Evidence map›Paper›PMID 40566839›Full record

ArticleNeurourology and urodynamics2025

Under-Investigated and Underestimated: Disparities in Toilet and Sanitation Insecurity in a Sample of United States Adults.

William Furuyama, Roger Dmochowski, Elisabeth Sebesta

Abstract read
In one paragraph

Article in Neurourology and urodynamics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

William FuruyamaDepartment of Urology, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID https://orcid.org/0000-0002-7219-2270
Roger DmochowskiDepartment of Urology, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID https://orcid.org/0000-0002-9838-9178
Elisabeth SebestaDepartment of Urology, Vanderbilt University Medical Center, Nashville, Tennessee.

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Central Sensitization and Psychosocial Impacts on Overactive BladderR01DK128293 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MCKERNAN, LINDSEY COLMAN, SEBESTA, ELISABETH M · 2021 to 2024
$2.0M
Stress and Anxiety Effects on Overactive Bladder: A Controlled StudyR01DK129624 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MCKERNAN, LINDSEY COLMAN, SEBESTA, ELISABETH M · 2021 to 2025
$2.0M
NCATS NIH HHS UL1 TR000445NIDDK NIH HHS R01 DK128293NIDDK NIH HHS R01 DK129624This work was funded by grants UL1 TR000445 from NCATS/NIH and R01DK128293 and R01DK129624 from NIDDK.
6 · The paper itself

Abstract

introductionMost estimates of toilet and sanitation access in the United States rely on limited data from the US Census that examine the presence or absence of plumbing. This study aims to understand the prevalence of toilet and sanitation insecurity using a broader definition that considers issues of accessibility and reliability.

methodsWe recruited from an electronic research database between September 2021 and January 2022 and identified participants at risk for toilet and sanitation insecurity.

resultsAbout 4218 participants completed the study and 725 (17%) were identified as at-risk for home toilet and sanitation insecurity. The at-risk population was more likely to be younger, be of nonwhite race and ethnicity, live in rural or urban communities, have lower socioeconomic status, have less education, be unemployed, use a septic sewage system, and be non-homeowners.

conclusionsA significant percentage of people with toilets and plumbing experience home toilet and sanitation insecurity, demonstrating the inadequacy of measures that rely on the presence or absence of plumbing. Methods to estimate toilet and sanitation insecurity should account for accessibility and reliability. Understanding more about those affected by home toilet and sanitation insecurity using this broader definition may also have implications for managing bladder health and urinary symptoms. CLINICAL

trial registrationThis study was not a clinical trial and did not require clinical trial registration.

Indexed as

SanitationToilet FacilitiesAdultAgedFemaleHumansMaleMiddle AgedSocioeconomic FactorsUnited StatesYoung Adultsanitationsocial determinants of healthtoilet

Identifiers

PMID40566839
PMCPMC12319484

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.