Differences in Pelvic Floor Symptoms During Pregnancy Between Hispanic and Non-Hispanic White Women.
Differences in Pelvic Floor Symptoms During Pregnancy Between Hispanic and Non-Hispanic White Women.
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西班牙裔和非西班牙裔白人妇女怀孕期间骨盆底症状的差异。
DOI：
10.1097/spv.0000000000000592
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发表时间：
2020
影响因子：
1.6
通讯作者：
Nygaard IE
中科院分区：
文献类型：
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作者：
Saltzman HM;Egger MJ;Bardsley T;Ding Q;Shaw JM;Nygaard IE
描述和比较未生育的西班牙裔和非西班牙裔高加索女性在妊娠晚期的盆底症状和症状负担，并确定压力性尿失禁（SUI）女性的困扰在各组之间是否存在差异，并根据尿失禁的严重程度进行调整。在这项横断面分析中，参与者完成了脱垂和子宫内膜异位症流行病学（EPIQ）和子宫内膜异位症严重程度指数（ISI）问卷调查。我们使用逻辑回归比较了各组之间症状领域的差异，并使用线性回归测试了种族对SUI女性困扰的影响。样本包括418名非西班牙裔白人和154名西班牙裔女性。在非西班牙裔白人和西班牙裔女性中，症状领域的患病率分别为盆腔器官脱垂的5.0%和7.1%至膀胱过度活动症的95.2%和94.2%。在调整年龄、身高、体重、教育、体力活动和胎龄后，非西班牙裔白人排便功能障碍的几率增加了2.37倍（95%CI 1.44，3.92），其他症状领域的增加不显著。非西班牙裔高加索人比西班牙裔女性更可能支持≥ 3个领域的症状（分别为58.9% vs 40.3%; p = 0.0001）。考虑到相同的UI严重程度（ISI），西班牙裔SUI女性报告的烦恼（EPIQ）比非西班牙裔白人女性高7.5分（p=0.07）。调整后，我们发现西班牙裔和非西班牙裔白人妇女之间的盆底症状域的患病率几乎没有差异，除了排便功能障碍。如果其他盆底症状存在种族差异，它们似乎并不起源于第一次怀孕。非西班牙裔白人初产妇比西班牙裔初产妇有更高的调整后的排便功能障碍的几率，和非显着更高的几率在其他骨盆底领域的症状。
To describe and compare pelvic floor symptoms and symptom burden between nulliparous Hispanic and non-Hispanic Caucasian women in the third trimester of pregnancy and to determine, in women with stress urinary incontinence (SUI), whether bother differs between groups, adjusted for urinary incontinence severity. In this cross-sectional analysis, participants completed the Epidemiology of Prolapse and Incontinence (EPIQ) and Incontinence Severity Index (ISI) questionnaires. We compared differences in symptom domains between groups using logistic regression and tested the effect of ethnicity on bother in women with SUI using linear regression. The sample comprised 418 non-Hispanic Caucasian and 154 Hispanic women. Prevalence rates of symptom domains ranged from 5.0% and 7.1% for pelvic organ prolapse to 95.2%and 94.2% for overactive bladder in non-Hispanic Caucasian and Hispanic women, respectively. After adjusting age, height, weight, education, physical activity, and gestational age, non-Hispanic Caucasians had 2.37-fold increased odds (95% CI 1.44, 3.92) for defecatory dysfunction and had non-significant increases in other symptom domains. Non-Hispanic Caucasians were more likely to endorse symptoms in ≥ 3 domains than Hispanic women (58.9% vs 40.3%, respectively; p = 0.0001). Given the same UI severity (ISI), Hispanic women with SUI reported 7.5 points greater bother (EPIQ) than non-Hispanic Caucasian women (p=0.07). After adjustment, we found few differences in the prevalence of pelvic floor symptom domains between Hispanic and non-Hispanic Caucasian women, apart from defecatory dysfunction. If differences by ethnicity in other pelvic floor symptoms exist, they do not appear to originate during the first pregnancy. Non-Hispanic Caucasian nulliparas had higher adjusted odds of endorsing defecation dysfunction, and non-significantly higher odds of symptoms in other pelvic floor domains than Hispanic nulliparas.