Extract

Introduction

In the United States, women commonly report pain in connection with sexual intercourse1-4. Researchers have found that racial disparities exist among women, when examining various types of pain, including vulvar pain5-9. White and black sexually active women who reported pain frequently did not seek treatment, and those who did, were commonly undiagnosed of a health condition9-11. In addition, women often did not discuss their pain with partners3, yet little is known about discussions with their health care providers.

Objective

To describe the prevalence and characteristics of pain reported during respondents’ last sexual encounter and discussions about sexual pain with health care providers, among U.S. white and black, Non-Hispanic women ages 18-49.

Methods

Data were analyzed from a subset of white (n= 1079) and black (n= 575) non-Hispanic women who participated in the 2018 National Survey of Sexual Health Behavior (NSSHB), a nationally representative probability survey of Americans ages 14+. NSSHB recruits from the KnowledgePanel of GfK Research (Menlo Park, CA), and survey weights were applied to all analyses to ensure that sample demographics aligned with the Current Population Survey. For analysis, we described and compared white and black women (weighted sample: 1136 white, 272 black) using chi-square tests to identify statistically significant differences (p-value<0.05) in the following measures of interest: visiting a health care provider in the last year, pain reported during respondents’ last sexual encounter, and discussions with their health care provider.

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