Eric Rovner led the peer-review process as the Associate Editor responsible for the paper.
The individual determinants of care-seeking among middle-aged women reporting urinary incontinence: Analysis of a 2273-woman cohort
Article first published online: 1 JUL 2013
© 2013 Wiley Periodicals, Inc.
Neurourology and Urodynamics
Volume 33, Issue 7, pages 1116–1122, September 2014
How to Cite
Fritel, X., Panjo, H., Varnoux, N. and Ringa, V. (2014), The individual determinants of care-seeking among middle-aged women reporting urinary incontinence: Analysis of a 2273-woman cohort. Neurourol. Urodyn., 33: 1116–1122. doi: 10.1002/nau.22461
Conflict of interest: none.
- Issue published online: 11 AUG 2014
- Article first published online: 1 JUL 2013
- Manuscript Accepted: 7 JUN 2013
- Manuscript Received: 8 DEC 2012
- Institute for Public Health Research (IRESP)
- female urinary incontinence;
- longitudinal study
Our main objective was to analyze individual determinants that lead middle-aged women to seek medical care for urinary incontinence (UI).
Observational longitudinal study among GAZEL cohort participants: 2,640 women aged 50–62 completed a self-administered questionnaire at baseline. Eight years later (2008) 2,273 (86%) responded to a follow-up questionnaire. Seeking care for UI was defined as any consultation for UI during the 8-year follow-up period. Individual determinants considered in the regression analysis were social and demographic characteristics, social relations, UI type and severity, and other health factors.
Among 1,192 women reporting incontinence at baseline, 24.4% had visited a physician at least once for UI during the follow-up period (56.0% of those reporting severe UI). The care-seeking rate increased with age at baseline. Multivariate analysis showed that women who reported severe UI (OR = 4.1; 95% CI 2.6–6.5), mixed UI (2.0; 1.3–3.0), or neurologic disease (1.6; 1.1–2.6), had weak social support (1.4; 1.0–2.0), or talked about their UI with close friends or family (1.5; 1.0–2.1) were more likely to seek care for UI. A model including these factors had a 78% probability of correctly differentiating women with incontinence who chose to seek care from those who did not. Our analysis could not take factors related to the organization of health services into account.
Women do not always seek care for UI, even when it is severe. Besides UI severity and type, consultation is associated with aging, weak social support, conversation about it with close friends and family, and neurologic disorders. Neurourol. Urodynam. 33:1116–1122, 2014. © 2013 Wiley Periodicals, Inc.