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Urinary incontinence - why refraining from treatment?: a population based study
Örebro University, Department of Clinical Medicine. Department of Urology, Örebro University Hospital, Örebro, Sweden; Centre for Evidence Based Medicine and Assessment of Medical Technology, Örebro, Sweden.ORCID iD: 0000-0002-9062-8840
Örebro University, Department of Clinical Medicine. Department of Urology, Örebro University Hospital, Örebro, Sweden; Centre for Evidence Based Medicine and Assessment of Medical Technology, Örebro, Sweden.
Örebro University, Department of Nursing and Caring Sciences.ORCID iD: 0000-0003-3702-3831
Department of Public Health, O¨ rebro County Council, O¨ rebro, Sweden.ORCID iD: 0000-0002-3888-4695
Show others and affiliations
2005 (English)In: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, E-ISSN 1651-2065, Vol. 39, no 4, p. 301-307Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate why persons with urinary incontinence (UI) refrain from seeking care and treatment.

MATERIAL AND METHODS: A population-based study was undertaken in which a public health survey and a specific UI questionnaire were sent to 15 360 randomly selected residents (age 18-79 years) of Orebro County, Sweden. For all persons reporting UI, the expressed wish for treatment or no treatment was analyzed in relation to relevant variables from both inquiry forms using binary logistic regression analysis.

RESULTS: The response rate was 64.5%. UI was reported by 2194 persons, 1724 of whom comprised the study population. A statistically significant association was found between the degree of UI and a desire for treatment. Persons who did not experience daily leakage and those who did not perceive the leakage as troublesome or having an affect on their daily life mostly stated that they did not desire treatment. Socioeconomic or other health-related factors were not associated with desiring or not desiring treatment for UI.

CONCLUSIONS: Our results show that it is the perceived severity of UI that determines whether afflicted persons desire treatment or not. Other factors, relating to seeking healthcare in general, were not found to be of importance. Interventions to identify those in need of treatment for UI should primarily be directed towards those with severe symptoms.

Place, publisher, year, edition, pages
London: Taylor & Francis , 2005. Vol. 39, no 4, p. 301-307
Keywords [en]
: Healthcare-seeking behavior, population-based study, urinary incontinence
National Category
Medical and Health Sciences Urology and Nephrology Nursing
Research subject
Medicine; Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-4540DOI: 10.1080/00365590510031129ISI: 000231453100007PubMedID: 16118105Scopus ID: 2-s2.0-27144476977OAI: oai:DiVA.org:oru-4540DiVA, id: diva2:138839
Note

Part of thesis: http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-2713

Available from: 2008-04-14 Created: 2008-04-14 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Urinary incontinence: prevalence, treatment seeking behaviour, experiences, and perceptions among persons with and without urinary leakage
Open this publication in new window or tab >>Urinary incontinence: prevalence, treatment seeking behaviour, experiences, and perceptions among persons with and without urinary leakage
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis is to describe urinary incontinence (UI) from a population perspective and to describe experiences and perceptions of UI from an individual perspective. This includes assessing the prevalence of urinary incontinence as well as describing treatment seeking and experiences of living with UI. A secondary aim was to describe the perception of UI among cultures other than the Swedish mainstream, exemplified in this case by Syrian women living in Sweden. Both quantitative and qualitative methods were used, including questionnaires and interviews.

Studies I and II were quantitative studies based on a population-based study. Together with a postal survey on general health and living conditions “Life & Health”, a questionnaire on urinary incontinence was sent out to 15 360 randomly-selected residents aged 18-79 in Orebro County, Sweden. In Study I, UI was found to affect 19%. The majority of the respondents experienced minor problems, and only 18% of those reporting UI wanted treatment. However, there was also a group who reported severe problems, but despite this 42% of them did not want treatment. Study II investigated why people with UI refrain from seeking care and treatment. It was found that the desire for treatment was regulated by the frequency of UI, being restricted from participating in various activities, the degree of inconvenience, and the type of UI.

Studies III and IV were both qualitative interview studies, describing older women’s experiences of living with UI (Study III) and Syrian women’s perceptions of UI (Study IV). There were similarities between the results of these two studies; the women described UI as a normal and expected problem, and they knew that the district nurse could prescribe incontinence protections and that treatments existed. In both studies, the women expressed difficulties in making contact with the health care service, while the women who did not speak Swedish (Study IV) also had difficulties due to different communication problems.

In conclusion, it is important that health care resources are optimized to identify and meet the needs of those who experience major problems with UI, and that there is awareness of the communication difficulties that can be present in meeting with people who speak other languages. However it is also important not to medicalize those who experience minor problems and who have the desire to manage on their own.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2009. p. 69
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 26
Keywords
UI, prevalence, impact on daily life, healthcare-seeking, cultural study
National Category
Clinical Science Surgery
Research subject
Surgery
Identifiers
urn:nbn:se:oru:diva-2713 (URN)978-91-7668-646-1 (ISBN)
Public defence
2009-02-12, Wilandersalen, M-huset, Universitetssjukhuset, 70185 Örebro, 09:00 (English)
Opponent
Supervisors
Available from: 2009-01-12 Created: 2009-01-12 Last updated: 2017-10-18Bibliographically approved

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