To evaluate urinary incontinence and pelvic organ prolapse knowledge among Asian American women and to explore the most common barriers for seeking care in these conditions.METHODS:
Participating women completed the following validated questionnaires anonymously: Prolapse and Incontinence Knowledge Questionnaire and Barriers to Incontinence Care Seeking Questionnaire. PIKQ is composed of two 12-item questionnaires assessing knowledge of urinary incontinence and pelvic organ prolapse. Higher scores indicate greater knowledge of UI and POP. Questionnaire results were compared with historical controls from the original PIKQ study. The BICS-Q questionnaire is divided into 5 subscales (inconvenience, relationship, cost, site-related factors, and fear), with higher scores indicating more barriers.RESULTS:
Questionnaires were administered to 92 patients. The mean (SD) knowledge score on the PIKQ for urinary incontinence was significantly lower compared to historic gynecology controls (P=.041), with the mean (SD) knowledge score pertaining to pelvic organ prolapse being comparable (P=.490). Barriers for care seeking as reported by the Asian American women were highest on the BICS-Q subscales of cost, inconvenience and relationship.CONCLUSION:
Knowledge pertaining to urinary incontinence was significantly lower in our study population when compared to historic gynecology controls, with pelvic organ prolapse related knowledge being comparable. Costs associated with treatment, inconvenience related to prolonged waiting time at the office, and deficiencies in the physician-patient relationship were some of the most significant barriers for seeking care. This highlights the importance of increasing patient education and awareness in pelvic floor disorders, with an emphasis on enhancing the patient care experience in urogynecology.