision making. Further studies to explore the complexity of decision making from the perspective of patient and health professional are timely.

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Section: The Life Of a Women Can Take Its Tollmentioning

confidence: 69%

“…We found one disconfirming case of women living on the USA/Mexico border [ 25 ], challenging this lack of understanding, although the study highlights women’s misconceptions about the cause of POP.…”

Section: Resultsmentioning

confidence: 89%

A qualitative evidence synthesis using meta-ethnography to understand the experience of living with pelvic organ prolapse

et al. 2020

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“…16 However, there is also broad literature on cancer misconceptions among Latinos that may be intensified in communities where Latinos are the dominant group. 17 Nevertheless, these barriers have not been fully examined in Latino-dominant communities like those on the US-Mexico border.…”

Section: Introductionmentioning

confidence: 99%

What are the contextual risk factors for low colorectal cancer screening uptake in El Paso County, Texas? Spatial cross-sectional analysis

et al. 2020

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ObjectiveThis study examines the geographical and socioeconomic factors associated with uptake of colorectal cancer (CRC) screening (colonoscopies or faecal immunochemical test (FIT) testing).DesignSecondary data analysis.SettingThe Against Colorectal Cancer in our Community (ACCION) programme was implemented in El Paso County, Texas, to increase screening rates among the uninsured and underinsured.ParticipantsWe successfully geocoded 5777 who were offered a free colonoscopy or FIT testing kit.Primary outcome measureCensus-tract CRC screening uptake average.ResultsMedicare recipient mortality (β=0.409, p-value=0.049) and % 65 years or older (β=−0.577, p value=0.000) were significant census tract contextual factors that were associated with the prevalence of CRC screening uptake in the geographically weighted Poisson regression. Neither Latino ethnicity nor immigrant concentration were significant predictors of CRC screening uptake in the ACCION programme. Hot spot analysis demonstrated that there was a significant low-value cluster in South Central El Paso. There was a similar hot spot for % 65 years or older in this same area, suggesting that uptake was lowest in an area that had the highest concentration of older adults.ConclusionThe results from this study revealed not only feasibility of hot spot analysis but also its utility in geographically tracking successful CRC screening uptake in cancer prevention and intervention programmes.

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“…Segundo Talasz et al (2008) A prevalência de IU pode variar entre 24 e 41% em mulheres de 65 anos (BRESEE et al, 2014;GOODE et al, 2008), já em um estudo nacional, foi verificado uma prevalência de 27% em mulheres com idade média de 51 anos (AMARO et al,2009). Em um segundo estudo nacional conduzido por Silva e Lopes (2009) CAAGBAY et al, 2017, JACKSON et al, 2017NEELS et al, 2016aNEELS et al, , 2016b BROWN et al, 1996;LASSERRE et al, 2009;LUO et al, 2017;NYGAARD;BARBER, 2008;ROGERS, 2008).…”

Section: Conhecimento Sobre Os Músculos Do Assoalho Pélvicounclassified

“…A IU acomete mulheres de várias idades, gerando impacto na qualidade de vida e ainda é vista como um "tabu" por essa população (ALMOUSA; VAN LOON, 2017;CARLS, 2007;SHAW et al, 2006 (BØ, 2004;DOSHANI et al, 2007;SMITH et al, 2011). Alguns estudos na literatura demonstram um baixo conhecimento acerca dos MAP entre mulheres (BATISTA, 2017;BERZUK;SHAY, 2015;CAAGBAY et al, 2017;JACKSON et al, 2017;NEELS et al, 2016aNEELS et al, , 2016b. Outros autores já demonstraram que de modo geral a função dos MAP não é boa entre as mulheres (VASCONCELOS, 2017;TALASZ et al, 2005TALASZ et al, , 2008TIBAEK;DEHLENDORFF, 2014).…”

Section: Introductionunclassified

Conhecimento de mulheres sobre os músculos do assoalho pélvico e sua relação com a capacidade de contração e sintomas de incontinência urinária: estudo transversal

Freitas¹

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Knowledge about pelvic floor muscles (PFM) among women is low and many reasons can lead to this lack of knowledge, such as lack of access to health and educational forums, embarrassment in talking about this topic and concern with social stigma. These women still live with physical and emotional suffering, such as depression, loss of self-esteem and social isolation triggered by PFM dysfunctions, with urinary incontinence (UI) being the most prevalent among dysfunctions. In addition, women also lack good function of the PFM. This study aims to evaluate the knowledge about the PFM and its relation with the capacity to contract these muscles, and of the relation of knowledge with UI reports. This is an observational cross-sectional study. To verify the objectives, the knowledge questionnaire related to PFM, palpation and vaginal manometry and the ICIQ-UI-SF questionnaire were used. Statistical analyzes were performed using statistical software SAS 9.4 Software. The variables were presented in descriptive form. The Pearson correlation coefficient was used to test the association between knowledge on PFM and age, BMI, parity, peak, mean and resistance of PFM and ICIQ-UI-SF score. Fisher's exact test was used to compare knowledge of the PFM with qualitative variables. Values of p≤0.05 were considered statistically significant. A total of 160 women were recruited from the city of Ribeirão Preto, of whom 27 did not attend the evaluation and 133 were included in the study. The mean age of the women was 53.3 (± 13.82), 73 (54.9%) were married, 84 (63.2%) were white, 65 (48.8%) attended school less than 8 years, 107 (80.5%) were multiparous, 83 (62.4%) presented complaints of UI symptoms and 123 (92.5%) had never performed PFM training. The women showed a low level of knowledge about the PFM. The mean score of the PFM knowledge questionnaire s was 0.48 (± 0.97). It was observed that 23.3% of the sample was not able to voluntarily contract their PFM. The values of peak, mean and duration of vaginal manometry were 39.1 cmH2O (± 23.7), 25.5 cmH2O (± 16.1) and 21.1 seconds (± 20.8), respectively. The mean ICIQ-UI-SF score was 7.1 (± 6.8). Among 40.6% of women who demonstrated the ability to contract their PFM, none had knowledge about it. No relationship was found between the knowledge and the contraction capacity of the PFM and between the knowledge and symptoms of UI. However, a correlation was found between knowledge about the PFM and age (r:-0,2044/ p: 0,01), between knowledge and parity (r:-0.19568/ p: 0.02) and an association was found between knowledge and years of education (p: 0,0012), and between knowledge and previous pelvic floor muscle training (p: <0,001).

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Knowledge, Perceptions, and Attitudes Toward Pelvic Organ Prolapse and Urinary Incontinence in Spanish-Speaking Latinas

Cited by 24 publications

References 21 publications

A qualitative evidence synthesis using meta-ethnography to understand the experience of living with pelvic organ prolapse

A qualitative evidence synthesis using meta-ethnography to understand the experience of living with pelvic organ prolapse

What are the contextual risk factors for low colorectal cancer screening uptake in El Paso County, Texas? Spatial cross-sectional analysis

Conhecimento de mulheres sobre os músculos do assoalho pélvico e sua relação com a capacidade de contração e sintomas de incontinência urinária: estudo transversal

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