Urinary incontinence among women—which personal and professional relations are involved? A population-based study

Raasthøj, Isabella; Elnegaard, Sandra; Rosendal, Marianne; Jarbøl, Dorte Ejg

doi:10.1007/s00192-018-3804-2

Cited by 10 publications

(13 citation statements)

References 27 publications

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“…This qualitative interview study found that the experiences of others could influence the decision-making process of seeking healthcare. 11 Another study on the DaSC population examining women with symptoms of urinary incontinence found three to four times increased odds of involving the GP when involving a personal relation, 19 which is similar to the association found in this study. Conclusions on the chronological order of involvement cannot be made due to the study's questionnaire design.…”

Section: Comparison With Existing Literaturesupporting

confidence: 83%

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Is healthcare-seeking with gynaecological alarm symptoms influenced by personal and professional relations? A Danish population-based, cross-sectional study

et al. 2020

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ObjectivesTo identify the personal and professional relations of women experiencing gynaecological alarm symptoms, to analyse if involving a personal relation is related to healthcare-seeking with gynaecological alarm symptoms, and to analyse if having an available social network is associated with involvement of this relation.DesignWeb-based, population-based, cross-sectional questionnaire survey.SettingThe general population in Denmark.ParticipantsThe study invited 100 000 individuals randomly drawn from the Danish Civil Registration System. Pregnant women and women who did not answer relevant questions about social network were excluded. A total of 5053 women who experienced at least one gynaecological alarm symptom were included in the study.Primary and secondary outcomes(1) Personal and professional relations that women experiencing gynaecological alarm symptoms involve; (2) the association between involving a personal relation and healthcare-seeking; and (3) the association between having an available social network and involvement of this relation.ResultsThe general practitioner (GP) was the most involved professional relation, while the spouse/partner was the most involved personal relation. When experiencing gynaecological alarm symptoms, more than 50% of women did not involve a professional relation and 20% did not involve a personal relation. For all four gynaecological alarm symptoms, the odds of involving the GP were higher in the oldest age group. Women were two to seven times more likely to involve their GP if they had personal relation involvement. No statistically significant association was found between having an available social network and involving the GP.ConclusionInvolving a personal relation in healthcare-seeking was associated with increased involvement of the GP, who consequently was the most involved professional relation when experiencing gynaecological alarm symptoms. Spouse/partner was the most involved personal relation. The oldest age group had the highest odds of involving the GP. No association was found between having an available social network and involving the GP.

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Section: Comparison With Existing Literaturesupporting

confidence: 83%

“…This study found no significant association between having an available social network and involvement of the GP or other doctors. (24) 159 (19) 140 (18) 40 (14) 61 (21) 31 1412 (…”

Section: Open Accessmentioning

confidence: 99%

Is healthcare-seeking with gynaecological alarm symptoms influenced by personal and professional relations? A Danish population-based, cross-sectional study

et al. 2020

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“…We established patient-related outcome measures and later developed guidelines to include quality-of-life assessment in reporting treatment outcomes [1]. We already knew that many incontinent women do not seek help because they considered this a consequence of normal aging [2,3]. When we studied their care-seeking behavior, the influence of social, cultural, ethnic and religious factors was appreciated [4].…”

mentioning

confidence: 99%

“…In particular, patients usually preferred to receive care by a female urogynaecologist aged between 45 and 60 years with more than 10 years of experience [5]. Women with pelvic floor disorders were also more likely to seek care when the adverse impact on the quality of life was greater [2]. Concerns of affected women varied from worrying about body image like appearance and smell to improving sexual function, reducing pad use and becoming more physically active [6].…”

mentioning

confidence: 99%

“…When we studied their care-seeking behavior, the influence of social, cultural, ethnic and religious factors was appreciated [4]. The majority of women perceived pelvic floor disorders as an intimate medical problem and therefore preferred to consult female health care providers [4,5] without involving their partners or other family members [2]. In particular, patients usually preferred to receive care by a female urogynaecologist aged between 45 and 60 years with more than 10 years of experience [5].…”

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confidence: 99%

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Factors influencing patient decision making in Urogynaecology: You are what you know

Baeßler¹,

Rizk

2020

Int Urogynecol J

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In a recent professional conversation, a gynecological oncologist colleague exclaimed "You poor urogynaecologists! You do not know which single operation is the best because there are too many options so patients have to be counseled for ages. After your operations, recovery of function does not necessarily follow restored anatomy so women become frequently disappointed, even more so if they have a postoperative complication for a non-life-threatening condition. In contrast, my patients are simply happy if they survive after surgery". Although this seems to be the perception of our subspecialty among the gynecological community, we usually consider it a privilege having different conservative and surgical options for the management of pelvic floor disorders that we can offer to our patients. The privilege is, however, challenging for several reasons.Over the last decade, we have learned what women with pelvic floor problems know, want and expect. We established patient-related outcome measures and later developed guidelines to include quality-of-life assessment in reporting treatment outcomes [1]. We already knew that many incontinent women do not seek help because they considered this a consequence of normal aging [2,3]. When we studied their care-seeking behavior, the influence of social, cultural, ethnic and religious factors was appreciated [4]. The majority of women perceived pelvic floor disorders as an intimate medical problem and therefore preferred to consult female health care providers [4, 5] without involving their partners or other family members [2]. In particular, patients usually preferred to receive care by a female urogynaecologist aged between 45 and 60 years with more than 10 years of experience [5]. Women with pelvic floor disorders were also more likely to seek care when the adverse impact on the quality of life was greater [2]. Concerns of affected women varied from worrying about body image like appearance and smell to improving sexual function, reducing pad use and becoming more physically active [6]. Research on patients goal achievement of treatment highlighted that many women preferred to be dry but would not mind if the incontinence only improves to be able to manage their daily activities [6]. Interestingly, those studies described similar patient concerns and goals despite being reported from different countries. We do not have enough knowledge, however, about the concerns, preferences and goals of "digital-age" younger women who have alternative information resources available on the internet, blogs and youtube [7]. This group is likely to have different information-seeking patterns and health awareness compared to the baby boomers who are our main patient population with pelvic floor disorders at present. On the other hand, the baby boomers are considered to be more proactive regarding their experience with pelvic floor disorders than the preceding generation of women as they were more conscious of youth, beauty and general appearance and wished to postpone aging [8]. As longevity...

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Frauen mit Harninkontinenz leiden oft still

Bublak¹

2019

Uro-News

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Urinary incontinence among women—which personal and professional relations are involved? A population-based study

Cited by 10 publications

References 27 publications

Is healthcare-seeking with gynaecological alarm symptoms influenced by personal and professional relations? A Danish population-based, cross-sectional study

Is healthcare-seeking with gynaecological alarm symptoms influenced by personal and professional relations? A Danish population-based, cross-sectional study

Factors influencing patient decision making in Urogynaecology: You are what you know

Frauen mit Harninkontinenz leiden oft still

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