To identify factors associated with urinary incontinence (UI) in women of various Hispanic/Latina backgrounds.
We analyzed data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), a multicenter, community-based cohort study which includes a health-related questionnaire assessing presence and type of UI. Complex survey logistic regression analysis was used to assess the cross-sectional association of Hispanic/Latina backgrounds and other factors of UI. All estimates accounted for HCHS/SOL survey design.
Of 5027 women, 33.4% answered "yes" to UI. Rates of any UI ranged from approximately 21.9% to 40.3% in women of Dominican and Puerto-Rican background, respectively. Any UI and UI subtypes were associated with age older than 65 years, increasing body mass index, smoking status, any alcohol use, parity ≥3, and postmenopausal status. After controlling for covariates and when compared with women of Mexican background, women of Dominican background were less likely to have any UI (OR = 0.42, 95% CI 0.30-0.57), as were women of Cuban (OR = 0.48, 95% CI 0.37-0.62), Puerto-Rican (OR = 0.79, 95% CI 0.62-1.0), and mixed (OR = 0.62, 95% CI 0.39-0.99) background; and women of every other background except for South American were less likely to have stress UI. In addition, women of Cuban (OR = 0.53, 95% CI 0.32-0.86) and mixed (OR = 0.38, 95% CI 0.16-0.87) background were less likely to have urge UI than women of Mexican background.
Our study demonstrates differences in UI by Hispanic/Latina background, suggesting collective designation of Hispanics/Latinas as a single ethnic group does not adequately describe UI among this diverse group.
Neurourology and urodynamics. 2023 Dec 18 [Epub ahead of print]
Matthew M Mason, Isildinha M Reis, Ashley Gordon, Marc D Gellman, Krista Perreira, Martha Daviglus, Olga Garcia-Bedoya, Katherine Amin, Christina Cordero, Raveen Syan
Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, Florida, USA., Department of Public Health Sciences, Division of Biostatistics, University of Miami Miller School of Medicine, Miami, Florida, USA., Department of Psychology, University of Miami, Miami, Florida, USA., Department of Social Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA., Institute of Minority Health Research, University of Illinois at Chicago, Chicago, Illinois, USA., Department of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.