Help-Seeking Behaviour and Associated Factors among Women with Urinary Incontinence in France, Germany, Spain and the United Kingdom

O'Donnell, M; Lose, Gunnar; Sykes, David; Voss, Simon; Hunskaar, Steinar

doi:10.1016/j.eururo.2004.09.014

Cited by 111 publications

(111 citation statements)

References 14 publications

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“…Second, exclusion of women who had visited a doctor for UI may cause a selection bias, as it has been shown that severity of UI is associated with help seeking. 23 Among the excluded women 72% had slight UI compared with 89% among included women. However, the number of excluded women was very small (n = 32), with very limited potential impact on the final results, as only one of the excluded women had severe UI.…”

Section: Discussionmentioning

confidence: 95%

Type and severity of new‐onset urinary incontinence in middle‐aged women: The Hordaland women's cohort

Jahanlu

Hunskaar

2010

Neurourology and Urodynamics

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Section: Discussionmentioning

confidence: 95%

Type and severity of new‐onset urinary incontinence in middle‐aged women: The Hordaland women's cohort

Jahanlu

Hunskaar

2010

Neurourology and Urodynamics

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“…In Europe, a multi-center study (17) carried out in France, Germany, Spain and the United Kingdom sent 29,500 questionnaires by mail and found that 2,953 women had UI. Another important study EPINCONT (18) also carried out Paulo, a total index of 10.1% was found: 6.1% had wet OAB and 4% dry OAB.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Urinary Incontinence in a Random Sample of the Urban Population of Pouso Alegre, Minas Gerais, Brazil

Santos

2010

Rev. Latino-Am. Enfermagem

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This study determines and analyzes the prevalence of Urinary Incontinence (UI) and its demographic and clinical predictors. This epidemiological and cross-sectional study was approved by the Research Ethics Committee of the University of São Paulo, Nursing School.The sample was randomly selected by cluster technique and included 519 individuals aged ≥18 years, living in 341 houses in urban areas. Data were analyzed through Chi-Square, Hosmer Lemeshow's test and multivariate logistic regression (stepwise). Prevalence rates were standardized by gender and age. Of the 519 people composing the sample: 20.1% had UI, 32.9% were women and 6.2% were men. Longer duration of losses (OR = 29.3; p<0.001), diabetes mellitus (OR = 17.7; p<0.001), stroke (OR = 15.9; p<0.001), and cystocele (OR = 12.5; p <0.001) were the factors most strongly associated with UI. This study enabled the identification of UI epidemiology and can contribute to the development of public policies for its primary and secondary prevention and treatment, even if such measures are initially implemented at the city level. Descritores: Incontinência Urinária; Epidemiologia; Enfermagem. Prevalencia de la incontinencia urinaria en muestra aleatoria de la población urbana de Pouso Alegre, Minas Gerais, BrasilEl estudio tiene por objetivo conocer la prevalencia de la incontinencia urinaria (IU), de los factores de predicción demográficos y clínicos de la presencia de IU. Se trata de un estudio epidemiológico de corte transversal, aprobado por el Comité de Ética de la Escuela de Enfermería de la Universidad de Sao Paulo. Muestreo estratificado por conglomerado compuesto de 519 individuos con edad ≥18 años, residentes en 341 domicilios del área urbana, sorteados aleatoriamente. Las pruebas utilizadas fueron Chi-cuadrado, HosmerLemeshow y regresión logística multivariante (stepwise). Las prevalencias de IU fueron estandarizadas por sexo y edad, en una muestra de 519 personas, siendo 20,1 % en la población general -32,9% eran mujeres y 6,2% hombres. Los factores más fuertemente asociados a la IU fueron: mayor tiempo de pérdidas (OR=29,3; p<0,001), diabetes mellitus (OR=17,7; p<0,001), accidente vascular encefálico (OR=15,9; p<0,001) y cistocele (OR=12,5; p<0,001). El estudio permitió conocer la epidemiologia de la IU y puede contribuir para el desarrollo de políticas públicas para su prevención primaria y secundaria, su tratamiento, inclusive considerando su inicio en el ámbito municipal.

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“…Both groups of women do not seek help because they are unaware of the treatment possibilities. [9][10][11] To the best of our knowledge, no qualitative study has been conducted on help-seeking behaviour for pelvic floor symptoms in women with gynaecological cancer. The perception by patients and physicians of post-treatment morbidity has been found repeatedly not to be in accordance.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, less than one-half of women with stress urinary incontinence seek help. [9][10][11] This is unfortunate as there are several highly effective treatments for stress incontinence. [12][13][14] Community-based studies have shown that embarrassment, lack of knowledge about the causes, unfamiliarity with treatment options and the presence of concomitant symptoms are reasons for not seeking medical treatment.…”

Section: Introductionmentioning

confidence: 99%

Reasons for not seeking medical help for severe pelvic floor symptoms: a qualitative study in survivors of gynaecological cancer

Hazewinkel¹,

Sprangers

Taminiau-Bloem

et al. 2009

BJOG

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Objective (1) To explore the reasons for not seeking help for severe pelvic floor symptoms after gynaecological cancer treatment. (2) To determine the willingness to undergo treatment for these symptoms. (3) To invite suggestions to improve outpatient care.Design Qualitative study using semistructured interviews.Setting Vulvar, endometrial or cervical cancer survivors treated in the Academic Medical Centre, Amsterdam, the Netherlands between1997 and 2007.Population Purposively selected sample from 138 eligible respondents to pelvic floor-related questionnaires, who were severely bothered by their symptoms (>75th percentile of domain sum score of questionnaires) and had not sought medical help.Methods After each semistructured interview, a checklist with reasons for not seeking help was complemented with newly mentioned reasons. The interviews were stopped when data saturation was accomplished, i.e. three consecutive interviewees had not revealed new reasons. The interviews were analysed by two researchers independently.Main outcome measure Help-seeking behaviour for bothersome pelvic floor symptoms.Results Fifteen interviews were conducted. Most reported reasons for not seeking help were that women found their symptoms bearable in the light of their cancer diagnosis and lacked knowledge about possible treatments. Seven women were willing to undergo treatment. Eleven women stated that care should be improved, specifically by timely referral to pelvic floor specialists and additional care by oncology nurses.Conclusions There is a need for standardised attention to adverse effects on pelvic floor function after cancer treatment. This could be realised by quantifying symptoms using questionnaires, standardised attention for such symptoms by gynaecological oncologists or oncology nurses, and timely referral to pelvic floor specialists of women with bothersome pelvic floor symptoms.Keywords Cancer survivors, help-seeking behaviour, pelvic floor symptoms, post-treatment care, qualitative methods.Please cite this paper as: Hazewinkel M, Sprangers M, Taminiau-Bloem E, van der Velden J, Burger M, Roovers J. Reasons for not seeking medical help for severe pelvic floor symptoms: a qualitative study in survivors of gynaecological cancer.

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Help-Seeking Behaviour and Associated Factors among Women with Urinary Incontinence in France, Germany, Spain and the United Kingdom

Cited by 111 publications

References 14 publications

Type and severity of new‐onset urinary incontinence in middle‐aged women: The Hordaland women's cohort

Type and severity of new‐onset urinary incontinence in middle‐aged women: The Hordaland women's cohort

Prevalence of Urinary Incontinence in a Random Sample of the Urban Population of Pouso Alegre, Minas Gerais, Brazil

Reasons for not seeking medical help for severe pelvic floor symptoms: a qualitative study in survivors of gynaecological cancer

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