Details:

Alternative Title:
J Pediatr Rehabil Med
Personal Author:
Smith, Kathryn A. ; Liu, Tiebin ; Freeman, Kurt A. ; Betz, Cecily ; Clayton, Gerald H. ; ... More +
Smith, Kathryn A. ; Liu, Tiebin ; Freeman, Kurt A. ; Betz, Cecily ; Clayton, Gerald H. ; Castillo, Heidi ; Castillo, Jonathan ; Tu, Duong ; Van Speybroeck, Alexander ; Walker, William O. ; Less -
Description:
BACKGROUND: Ethnic disparities in continence rates in spina bifida (SB) have been studied regionally but not nationally. National SB Patient Registry (NSBPR) data were analyzed to explore differences in prevalence of bowel and bladder continence and interventions between Hispanics/Latinos and others. METHODS: Participants 5 to 21 years were categorized into Hispanic/Latino and non-Hispanic/non-Latino. Bladder/bowel continence was defined as dry/no involuntary stool leakage during the day or none/⩽ monthly incontinence. Chi-square test, Wilcoxon Two Sample Test, and generalized estimating equation (GEE) were used for statistical analysis. RESULTS: Twenty-five percent of the 4,364 patients were Hispanic/Latino. At their most recent clinic visit, Hispanics/Latinos demonstrated lower rates of urinary continence (38.6% vs. 44.9%; p = 0.0003), bowel continence (43.9% vs. 55.8%, p < 0.0001), private insurance (p < 0.0001), bowel (p < 0.0001) or bladder surgeries (p = 0.0054), and more vesicostomies (p = 0.0427) compared to others. In multiple GEE models, Hispanic/Latino participants demonstrated lower odds of bowel continence as compared to non-Hispanic/non-Latino participants (estimated odds ratio, 0.82, 95% CI, 0.72–0.94, p = 0.0032). CONCLUSIONS: After controlling for covariates, Hispanics/Latinos with SB are less likely to report bowel continence. Clinicians are encouraged to consider the risk of negative health disparities for Hispanic patients with SB and work to mitigate this risk.
Subject:
[+]
Adolescent
Article
Child
Child, Preschool
Continence
Ethnic Groups
Fecal Incontinence
Female
Health Disparities
Hispanic
Humans
Latino
Male
Myelomeningocele
Prevalence
Spina Bifida
Spinal Dysraphism
Urinary Incontinence
Young Adult

Source:
J Pediatr Rehabil Med. 12(4):361-368
Pubmed ID:
31744028
Pubmed Central ID:
PMC7875209
Document Type:
Journal Article ;
Funding:
CC999999/ImCDC/Intramural CDC HHS/United States ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:673035a1368409b9aa1b3fe854094cbbddcc909c2140d68fc72abd4b265f040a
File Type:

Supporting Files

• nihms-1629679.nxml

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