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Racial and Ethnic Health Disparities"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The connection between experiencing symptoms and identifying them as a pelvic floor disorder (PFD) among Latina women is not well understood. Self-identification of PFD is a critical first step toward timely diagnosis. This study investigated self-reported symptoms of urinary incontinence (UI), fecal incontinence (FI), and pelvic organ prolapse (POP) in community-dwelling Latina women in Los Angeles to assess whether cultural and psychosocial factors influence the self-identification of PFDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Materials<\/jats:title>\n                    <jats:p>We conducted a cross-sectional survey of community-dwelling Latina women (median age\u2009=\u200950) in Los Angeles using standardized surveys, including measures of acculturation; Latino and mainstream cultural values; knowledge, attitudes, behaviors, and beliefs about PFDs; the Pelvic Floor Distress Index-20 (PFDI-20); and measures of stress and discrimination. Descriptive statistics, univariate, and multivariate logistic regression were performed to identify variables associated with self-identification of PFDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 197 women, 19% had bothersome symptoms consistent with POP, 33% with UI, and 14% with FI. Among the 70% of women who denied having a PFD, 39% reported at least one bothersome PFD symptom on the PFDI-20. Lower independence, higher religiosity, and higher perceived stress were independently associated with a higher likelihood of PFD self-identification (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Higher values of independence were less likely in women who were unsure if they had a PFD (OR\u2009=\u20090.38; 95%CI\u2009=\u20090.17\u20130.81,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite the considerable prevalence of PFD symptoms among Latinas in Los Angeles, most do not self-identify as having a PFD. This discordance is correlated with the severity of symptoms and values of independence and religiosity or stress. Interventions to raise awareness and recognize symptoms are needed to improve self-identification and earlier detection of PFDs among Latinas.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40615-025-02421-w","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T09:50:30Z","timestamp":1750153830000},"page":"2333-2344","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self-identification of Pelvic Floor Disorder Symptoms Among Latina Women: The Roles of Knowledge, Attitude, Behaviors, Beliefs, and Psychosocial Factors"],"prefix":"10.1007","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5316-7432","authenticated-orcid":false,"given":"Temitope","family":"Rude","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Sevilla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nanjun","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priscilla","family":"Marin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Chavez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nahid","family":"Yosufi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer B.","family":"Unger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lourdes","family":"Baezconde-Garbanati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina E.","family":"Dancz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Ginsberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larissa V.","family":"Rodriguez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana C.","family":"Stern","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"issue":"1","key":"2421_CR1","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1097\/AOG.0000000000000057","volume":"123","author":"JM Wu","year":"2014","unstructured":"Wu JM, Vaughan CP, Goode PS, et al. 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