Help-seeking Behavior for Nonsevere Stress Urinary Incontinence Among Elderly Women in Communities, Beijing, China

Overview

Journal Int Urogynecol J

Publisher Springer

Specialties Gynecology & Obstetrics
Urology

Date 2023 Jun 10

PMID 37300566

Authors

Di Zhang

Xiaohui Sun

Hongmei Zhu

Haibo Wang

Xiuli Sun

Jianliu Wang

Affiliations

Soon will be listed here.

Abstract

Introduction And Hypothesis: Stress urinary incontinence (SUI) is a common health problem and influences women's quality of life significantly. In order to enhance health education according to a specific situation, it is essential to identify barriers to seeking help among elderly women with nonsevere SUI. The objectives were to investigate reasons for (not) seeking help for nonsevere SUI among women aged ≥60 years, and to analyze factors affecting help-seeking behavior.

Methods: We enrolled 368 women aged ≥60 years with nonsevere SUI from communities. They were asked to filled out sociodemographic information, International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), Incontinence Quality of Life (I-QOL), and self-constructed questiones on help-seeking behavior. Mann-Whitney U tests were used to analyze the different factors between seeking group and nonseeking group.

Results: Only 28 women (7.61%) had ever sought help from health professionals for SUI. The most frequent reason for seeking help was urine-soaked clothes (67.86%, 19 out of 28). The most frequent reason for not seeking help was that women thought it was normal (67.35%, 229 out of 340). Compared with the nonseeking group, the seeking group had higher total ICIQ-SF scores and lower total I-QOL scores.

Conclusion: Among elderly women with nonsevere SUI, the rate of seeking help was low. Lack of correct perception about the SUI kept women from doctor visits. Women who were bothered by more severe SUI and lower quality of life were more likely to seek help.

References

Islam R, Bell R, Hossain M, Davis S . Types of urinary incontinence in Bangladeshi women at midlife: Prevalence and risk factors. Maturitas. 2018; 116:18-23. DOI: 10.1016/j.maturitas.2018.07.012. View

Brown J, Grady D, Ouslander J, Herzog A, Varner R, Posner S . Prevalence of urinary incontinence and associated risk factors in postmenopausal women. Heart & Estrogen/Progestin Replacement Study (HERS) Research Group. Obstet Gynecol. 1999; 94(1):66-70. DOI: 10.1016/s0029-7844(99)00263-x. View

Astrom Y, Asklund I, Lindam A, Sjostrom M . Quality of life in women with urinary incontinence seeking care using e-health. BMC Womens Health. 2021; 21(1):337. PMC: 8454026. DOI: 10.1186/s12905-021-01477-0. View

Duralde E, Rowen T . Urinary Incontinence and Associated Female Sexual Dysfunction. Sex Med Rev. 2017; 5(4):470-485. DOI: 10.1016/j.sxmr.2017.07.001. View

Lee H, Rhee Y, Choi K . Urinary incontinence and the association with depression, stress, and self-esteem in older Korean Women. Sci Rep. 2021; 11(1):9054. PMC: 8079410. DOI: 10.1038/s41598-021-88740-4. View

Capobianco G, Madonia M, Morelli S, Dessole F, DE Vita D, Cherchi P . Management of female stress urinary incontinence: A care pathway and update. Maturitas. 2018; 109:32-38. DOI: 10.1016/j.maturitas.2017.12.008. View

Elbiss H, Osman N, Hammad F . Social impact and healthcare-seeking behavior among women with urinary incontinence in the United Arab Emirates. Int J Gynaecol Obstet. 2013; 122(2):136-9. DOI: 10.1016/j.ijgo.2013.03.023. View

Shaw C, Gupta R, Williams K, Assassa R, McGrother C . A survey of help-seeking and treatment provision in women with stress urinary incontinence. BJU Int. 2006; 97(4):752-7. DOI: 10.1111/j.1464-410X.2006.06071.x. View

Teunissen D, van Weel C, Lagro-Janssen T . Urinary incontinence in older people living in the community: examining help-seeking behaviour. Br J Gen Pract. 2005; 55(519):776-82. PMC: 1562332. View

10.

Pakgohar M, Sabetghadam S, Vasegh Rahimparvar S, Kazemnejad A . Quality of life (QoL) and help-seeking in postmenopausal women with urinary incontinence (UI): A population based study. Arch Gerontol Geriatr. 2014; 59(2):403-7. DOI: 10.1016/j.archger.2014.07.004. View

11.

Fakari F, Hajian S, Darvish S, Alavi Majd H . Explaining factors affecting help-seeking behaviors in women with urinary incontinence: a qualitative study. BMC Health Serv Res. 2021; 21(1):60. PMC: 7805109. DOI: 10.1186/s12913-020-06047-y. View

12.

Wang C, Wan X, Wang K, Li J, Sun T, Guan X . Disease stigma and intentions to seek care for stress urinary incontinence among community-dwelling women. Maturitas. 2014; 77(4):351-5. DOI: 10.1016/j.maturitas.2014.01.009. View

13.

Wu C, Wang K, Sun T, Xu D, Palmer M . Predicting help-seeking intention of women with urinary incontinence in Jinan, China: a theory of planned behaviour model. J Clin Nurs. 2014; 24(3-4):457-64. DOI: 10.1111/jocn.12623. View

14.

Schussler B, Alloussi S . [Ingelman-Sundberg classification of stress incontinence]. Gynakol Rundsch. 1983; 23(3):166-74. View

15.

Avery K, Donovan J, Peters T, Shaw C, Gotoh M, Abrams P . ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004; 23(4):322-30. DOI: 10.1002/nau.20041. View

16.

Patrick D, Martin M, Bushnell D, Yalcin I, Wagner T, Buesching D . Quality of life of women with urinary incontinence: further development of the incontinence quality of life instrument (I-QOL). Urology. 1999; 53(1):71-6. DOI: 10.1016/s0090-4295(98)00454-3. View

17.

Huang L, Zhang S, Wu S, Ma L, Deng X . The Chinese version of ICIQ: a useful tool in clinical practice and research on urinary incontinence. Neurourol Urodyn. 2008; 27(6):522-4. DOI: 10.1002/nau.20546. View

18.

Wang Y, Chen W, Li W . To Compare the Effects of two Pelvic Floor Muscle Treatments on Quality of Life and Sexual Function in Female Patients With Urinary Incontinence. Sex Med. 2022; 10(5):100561. PMC: 9537268. DOI: 10.1016/j.esxm.2022.100561. View

19.

Chen J, Li B, Peng L, Shen H, Luo D . Autologous pubovaginal sling for recurrent stress urinary incontinence after two or more failed synthetic midurethral sling. Eur J Obstet Gynecol Reprod Biol. 2022; 272:213-216. DOI: 10.1016/j.ejogrb.2022.03.024. View

20.

Cheng H, Gong F, Shen Y, Ouyang P, Ni R, Gao H . A nomogram model predicting the risk of postpartum stress urinary incontinence in primiparas: A multicenter study. Taiwan J Obstet Gynecol. 2022; 61(4):580-584. DOI: 10.1016/j.tjog.2022.04.004. View