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Purpose <p>The connection between experiencing symptoms and identifying them as a pelvic floor disorder (PFD) among Latina women is not well understood. Self-identification of PFD is a critical first step toward timely diagnosis. This study investigated self-reported symptoms of urinary incontinence (UI), fecal incontinence (FI), and pelvic organ prolapse (POP) in community-dwelling Latina women in Los Angeles to assess whether cultural and psychosocial factors influence the self-identification of PFDs.</p> Methods and Materials <p>We conducted a cross-sectional survey of community-dwelling Latina women (median age = 50) in Los Angeles using standardized surveys, including measures of acculturation; Latino and mainstream cultural values; knowledge, attitudes, behaviors, and beliefs about PFDs; the Pelvic Floor Distress Index-20 (PFDI-20); and measures of stress and discrimination. Descriptive statistics, univariate, and multivariate logistic regression were performed to identify variables associated with self-identification of PFDs.</p> Results <p>Of 197 women, 19% had bothersome symptoms consistent with POP, 33% with UI, and 14% with FI. Among the 70% of women who denied having a PFD, 39% reported at least one bothersome PFD symptom on the PFDI-20. Lower independence, higher religiosity, and higher perceived stress were independently associated with a higher likelihood of PFD self-identification (<i>p</i> &lt; 0.05). Higher values of independence were less likely in women who were unsure if they had a PFD (OR = 0.38; 95%CI = 0.17–0.81, <i>p</i> = 0.01).</p> Conclusions <p>Despite the considerable prevalence of PFD symptoms among Latinas in Los Angeles, most do not self-identify as having a PFD. This discordance is correlated with the severity of symptoms and values of independence and religiosity or stress. Interventions to raise awareness and recognize symptoms are needed to improve self-identification and earlier detection of PFDs among Latinas.</p>

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Self-identification of Pelvic Floor Disorder Symptoms Among Latina Women: The Roles of Knowledge, Attitude, Behaviors, Beliefs, and Psychosocial Factors

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月17日

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  • Temitope Rude,
  • Claudia Sevilla,
  • Nanjun Chen,
  • Priscilla Marin,
  • Alexandra Chavez,
  • Nahid Yosufi,
  • Jennifer B. Unger,
  • Lourdes Baezconde-Garbanati,
  • Christina E. Dancz,
  • David Ginsberg,
  • Larissa V. Rodriguez,
  • Mariana C. Stern

摘要

Purpose

The connection between experiencing symptoms and identifying them as a pelvic floor disorder (PFD) among Latina women is not well understood. Self-identification of PFD is a critical first step toward timely diagnosis. This study investigated self-reported symptoms of urinary incontinence (UI), fecal incontinence (FI), and pelvic organ prolapse (POP) in community-dwelling Latina women in Los Angeles to assess whether cultural and psychosocial factors influence the self-identification of PFDs.

Methods and Materials

We conducted a cross-sectional survey of community-dwelling Latina women (median age = 50) in Los Angeles using standardized surveys, including measures of acculturation; Latino and mainstream cultural values; knowledge, attitudes, behaviors, and beliefs about PFDs; the Pelvic Floor Distress Index-20 (PFDI-20); and measures of stress and discrimination. Descriptive statistics, univariate, and multivariate logistic regression were performed to identify variables associated with self-identification of PFDs.

Results

Of 197 women, 19% had bothersome symptoms consistent with POP, 33% with UI, and 14% with FI. Among the 70% of women who denied having a PFD, 39% reported at least one bothersome PFD symptom on the PFDI-20. Lower independence, higher religiosity, and higher perceived stress were independently associated with a higher likelihood of PFD self-identification (p < 0.05). Higher values of independence were less likely in women who were unsure if they had a PFD (OR = 0.38; 95%CI = 0.17–0.81, p = 0.01).

Conclusions

Despite the considerable prevalence of PFD symptoms among Latinas in Los Angeles, most do not self-identify as having a PFD. This discordance is correlated with the severity of symptoms and values of independence and religiosity or stress. Interventions to raise awareness and recognize symptoms are needed to improve self-identification and earlier detection of PFDs among Latinas.