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. 2023 Oct;34(10):2565-2572.
doi: 10.1007/s00192-023-05544-y. Epub 2023 Jun 10.

Help-seeking behavior for nonsevere stress urinary incontinence among elderly women in communities, Beijing, China

Di Zhang #  1   2   3 , Xiaohui Sun #  1   2   3 , Hongmei Zhu  1   2   3   4 , Haibo Wang  5 , Xiuli Sun  6   7   8 , Jianliu Wang  1   2   3
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Help-seeking behavior for nonsevere stress urinary incontinence among elderly women in communities, Beijing, China

Di Zhang et al. Int Urogynecol J. 2023 Oct.

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.

Keywords: Elderly women; Health education; Help-seeking behavior; Stress urinary incontinence.

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