Mp34-08 Social Vulnerability Among Women With Urinary Incontinence Correlates to More Severe Urinary Symptoms and Worse Quality of Life

You have accessJournal of UrologyDiversity, Equity & Inclusion: Health Equity & Outcomes II (MP34)1 May 2024MP34-08 SOCIAL VULNERABILITY AMONG WOMEN WITH URINARY INCONTINENCE CORRELATES TO MORE SEVERE URINARY SYMPTOMS AND WORSE QUALITY OF LIFE William M. Furuyama, Karla Rebullar, Rosa Park, Melissa R. Kaufman, Roger R. Dmochowski, W. Stuart Reynolds, and Elisabeth Sebesta William M. FuruyamaWilliam M. Furuyama , Karla RebullarKarla Rebullar , Rosa ParkRosa Park , Melissa R. KaufmanMelissa R. Kaufman , Roger R. DmochowskiRoger R. Dmochowski , W. Stuart ReynoldsW. Stuart Reynolds , and Elisabeth SebestaElisabeth Sebesta View All Author Informationhttps://doi.org/10.1097/01.JU.0001008876.78012.90.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urinary incontinence (UI) affects over half of all adult women living in the United States (US) and can affect quality of life (QOL). While individual-level social determinants of health have been associated with urologic disease severity and QOL, the effect of community-level factors is poorly characterized. Community-level social vulnerability has been measured with the social vulnerability index (SVI), which incorporates a variety of community-level characteristics, including housing, access to transportation, and English-language proficiency, to assess the potential negative effects on communities caused by external stresses on health. High SVI has been associated with worse health outcomes. The goal was to examine associations between SVI and the direct and indirect burdens of UI. METHODS: Women living in the surrounding local communities in the Southeastern US with UI were recruited from our urology outpatient clinic or via ResearchMatch to complete questionnaires on urinary symptoms (ICIQ-UI SF, LURN SI-10), and UI-specific QOL (ICIQ LUTSqol). Participant home zip code was merged with 2020 US Census data to determine the SVI, which is a percentile, and then analyzed in quartiles. Urinary symptom severity and QOL scores were compared between those living in low and high SVI areas, and multivariable logistic regression was performed to assess for association. RESULTS: 1,096 women completed the study. Women with UI living in high SVI areas had significantly worse urinary symptoms on LURN SI-10, and trended towards worse UI severity on ICIQ-UI SF. High SVI was associated with worse overall UI-specific QOL. On multivariable regression, these associations remained significant. Additionally, living in a high SVI area was associated with severe/very severe UI by ICIQ, as compared to only slight symptoms (OR 1.63, 95% CI 1.04-2.54, p=0.03). All results are presented below in the table. CONCLUSIONS: In this cohort of women, community-level social vulnerability is associated with worse urinary symptoms and UI, and worse UI-specific QOL, even when controlling for multiple covariates. This suggests the role that social drivers of health at a community level may play in urologic outcomes and urinary conditions and highlights the need to further understand these complex relationships. Source of Funding: Vanderbilt Center for Health Services Research, Health Equity Research Grant © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e573 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information William M. Furuyama More articles by this author Karla Rebullar More articles by this author Rosa Park More articles by this author Melissa R. Kaufman More articles by this author Roger R. Dmochowski More articles by this author W. Stuart Reynolds More articles by this author Elisabeth Sebesta More articles by this author Expand All Advertisement PDF downloadLoading ...