Predictors and reasons for help-seeking behavior among women with urinary incontinence

Pedersen, Louise Schreiber; Lose, Gunnar; Høybye, Mette Terp; Jürgensen, Martina; Waldmann, Annika; Rudnicki, Martin

doi:10.1007/s00192-017-3434-0

Cited by 30 publications

(41 citation statements)

References 28 publications

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“…In contrast to the non-help-seekers (28.4%), most of the help-seekers (85.7%) thought that without help their UI would remain the same or deteriorate post-partum. This is consistent with Schreiber et al who reported that women who are afraid that their UI will get worse are triggered to seek help [22].…”

Section: Principal Findingssupporting

confidence: 90%

Urinary incontinence during pregnancy: prevalence, experience of bother, beliefs, and help-seeking behavior

Moossdorff-Steinhauser

Berghmans

Spaanderman

et al. 2020

Int Urogynecol J

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Introduction and hypothesis Pregnancy and delivery are thought to induce urinary incontinence (UI), but its clinical impact is less known. Therefore, we investigated the prevalence of self-reported UI, level of experience of bother, and beliefs to gain a greater understanding of help-seeking behavior in adult pregnant women. Methods A digital survey shared on social media was used for recruitment. The survey consists of: (1) demographic variables, (2) International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), (3) ICIQ Lower Urinary Tract Symptoms Quality of Life (ICIQ-LUTSqol), and (4) questions on beliefs and help-seeking behavior. For analysis, descriptive statistics and the independent samples t-test were used to determine differences between help- and non-help-seekers. Results Four hundred seven women were eligible for data analysis. The prevalence of UI rises from 55.1% in the first to 70.1% in the third trimester, with an overall prevalence of 66.8%. Nearly 43.0% of the respondents reported UI occurring once a week or less; 92.5% of women lost a small amount; 90% reported slight to moderate impact on quality of life. Only 13.1% of the respondents sought help for their UI. The main reasons for not seeking help were: minimal bother and the idea that UI would resolve by itself. Help-seeking women showed significantly higher scores than non-help-seeking women regarding ICIQ-UI SF (p < 0.001), ICIQ-LUTSqol (p ≤ 0.001), and interference in daily life (p < 0.001). Conclusions During pregnancy, UI affects two out of three women, but only one in eight women sought professional help. Non-help-seeking women experience less bother.

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Section: Principal Findingssupporting

confidence: 90%

Urinary incontinence during pregnancy: prevalence, experience of bother, beliefs, and help-seeking behavior

Moossdorff-Steinhauser

Berghmans

Spaanderman

et al. 2020

Int Urogynecol J

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“…In addition, the present study found that scores on the IIQ‐7 and for the physical activity, traveling, social relations and mental health domains were lower for individuals who did not see a doctor because they thought that urinary leakage was normal. In other studies, individuals with higher scores on life quality scales that indicate their life is negatively affected by UI more often see a doctor . Thus, in the present study, although individuals whose QoL was negatively affected by UI visited a doctor, those who were less affected believed that UI is a natural result of aging.…”

Section: Discussionsupporting

confidence: 44%

“…In other studies, individuals with higher scores on life quality scales that indicate their life is negatively affected by UI more often see a doctor. 10,25,[30][31][32][33][34] Thus, in the present study, although individuals whose QoL was negatively affected by UI visited a doctor, those who were less affected believed that UI is a natural result of aging.…”

Section: Discussionmentioning

confidence: 86%

Factors affecting doctor visits of postmenopausal women with urinary incontinence

Bıyık

Kucuk

Arpaci

et al. 2019

LUTS

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Objective This study analyzed the reasons for avoiding visiting a doctor among women aged ≥50 years with urinary incontinence (UI), as well as factors influencing visits to the doctor. Methods In all, 402 women aged ≥50 years who were enrolled in Bursa healthcare centers, 150 with UI and 252 without UI, participated in the study. This study was conducted between January 2018 and August 2018. Participants were asked to complete the International Consultation on Incontinence Questionnaire – Short Form (ICIQ‐SF) questionnaire. Quality of life was evaluated using the Incontinence Impact Questionnaire, Short Form (IIQ‐7) questionnaire. Results The prevalence of UI was 37%. Of the women with UI, 52 (34.67%) visited a doctor for complaints. The most frequent reason for seeing a doctor because of UI was that it had started to affect activities of daily living. The most frequent reason for avoiding visiting a doctor was the belief that UI was normal. Scores on the ICIQ‐SF were higher among women who visited a doctor. Physical activity, social relationships, and mental health scores on the IIQ‐7 were also higher among patients who visited a doctor. Conclusions Patients who suffer from severe UI and whose quality of life is affected more negatively are more likely to visit a doctor. Women who believe that UI is normal are less likely to visit a doctor. Awareness about UI should be increased in order to increase the rate of visiting a doctor for this condition.

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“…Therefore, a possible explanation for our finding is that women with diabetes and severe UI might have been excluded from the current study due to having experience of treatment, such as medication and/or surgery for UI, which was one of the exclusion criteria for our study. It is well established in the literature that the severity of UI in women is significantly associated with seeking treatment [ 16 ]. Since the severity of UI was not examined in our study, more studies investigating the association between DM and UI in older women are needed.…”

Section: Discussionmentioning

confidence: 99%

Sex Differences in Lower Urinary Tract Symptoms in Older Korean Adults Living in Rural Areas: Prevalence, Quality of Life, and Associated Factors

et al. 2018

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PurposeUrinary incontinence (UI) is associated with nursing home admission, functional decline, and risk of death among community-dwelling older adults. Little information, however, is available on sex differences in lower urinary tract symptoms (LUTS) in older Korean adults exclusively living in rural areas. This study examined sex-related differences in LUTS, factors associated with UI in older adults living in rural areas, and health-related quality of life (HRQoL) in incontinent older adults.MethodsThis was a cross-sectional study in which face-to-face interviews were conducted at 15 rural community-health centres. A total of 323 older adults aged ≥65 years from rural areas of Korea participated. LUTS prevalence was evaluated and HRQoL was measured using the King’s Health Questionnaire. The chi-square test and t -test were used to examine sex differences in characteristics, LUTS, and HRQoL. Multivariable logistic regression was used to identify risk factors associated with UI.ResultsNocturia was the most prevalent symptom, affecting 87% of men and 86% of women. Women (53%) had significantly more UI of any kind than did men (35%) (P=0.007). Urgency UI was the most frequent type of UI in men, whereas stress UI was the most frequent in women. Regarding HRQoL, men had significantly higher scores in the domains of sleep/energy disturbances (P=0.032) than did women, and women reported greater effects from the severity of incontinence (P=0.001) than did men. Arthritis was the only factor associated with UI in men (odds ratio [OR], 6.88; 95% confidence interval [CI], 1.46–32.36). However, women with diabetes mellitus were less likely to have UI than those without (OR, 0.43; 95% CI, 0.23–0.82).ConclusionsLUTS were found to be highly prevalent in community-dwelling older Korean adults in rural areas. Interventions to improve sleep and to reduce UI severity are needed for incontinent men and women, respectively.

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Predictors and reasons for help-seeking behavior among women with urinary incontinence

Cited by 30 publications

References 28 publications

Urinary incontinence during pregnancy: prevalence, experience of bother, beliefs, and help-seeking behavior

Urinary incontinence during pregnancy: prevalence, experience of bother, beliefs, and help-seeking behavior

Factors affecting doctor visits of postmenopausal women with urinary incontinence

Sex Differences in Lower Urinary Tract Symptoms in Older Korean Adults Living in Rural Areas: Prevalence, Quality of Life, and Associated Factors

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