{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T12:11:10Z","timestamp":1781093470017,"version":"3.54.1"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>This paper explores Black women's perspectives on bladder health using a social\u2010ecological conceptual framework and life course perspective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a directed content analysis of data from the Study of Habits, Attitudes, Realities, and Experiences (SHARE), a focus group study by the Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium. Analysis was conducted on data from five focus groups and a member\u2010checking session where all participants self\u2010identified as Black or African American.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010two participants aged 11\u201314 or 45+ years reported life course experiences with their bladder. The intersection of race and gender was the lens through which participants viewed bladder health. Participants' accounts of their perspectives on bladder health explicitly and implicitly revealed structural racism as an explanatory overarching theme. Participants described (a) historically\u2010rooted and still pervasive practices of discrimination and segregation, engendering inequitable access to quality medical care and public facilities, (b) institutional barriers to toileting autonomy in educational and occupational settings, promoting unhealthy voiding habits, (c) internalized expectations of Black women's stereotyped role as family caregiver, compromising caregiver health, (d) lack of reliable information on bladder health, leading to unhealthy bladder behaviors, and (e) potentially stress\u2010related comorbid chronic conditions and associated medication use, causing or exacerbating bladder problems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Bladder health promotion interventions should address social\u2010ecological and life course factors shaping Black women's bladder health, including social and structural barriers to accessing equitable health information and medical care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25437","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T13:30:08Z","timestamp":1709818208000},"page":"849-861","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Black women's perspectives on bladder health: Social\u2010ecological and life course contexts"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4535-9781","authenticated-orcid":false,"given":"Beverly R.","family":"Williams","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Gerontology, Geriatrics, and Palliative Care University of Alabama at Birmingham Heersink School of Medicine Birmingham Alabama USA"},{"name":"Department of Veterans Affairs, Birmingham\/Atlanta Geriatric Research Education, and Clinical Center Birmingham Alabama 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