Examining the influence of race and pelvic floor disorder severity on health-related social needs among minority women

You have accessJournal of UrologyCME1 Apr 2023MP54-04 EXAMINING THE INFLUENCE OF RACE AND PELVIC FLOOR DISORDER SEVERITY ON HEALTH-RELATED SOCIAL NEEDS AMONG MINORITY WOMEN Jasmine Kannikal, Sanjana Satish, Aaron Gurayah, Erin Kobetz, Katherine Amin, Ekene Enemchukwu, and Raveen Syan Jasmine KannikalJasmine Kannikal More articles by this author , Sanjana SatishSanjana Satish More articles by this author , Aaron GurayahAaron Gurayah More articles by this author , Erin KobetzErin Kobetz More articles by this author , Katherine AminKatherine Amin More articles by this author , Ekene EnemchukwuEkene Enemchukwu More articles by this author , and Raveen SyanRaveen Syan More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003307.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Pelvic floor disorders (PFD) affect 25% of American women 20 years or older and continues to increase in prevalence. While studies have explored racial disparities in PFD knowledge and treatment, few have analyzed the impact of health-related social needs (HRSN). This study aims to characterize unmet HRSN among minority women, as well as assess the impact of race and PFD severity. METHODS: Our IRB-approved, ongoing prospective study began recruitment in June 2022 from private urogynecology clinics; a general urology clinic at the public safety net hospital (SNH); and a community outreach mobile clinic (MC). The standardized Urinary Distress Index-6 (UDI), Pelvic Organ Prolapse Distress Inventory-6 (POPDI), and Female Genitourinary Pain Index (GUPI) were used to identify PFDs. PFDs exceeding the 33.3 (UDI) or third quartile (POPDI, GUPI) thresholds were characterized as severe. Unmet HRSN were based on the Centers for Medicare & Medicaid Services Accountable Health Communities HRSN Screening Tool: mild and severe represented <8 and >8 unmet HSRN, respectively. Chi-squared tests for PFD presence and severity by race and location were conducted using R. RESULTS: The study cohort (n=107) had a median age of 53 years [IQR 24]. 53 (49.5%) women identified as Hispanic, 38 (35.5%) as Black, and 16 (15%) as Other. Unmet HRSN ranged from 1 to 18. Private clinic participants were 20% less likely to report unmet social needs, compared to MC participants (p=0.020). No statistically significant differences in reported unmet HRSN between SNH and MC, or between racial groups, were observed. Upon chi-squared analysis, no association was found between participants with severe unmet HRSN and those scoring higher on UDI, POPDI, and GUPI (p>0.05). CONCLUSIONS: Community mobile clinic participants were more likely to report severe unmet HRSN, compared to private clinic participants. Black women have a higher prevalence of unmet HRSN, however this did not reach statistical significance with our sample size. This study contributes to an understanding of the role of social determinants of health in disease severity and access to care. This study is ongoing, with a focus on increasing our community-based participant population to better understand health determinants among underserved minorities in non-hospital settings. Source of Funding: Urology Care Foundation Research Scholar Award 2021 © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e754 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jasmine Kannikal More articles by this author Sanjana Satish More articles by this author Aaron Gurayah More articles by this author Erin Kobetz More articles by this author Katherine Amin More articles by this author Ekene Enemchukwu More articles by this author Raveen Syan More articles by this author Expand All Advertisement PDF downloadLoading ...