Coping strategies and health care—seeking behavior in a US national sample of adults with symptoms suggestive of overactive bladder

Ricci, Judith A.; Baggish, Jeffrey S.; Hunt, Timothy; Stewart, Walter F.; Wein, Alan J.; Herzog, A. Regula; Diokno, Ananias C.

doi:10.1016/s0149-2918(01)80104-1

Cited by 115 publications

(93 citation statements)

References 18 publications

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“…Many of the subjects (87%) with OAB wanted to be treated for their condition, which is in accordance with the impression that OAB patients are under-treated (2,8,14,15). Voiding disorders are still difficult to talk about for many patients.…”

Section: Discussionsupporting

confidence: 57%

Validation of a simple patient questionnaire to assist self-detection of overactive bladder A study in general practice

Seim

Talseth

Haukeland³

et al. 2004

Scandinavian Journal of Primary Health Care

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Section: Discussionsupporting

confidence: 57%

Validation of a simple patient questionnaire to assist self-detection of overactive bladder A study in general practice

Seim

Talseth

Haukeland³

et al. 2004

Scandinavian Journal of Primary Health Care

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“…Moreover, the disease-related and patient-specific factors that drive the costs associated with OAB are not clearly understood. For example, it has been hypothesized that the presence of incontinence may increase HRU 10 ; however, there is a paucity of information on the relationship between the degree of incontinence and healthcare utilization rates among patients with OAB.…”

Section: Introductionmentioning

confidence: 99%

Assessment of treatment-seeking behavior and healthcare utilization in an international cohort of subjects with overactive bladder

Jiménez-Cidre

Costa

Ng-Mak

et al. 2014

Current Medical Research and Opinion

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Vol. 30, No. 8, 2014, 1557-1564 Article ST-0388.R1/918028 doi:10.1185ST-0388.R1/918028 doi:10. /03007995.2014 All rights reserved: reproduction in whole or part not permitted AbstractObjective:To assess the association between incontinence severity, treatment-seeking behavior, and healthcare resource utilization (HRU) among participants with overactive bladder (OAB) in eight countries. Research design and methods:A cross-sectional online survey of subjects !18 years old in Australia, Europe, and North America, who had a past OAB diagnosis and/or experienced !1 urinary incontinence (UI) episode in the preceding 12 months, were eligible to participate. Subjects contacted for the survey were primarily from a voluntary medication monitoring registry, MediGuard. Predominantly stress incontinence subjects were excluded. Incontinence severity was assessed by the number of UI episodes over 3 days and grouped as 0 ('dry'), 1-2, 3-4, and !5 UI episodes/day. Subject demographics, employment status, comorbidities, treatment-seeking behavior (past OAB diagnosis; spoken to healthcare provider [HCP]), and HRU (diagnostic tests; HCP visits in 6 months before screening) were analyzed by incontinence severity. Results:Overall, 1341 subjects with OAB (mean age 54.5 years; 70.7% female) were surveyed; 20.2%, 47.7%, 18.8%, and 13.3% of subjects reported 0, 1-2, 3-4, and !5 UI episodes/day, respectively. Employment status and comorbidities were significantly (p50.05) associated with incontinence severity. The two measures of treatment-seeking behavior were significantly (p50.05) associated with incontinence severity groups; the proportion of subjects with a past diagnosis of OAB were 35.8%, 44.8%, 52.4%, and 64.0% in the 0, 1-2, 3-4, and !5 UI episodes/day groups, respectively; and 59.0%, 63.6%, 65.9%, and 78.1% of subjects in the respective UI severity groups talked to a HCP about their OAB symptoms. Multivariate linear regression analyses showed a positive and consistent association between incontinence severity and HRU; subjects reported a mean of 2.7, 4.1, 4.4, and 7.7 diagnostic tests overall (p50.001), and a mean of 1.4, 2.2, 2.7, and 4.0 HCP visits in the 0, 1-2, 3-4, and !5 UI episodes/day groups, respectively (p50.001). A potential limitation of the study is the cross-sectional survey methodology which limits the ability to draw causal inferences from the results. Additionally, since this is a web-based survey it is possible respondents who have access to/are familiar with technology were more likely to be enrolled. Conclusions:Incontinence severity was positively associated with both treatment-seeking behavior and HRU among subjects with OAB.

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“…Ricci et al found that among individuals with OAB, no significant variation in the reported use of nonmedical measures was observed by age, education, employment, marital status, or income, but gender differences in using nonmedical coping strategies were observed. Women were considerably more likely than men to use nonmedical measures to cope with OAB symptoms [19]. Minassian et al also reported that men and women with troublesome LUTS might use different adaptive strategies to prevent or protect their involuntary urine loss [28].…”

Section: Discussionmentioning

confidence: 99%

“…Ricci et al revealed that considerably more women than men reported having consulted a health care provider about OAB [19]. However, Li et al revealed that Community-living older women (age 65 and older) with urinary incontinence problem are less likely to seek professional help than their male counterparts, but more likely to be treated after a health professional is consulted [29].…”

Section: Discussionmentioning

confidence: 99%

“…Ricci et al conducted a crosssectional household telephone survey in a US national sample of adults to evaluate coping strategies and health care-seeking behavior. They found that individuals primarily manage LUTS symptoms, especially OAB, by using nonmedical coping strategies rather than consulting health care providers [19]. In Taiwan, Yu et al revealed that only 13.0% of community-dwelling adults with OAB sought medical treatment to solve their problem, 69.0% of adults did not consider the LUTS as a bother to their daily life [20].…”

Section: Introductionmentioning

confidence: 99%

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Gender Differences in Coping Strategies for Troublesome Lower Urinary Tract Symptoms Prior to Seeking Treatment

Chen¹,

Ng²,

Chang

2014

J Gen Pract

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Objective: This study tried to explore gender differences in Lower urinary tract symptoms (LUTS) and disparities in adaptation strategies used to cope with LUTS. Materials and Methods:From July 2013 to December 2013, 184 consecutive patients who came to a tertiary center seeking medical treatment for LUTS including stress urinary incontinence (SUI), overactive bladder (OAB), and mixed urinary incontinence (MUI) were recruited in this study. OABSS, IPSS and UDI-6 were used to evaluate severities of these symptoms and IIQ-7 was used to measure the impact of these three symptoms on the quality of life. Patients' coping strategies were also compared to evaluate gender differences. Results:In total, 184 patients (81 men and 103 women) were recruited into this study. The LUTS between genders were significant. Women had significantly more SUI and MUI than that of men, but men had significantly more OAB. The LUTS in men seemed to have less impact on quality of life than in women. Preventive toileting use before going out, restricting fluid intake, or seeking treatment at primary care clinics were adaptive strategies used by both genders. However, one-third of the women used incontinence pads or performed pelvic floor exercises to prevent urine leakage and nearly one-fourth of the women avoided contact with cold water or performed urge strategies to control the urge to void.Conclusions: Gender differences in LUTS are significant. Similar LUTS also result in different impact on men and women. Women used more coping strategies than men to handle their bothersome LUTS.

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Coping strategies and health care—seeking behavior in a US national sample of adults with symptoms suggestive of overactive bladder

Cited by 115 publications

References 18 publications

Validation of a simple patient questionnaire to assist self-detection of overactive bladder A study in general practice

Validation of a simple patient questionnaire to assist self-detection of overactive bladder A study in general practice

Assessment of treatment-seeking behavior and healthcare utilization in an international cohort of subjects with overactive bladder

Gender Differences in Coping Strategies for Troublesome Lower Urinary Tract Symptoms Prior to Seeking Treatment

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