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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References
- Racial differences in pelvic organ prolapse.Obstet Gynecol. 2009; 114: 1271-1277https://doi.org/10.1097/AOG.0b013e3181bf9cc8
- 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: 80-96https://doi.org/10.1016/S1526-9523(02)00218-0
- Prevalence and trends of symptomatic pelvic floor disorders in U.S. women.Obstet Gynecol. 2014; 123: 141-148https://doi.org/10.1097/AOG.0000000000000057
- 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
- 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 :)
- The effect of English language proficiency on length of stay and in-hospital mortality.J Gen Intern Med. 2004; 19: 221-228https://doi.org/10.1111/j.1525-1497.2004.21205.x
- Latino disparities in prescription drug use and expenditures: a nationally representative analysis.Ann Pharmacother. 2010; 44: 57-69https://doi.org/10.1345/aph.1M467
- Are latinos less satisfied with communication by health care providers?.J Gen Intern Med. 1999; 14: 409-417https://doi.org/10.1046/j.1525-1497.1999.06198.x
- Is language a barrier to the use of preventive services?.J Gen Intern Med. 1997; 12: 472-477https://doi.org/10.1046/j.1525-1497.1997.00085.x
- 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)
- 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): 1196-1215https://doi.org/10.1016/j.jpainsymman.2017.11.031
- Barriers to urinary incontinence care seeking in white, black, and latina women.Female Pelvic Med Reconstr Surg. 2015; 21: 83-86https://doi.org/10.1097/SPV.0000000000000100
- Urology patients and the internet: socioeconomic status and language skills significantly impact use.Urol Pract. 2015; 2: 317-320https://doi.org/10.1016/j.urpr.2015.03.003
- Knowledge and perceptions of pelvic floor disorders among african american and latina women.Female Pelvic Med Reconstr Surg. 2011; 17: 190-194https://doi.org/10.1097/SPV.0b013e318229dd5c
- Communication barriers among Spanish-speaking women with pelvic floor disorders: lost in translation?.Female Pelvic Med Reconstr Surg. 2013; 19: 157-164https://doi.org/10.1097/SPV.0b013e318288ac1c
- Communication between physicians and spanish-speaking latin american women with pelvic floor disorders: a cycle of misunderstanding?.Female Pelvic Med Reconstr Surg. 2013; 19: 90-97https://doi.org/10.1097/SPV.0b013e318278cc15
- Urinary incontinence and health-seeking behavior among white, black, and latina women.Female Pelvic Med Reconstr Surg. 2016; 22: 340-345https://doi.org/10.1097/SPV.0000000000000286
- Race and ethnic differences in health beliefs about lower urinary tract symptoms.Nurs Res. 2011; 60: 165-172https://doi.org/10.1097/NNR.0b013e3182159cac
- Misconceptions and miscommunication among Spanish-speaking and English-speaking women with pelvic organ prolapse.Int Urogynecology J. 2015; 26: 597-604https://doi.org/10.1007/s00192-014-2562-z
- Knowledge, perceptions, and attitudes toward pelvic organ prolapse and urinary incontinence in spanish-speaking latinas.Female Pelvic Med Reconstr Surg. 2017; 23: 324-328https://doi.org/10.1097/SPV.0000000000000393
- 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: 460-466https://doi.org/10.1097/SPV.0000000000000315
- Pelvic organ prolapse: a disease of silence and shame.Female Pelvic Med Reconstr Surg. 2014; 20: 322-327https://doi.org/10.1097/SPV.0000000000000077
- The pessary process: Spanish-speaking Latinas’ experience.Int Urogynecology J. 2013; 24: 939-946https://doi.org/10.1007/s00192-012-1946-1
- Beyond incontinence: the stigma of other urinary symptoms.J Adv Nurs. 2010; 66: 2460-2470https://doi.org/10.1111/j.1365-2648.2010.05422.x
- Barriers to seeking care for urinary incontinence in Mexican American women.Int Urogynecology J. 2018; 29: 235-241https://doi.org/10.1007/s00192-017-3420-6
- Perceptions about female urinary incontinence in different racial and ethnic groups: A systematic review.Female Pelvic Med Reconstr Surg. 2012; 18: S83https://doi.org/10.1097/SPV.0b013e31826abf55
- Culture and the patient-physician relationship: achieving cultural competency in health care.J Pediatr. 2000; 136: 14-23https://doi.org/10.1016/s0022-3476(00)90043-x
- Integrating intersectionality and biomedicine in health disparities research.Adv Nurs Sci. 2009; 32: E42-E56https://doi.org/10.1097/ANS.0b013e3181a3b3fc
- Describing physician language fluency: deconstructing medical Spanish.JAMA. 2009; 301: 426-428https://doi.org/10.1001/jama.2009.6
- Healthcare disparities in the treatment of pelvic floor disorders.Curr Bladder Dysfunct Rep. July 14, 2020; (Published online)https://doi.org/10.1007/s11884-020-00598-w
Article info
Publication history
Published online: May 16, 2021
Accepted:
May 3,
2021
Received:
December 2,
2020
Footnotes
Conflicts of Interests: None
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
