Effects of stigma on <scp>C</scp>hinese women's attitudes towards seeking treatment for urinary incontinence

Wang, Cuili; Li, Jingjing; Wan, Xiaojuan; Wang, Xiaojuan; Kane, Robert L; Wang, Kefang

doi:10.1111/jocn.12729

Cited by 38 publications

(42 citation statements)

References 34 publications

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“…Stigma (social rejection, social isolation and internalized shame) has also been associated with low levels of treatment-seeking. 45 Satisfaction with treatment ranges 37%-53% of participants in previous studies that evaluated UI therapies 46,47 versus 59.6% in our study. Nevertheless, almost 40% of participants were dissatisfied with their treatment.…”

Section: T a B L E 4 Participant Satisfaction With Any Treatmentmentioning

confidence: 54%

The prevalence of urinary incontinence in men and women aged 40 years or over in China, Taiwan and South Korea: A cross‐sectional, prevalence‐based study

Sumarsono¹,

Jong²,

Wang

et al. 2020

LUTS

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Objectives To assess prevalence of urinary incontinence (UI), including urgency UI (UUI), stress UI (SUI) and mixed UI (MUI) in individuals aged ≥40 years in China, Taiwan and South Korea. Method This was a post hoc analysis of a cross‐sectional, questionnaire‐based internet survey. Participants were asked questions relating to urinary symptoms, health‐related quality of life (HRQoL) and mental health (using the HRQoL 12‐item short form health survey mental health and physical domains, and the Hospital Anxiety and Depression Scale), visits to healthcare professionals (HCPs) for any reason or for urinary symptoms, treatments for urinary symptoms and treatment satisfaction. Results Of 8284 survey participants, 1818 (22%) reported any UI (men 17.3%, women 26.4%). MUI was the most prevalent (overall 9.7%, men 6.8%, women 12.6%) followed by SUI (overall 7.9%, men 5.1%, women 10.7%) and UUI (overall 4.3%, men 5.5%, women 3.2%). HRQoL, anxiety and depression scores were poor in all participants with UI; MUI was associated with the worst scores. Of the participants with UI, 46.9% visited HCPs for urinary symptoms (highest proportion [62.7%] among participants with MUI). Approximately 80% of participants with UI followed treatment, with prescribed medicine being the most common form (38.1%). Over half of participants (59.6%) were somewhat, very, or extremely satisfied with their treatment. MUI was associated with least satisfaction. Conclusion UI was associated with substantial problems, including an adverse impact on HRQoL. Medication failed to satisfy many individuals with UI. Efforts to educate the public and physicians about the impact of UI could improve diagnosis and treatment rates.

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Section: T a B L E 4 Participant Satisfaction With Any Treatmentmentioning

confidence: 54%

The prevalence of urinary incontinence in men and women aged 40 years or over in China, Taiwan and South Korea: A cross‐sectional, prevalence‐based study

Sumarsono¹,

Jong²,

Wang

et al. 2020

LUTS

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“…This may be because women in this age group ignore UI symptoms and accept it as a part of ageing. Similarly, despite the negative impacts on quality of life, the proportion of women suffering from UI who seek medical help has been reported as low in other studies . On the other hand, there was a significant difference between quality of life and help‐seeking behaviours.…”

Section: Discussionmentioning

confidence: 78%

Quality of life in climacteric Turkish women with urinary incontinence

Güvenç¹,

Kocaöz

Kök³

2016

Int J of Nursing Practice

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Urinary incontinence (UI) is a common health problem and negatively affects the quality of life of women who are afflicted. The aim of the study is to explore the prevalence and risk factors of UI among climacteric Turkish women and to examine the effects of UI on their quality of life. This cross-sectional study was conducted with 258 women aged 40-64 years who visited the outpatient clinic in Ankara, Turkey, between 15 June 2012 and 15 January 2013. The data were collected using the International Consultation on Incontinence Questionnaire Short Form and the Incontinence Quality of Life Questionnaire. This paper reveals that the overall prevalence of UI was 45.3%. Stress UI, mixed UI, and urge UI were reported by 54.7%, 22.2%, and 10.3% of the subjects, respectively. The proportion of women suffering from UI who seek medical treatment was low despite mild or moderate negative effect impacts on their quality of life. Increasing women's awareness of UI and protective measures is essential, and standard UI assessment should be added to all patient examinations.

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“…Several predisposing characteristics appear to confound help‐seeking behaviour in this study. Analogous with the related urinary incontinence literature, the relative young age of most participants and the general association of troublesome urinary symptoms, such as incontinence, with aging, are likely to be significant barriers to help seeking. Social networks are also problematic, as they largely consistent of other chronic ketamine users, many of whom, as Chu et al postulate, may also be symptomatic but not receiving treatment.…”

Section: Discussionmentioning

confidence: 99%

“…The emotional impact of KBS is considerable. Consequently, as demonstrated within the wider, related literature, feelings such as embarrassment, self‐loathing and fear of being stigmatized are known to be significant barriers to help seeking . The perception that ketamine is a “horse tranquiliser” may further exacerbate help avoidance because of concerns about particularly “deviant behaviour.” Synonymous with the wider substance misuse literature, unemployment and disorganized lifestyles are common and known to adversely affect help seeking and health care engagement .…”

Section: Discussionmentioning

confidence: 99%

Participants’ experiences of ketamine bladder syndrome: A qualitative study

Gill

Logan

John

et al. 2018

Int J of Uro Nursing

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The aim of this study is to explore recreational ketamine users’ experiences of ketamine bladder syndrome (KBS) and related health care provision issues. KBS is an emerging condition caused by chronic, recreational ketamine use, which can result in extensive, irreparable damage to the bladder and urinary tract. However, little is yet known about how patients are personally affected by the condition, their help seeking behaviour or experiences of related health care services. A qualitative study, informed by Heideggerian hermeneutics was undertaken. Twelve participants affected by KBS were purposively recruited into the study from an National Health Service (NHS) continence service and a drug support agency in South Wales, UK. Data were collected through recorded, semi‐structured interviews and analysed using a three‐step approach. Participants were predominantly younger, poly‐drug users and typically developed KBS following prolonged, habitual ketamine use. The effects of KBS were considerable and included incontinence, haematuria, profound abdominal pain and embarrassment and were exacerbated by delays in help seeking, disjointed medical care and on‐going ketamine use, which was integral to the self‐management of KBS pain. KBS has significant impact on those affected and can result in extensive, irreversible damage to the bladder and urinary tract. The condition, and its management, is further compounded by chronic poly‐drug use, chaotic lifestyles and a range of complex, related co‐morbidities, which require a collaborative, multi‐disciplinary approach. Anderson's behavioural model of health services use provides an appropriate framework for better understanding help seeking/avoidance behaviour in this cohort, which can help inform clinical practice.

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Effects of stigma on Chinese women's attitudes towards seeking treatment for urinary incontinence

Cited by 38 publications

References 34 publications

The prevalence of urinary incontinence in men and women aged 40 years or over in China, Taiwan and South Korea: A cross‐sectional, prevalence‐based study

The prevalence of urinary incontinence in men and women aged 40 years or over in China, Taiwan and South Korea: A cross‐sectional, prevalence‐based study

Quality of life in climacteric Turkish women with urinary incontinence

Participants’ experiences of ketamine bladder syndrome: A qualitative study

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