Help-seeking behaviour for pelvic floor dysfunction in women over 55: drivers and barriers

Tinetti, Amy; Weir, Nicole; Tangyotkajohn, Usanee; Jacques, Angela; Thompson, Judith; Briffa, Kathy

doi:10.1007/s00192-018-3618-2

Cited by 42 publications

(49 citation statements)

References 25 publications

(39 reference statements)

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“…Indeed, relationship status was positively associated with help-seeking in women but not men. Again, this could reflect gender-role socialisation in that heterosexual women are encouraged to maintain harmony within their relationship (Stoppard and McMullen 2003), and one way to do this is to put the relationship first. Similarly, women from three countries, compared to (a very small percentage of) men from one country cited a reason for seeking professional help as fear of their partner seeking another sexual partner.…”

Section: Discussionmentioning

confidence: 99%

“…Some patients consider their primary care physician a generalist rather than a specialist, and for this reason older adults do not see them as an appropriate source of help for sexual issues (Sarkadi and Rosenqvist 2001). This is an important finding as other studies have identified that the primary care physician would be the first port of call for older adults who wanted help for a sexual difficulty (Gott and Hinchliff 2003b;Tinetti et al 2018). Other reasons why older adults do not seek help for a sexual difficulty include viewing the problem as a "normal" part of ageing (Moreira et al 2005;Tinetti et al 2018), feeling comfortable with how things are, waiting to see if it got better on its own, and not viewing the difficulty as serious (Moreira et al 2005).…”

Section: Seeking and Receiving Helpmentioning

confidence: 99%

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Seeking help for sexual difficulties: findings from a study with older adults in four European countries

et al. 2019

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Sexual well-being is an important part of life for many people aged 60 and older. However, older adults often face barriers to seeking and receiving help for sexual difficulties. This study used data from a probability survey (n = 3820) on sexuality and ageing to examine help-seeking in 60-75-year-olds in Norway, Denmark, Belgium, and Portugal. More men (12.2%) than women (6.8%) had sought professional help for a sexual difficulty in the past 5 years. The main reason for help-seeking was that sex was important to the participant and/or their relationship. The main source of professional help was the primary care physician. Of those who had sought professional help, 48% were satisfied or very satisfied with the help received, 31.6% were neither satisfied nor dissatisfied, and 20.4% were dissatisfied or very dissatisfied. Others had sought help from informal sources, particularly partners, friends, or websites. The main reasons for not seeking professional help included not being distressed by the symptoms, and thinking that the difficulty would clear up on its own. Multivariable regression analysis revealed that significant correlates of seeking professional help for women and men were level of distress about the sexual difficulty. With regard to women, those who were married, and/or from Portugal were more likely to have sought help. And regarding men, those who attended religious services were more likely to have sought professional help. These results have important implications for healthcare and can be used to inform the development and delivery of services for older adults who experience sexual difficulties.

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Section: Discussionmentioning

confidence: 99%

Section: Seeking and Receiving Helpmentioning

confidence: 99%

Seeking help for sexual difficulties: findings from a study with older adults in four European countries

et al. 2019

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“…This suggestion of broad potential reach, especially among women who already use the Internet for health information and among women with a higher BMI, is especially important because obesity is a barrier to care seeking for incontinence. 18 Given that stigma is a known barrier to seeking medical health care for bowel 19,20 and bladder incontinence, 21,22 it is not surprising that the desire for privacy drove women's preference for the online format. Respondents offered suggestions to improve accountability and skill building and to incorporate an interactive forum option to overcome some of the disadvantages of an online program.…”

Section: Discussionmentioning

confidence: 99%

Reasons Behind Preferences for Community-Based Continence Promotion

Brown

Wise

LeCaire³

et al. 2020

Female Pelvic Med Reconstr Surg

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Objectives-This study aimed to understand the potential reach of continence promotion intervention formats among incontinent women. Methods-The Survey of the Health of Wisconsin conducts household interviews on a population-based sample. In 2016, 399 adult women were asked about incontinence and likelihood of participation in continence promotion via 3 formats: single lecture, interactive 3-session workshop, or online. Descriptive analyses compared women likely versus unlikely to participate in continence promotion. To understand format preferences, modified grounded theory was used to conduct and analyze telephone interviews. Results-One hundred eighty-seven (76%) of 246 incontinent women reported being likely to attend continence promotion: 111 (45%) for a single lecture, 43 (17%) for an interactive 3-session workshop, and 156 (64%) for an online program. Obesity, older age, nonwhite race, prior health program participation, and Internet use for health information were associated with reported continence promotion participation. Cited advantages of a single lecture included convenience and ability to ask questions. A workshop offered accountability, hands-on learning, and opportunity to learn from others; online format offered privacy, convenience, and self-directed learning.

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“…This could explain the higher percentage of women with FSFI scores indicating sexual dysfunction (63.3%). According to the literature, increased level of symptom bother is the main factor for seeking medical help among women with PFD [25]. Tinetti et al reported sexual dysfunction in as many as 77.9% of women with PFD aged over 55 years [25].…”

Section: Discussionmentioning

confidence: 99%

Identification of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire—IUGA Revised (PISQ-IR) Cutoff Scores for Impaired Sexual Function in Women with Pelvic Floor Disorders

Grzybowska

Futyma

Wydra

2019

JCM

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The aim of this cross-sectional study was to determine the cutoff scores for sexual dysfunction in disease-specific Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-IUGA Revised (PISQ-IR) for women with pelvic floor disorders (PFD). Medical history and urogynecological data of 521 women with PFD were collected. The subjects provided information about their sexual activity and completed Female Sexual Function Index (FSFI) and PISQ-IR questionnaires. Sexually active (SA) women were further analyzed and categorized using their FSFI scores: <26.55-sexual dysfunction, >26.55-no sexual dysfunction. Receiver operating characteristics (ROC) curve tested how well PISQ-IR allowed to discriminate between patients with and without sexual disorders. Area under curve (AUC) was calculated to measure the PISQ-IR Summary Score efficiency in the prediction. The cutoff values which minimalize (1-specifity) and maximize sensitivity were selected. In the analyzed cohort, 250 (48%) women were SA and a total of 226 SA were recruited for the study: 143 (63.3%) with <26.55 FSFI and 83 (36.7%) with >26.55 FSFI (response rate: 90.4%). Using ROC curve analysis, PISQ-IR Summary Score of 2.68 was determined to be the optimal cutoff for distinguishing between dysfunctional and nondysfunctional women (AUC = 0.85), allowing to diagnose sexual dysfunction in SA women with PFD, with 90% sensitivity and 71% specificity.

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Help-seeking behaviour for pelvic floor dysfunction in women over 55: drivers and barriers

Cited by 42 publications

References 25 publications

Seeking help for sexual difficulties: findings from a study with older adults in four European countries

Seeking help for sexual difficulties: findings from a study with older adults in four European countries

Reasons Behind Preferences for Community-Based Continence Promotion

Identification of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire—IUGA Revised (PISQ-IR) Cutoff Scores for Impaired Sexual Function in Women with Pelvic Floor Disorders

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