ArticleJournal of racial and ethnic health disparities2026
Self-identification of Pelvic Floor Disorder Symptoms Among Latina Women: The Roles of Knowledge, Attitude, Behaviors, Beliefs, and Psychosocial Factors.
Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThe 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.
resultsOf 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).
conclusionsDespite 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.
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