Female Urology and Voiding Dysfunction| Volume 163, P34-43, May 2022

Lost in Translation: Misconceptions and Miscommunications Among Spanish-Speaking Latinas with Pelvic Floor Disorders

      This review sought to identify impediments to disease understanding among Spanish-speaking Latinas with pelvic floor disorders (PFDs). Five databases were queried and reference lists were searched for relevant articles, 14 were included. Thematic analysis identified 10 themes composed of 52 findings. Three synthesized findings were established: patient-related, provider-related, and system-related barriers to care. We identified that Spanish-speaking Latinas with PFDs face multiple, interacting healthcare barriers related to language and culture at the level of the patient, provider, and healthcare system. Emerging themes identified in this review provide insights for clinical practice as well as hypotheses and directions for future research.
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        • Whitcomb EL
        • Rortveit G
        • Brown JS
        • et al.
        Racial differences in pelvic organ prolapse.
        Obstet Gynecol. 2009; 114: 1271-1277
        • Timmins C.
        The impact of language barriers on the health care of Latinos in the United States: a review of the literature and guidelines for practice.
        J Midwifery Womens Health. 2002; 47: 80-96
        • Wu JM
        • Vaughan CP
        • Goode PS
        • et al.
        Prevalence and trends of symptomatic pelvic floor disorders in U.S. women.
        Obstet Gynecol. 2014; 123: 141-148
        • Day JC.
        Population Projections of the United States by Age, Sex, Race, and Hispanic Origin: 1995 to 2050.
        U.S. Bureau of the Census, Current Population Reports, U.S. Government Printing Office, 1996
      1. Languages Spoken at Home and Ability to Speak English for the Population 5 Years and Over.
        United States Census Bureau, Published 2019 (Accessed November 10, 2020. Available at :)
        • John-Baptiste A
        • Naglie G
        • Tomlinson G
        • et al.
        The effect of English language proficiency on length of stay and in-hospital mortality.
        J Gen Intern Med. 2004; 19: 221-228
        • Chen J
        • Fang H
        • Vargas-Bustamante A
        • Rizzo JA
        • Ortega AN.
        Latino disparities in prescription drug use and expenditures: a nationally representative analysis.
        Ann Pharmacother. 2010; 44: 57-69
        • Morales LS
        • Cunningham WE
        • Brown JA
        • Liu H
        • Hays RD.
        Are latinos less satisfied with communication by health care providers?.
        J Gen Intern Med. 1999; 14: 409-417
        • Woloshin S
        • Schwartz LM
        • Katz SJ
        • Welch HG.
        Is language a barrier to the use of preventive services?.
        J Gen Intern Med. 1997; 12: 472-477
      2. The Joanna Briggs Institute Levels of Evidence and Grades of Recommendation Working Party. Supporting Document for the Joanna Briggs Institute Levels of Evidence and Grades of Recommendation.
        2014 (Published online)
        • Suwanabol PA
        • Kanters AE
        • Reichstein AC
        • et al.
        Characterizing the role of U.S. surgeons in the provision of palliative care: a systematic review and mixed-methods meta-synthesis.
        J Pain Symptom Manage. 2018; 55 (e5): 1196-1215
        • Willis-Gray MG
        • Sandoval JS
        • Maynor J
        • Bosworth HB
        • Siddiqui NY.
        Barriers to urinary incontinence care seeking in white, black, and latina women.
        Female Pelvic Med Reconstr Surg. 2015; 21: 83-86
        • Yanes R
        • Glamore M
        • Delto JC
        • Bhandari A
        • Nieder AM.
        Urology patients and the internet: socioeconomic status and language skills significantly impact use.
        Urol Pract. 2015; 2: 317-320
        • Hatchett L
        • Hebert-Beirne J
        • Tenfelde S
        • Lavender MD
        • Brubaker L.
        Knowledge and perceptions of pelvic floor disorders among african american and latina women.
        Female Pelvic Med Reconstr Surg. 2011; 17: 190-194
        • Khan AA
        • Sevilla C
        • Wieslander CK
        • et al.
        Communication barriers among Spanish-speaking women with pelvic floor disorders: lost in translation?.
        Female Pelvic Med Reconstr Surg. 2013; 19: 157-164
        • Sevilla C
        • Wieslander CK
        • Alas AN
        • et al.
        Communication between physicians and spanish-speaking latin american women with pelvic floor disorders: a cycle of misunderstanding?.
        Female Pelvic Med Reconstr Surg. 2013; 19: 90-97
        • Siddiqui NY
        • Ammarell N
        • Wu JM
        • Sandoval JS
        • Bosworth HB.
        Urinary incontinence and health-seeking behavior among white, black, and latina women.
        Female Pelvic Med Reconstr Surg. 2016; 22: 340-345
        • Welch LC
        • Botelho EM
        • Tennstedt SL.
        Race and ethnic differences in health beliefs about lower urinary tract symptoms.
        Nurs Res. 2011; 60: 165-172
        • Wieslander CK
        • Alas A
        • Dunivan GC
        • et al.
        Misconceptions and miscommunication among Spanish-speaking and English-speaking women with pelvic organ prolapse.
        Int Urogynecology J. 2015; 26: 597-604
        • Jackson E
        • Hernandez L
        • Mallett VT
        • Montoya TI
        Knowledge, perceptions, and attitudes toward pelvic organ prolapse and urinary incontinence in spanish-speaking latinas.
        Female Pelvic Med Reconstr Surg. 2017; 23: 324-328
        • Alas AN
        • Dunivan GC
        • Wieslander CK
        • et al.
        Health Care Disparities Among English-Speaking and Spanish-Speaking Women With Pelvic Organ Prolapse at Public and Private Hospitals: What Are the Barriers?.
        Female Pelvic Med Reconstr Surg. 2016; 22: 460-466
        • Dunivan GC
        • Anger JT
        • Alas A
        • et al.
        Pelvic organ prolapse: a disease of silence and shame.
        Female Pelvic Med Reconstr Surg. 2014; 20: 322-327
        • Sevilla C
        • Wieslander CK
        • Alas A
        • et al.
        The pessary process: Spanish-speaking Latinas’ experience.
        Int Urogynecology J. 2013; 24: 939-946
        • Elstad EA
        • Taubenberger SP
        • Botelho EM
        • Tennstedt SL.
        Beyond incontinence: the stigma of other urinary symptoms.
        J Adv Nurs. 2010; 66: 2460-2470
        • Mallett VT
        • Jezari AM
        • Carrillo T
        • Sanchez S
        • Mulla ZD.
        Barriers to seeking care for urinary incontinence in Mexican American women.
        Int Urogynecology J. 2018; 29: 235-241
        • Siddiqui NY
        • Levin PJ
        • Ammarell N
        • Phadtare A
        • Pietroban R.
        Perceptions about female urinary incontinence in different racial and ethnic groups: A systematic review.
        Female Pelvic Med Reconstr Surg. 2012; 18: S83
        • Flores G
        Culture and the patient-physician relationship: achieving cultural competency in health care.
        J Pediatr. 2000; 136: 14-23
        • Kelly UA.
        Integrating intersectionality and biomedicine in health disparities research.
        Adv Nurs Sci. 2009; 32: E42-E56
        • Diamond LC
        • Reuland DS.
        Describing physician language fluency: deconstructing medical Spanish.
        JAMA. 2009; 301: 426-428
        • Nauheim J
        • McKay E
        • Laudano M
        • Abraham N.
        Healthcare disparities in the treatment of pelvic floor disorders.
        Curr Bladder Dysfunct Rep. July 14, 2020; (Published online)