Health care discussions and treatment for urinary incontinence in U.S. women

American Journal of Obstetrics and Gynecology
Jennifer L MelvilleWayne Katon

Abstract

The objective of the study was to determine the proportions of women with urinary incontinence who had discussed their condition with a health care provider or received treatment and to identify factors associated with seeking health care. The study was a population-based, age-stratified postal survey of 6000 women aged 30 to 90 years enrolled in a large health maintenance organization in Washington state. The response rate was 64% (n = 3536) after applying exclusion criteria. Eighty percent (n = 1160) of women with urinary incontinence completed a detailed set of questions on care seeking and treatments. Fifty percent had discussed their incontinence with a health care provider, 21% reported receiving surgery or prescription medication, 10% reported performing Kegel exercises, and 48% reported wearing a pad to absorb urine daily or weekly. The following factors were significantly associated with odds of discussing urinary incontinence with a health care provider: age (50 to 69 years, adjusted odds ratio 1.5 [1.1 to 2.0]; 70 to 89 years, adjusted odds ratio 1.9 [1.4, 2.7]); duration of urinary incontinence (2 to 5 years, adjusted odds ratio 1.9 [1.3 to 2.8]; more than 5 years, adjusted odds ratio 2.8 [2.0,4.1]); severe urinary ...Continue Reading

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Citations

Nov 6, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·E A EreksonD L Myers
Sep 9, 2008·Journal of Women's Health·Jennifer L MelvilleKatherine M Newton
Feb 13, 2013·Actas urologicas españolas·M RebassaUNKNOWN Grupo de Estudio de la Incontinencia Urinaria en Mallorca
Feb 24, 2009·Primary Care·Linda FrenchSaudia Mushkbar
Sep 1, 2009·American Journal of Obstetrics and Gynecology·Jennifer L MelvilleWayne J Katon
Aug 11, 2007·American Journal of Obstetrics and Gynecology·Mary K TownsendFrancine Grodstein
Jul 6, 2013·Ciência & saúde coletiva·Rita de Cássia Altino DelarmelindoSilvia Cristina Mangini Bocchi
Sep 9, 2015·American Journal of Obstetrics and Gynecology·Erin R DuraldeAlison J Huang
Nov 12, 2015·Journal of Women's Health·Sophia Miryam Schüssler-Fiorenza RoseArnold Wald
Apr 21, 2012·Advances in Skin & Wound Care·Karen Zulkowski
Jan 21, 2017·World Journal of Gastroenterology : WJG·Nallely Saldana Ruiz, Andreas M Kaiser
Aug 4, 2018·Female Pelvic Medicine & Reconstructive Surgery·Elishia R MckayMarsha K Guess
Dec 1, 2011·Arab Journal of Urology·Ahmed S El-Hefnawy
May 28, 2019·BMC Family Practice·Chi Chiung Grace ChenSonia Dutta
Mar 6, 2016·Female Pelvic Medicine & Reconstructive Surgery·Jocelyn FitzgeraldVictoria L Handa
Apr 20, 2018·International Urogynecology Journal·Jonathan P ShepherdChristopher Chermanksy
May 1, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Giulia I LaneJulie Bynum
Sep 14, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Ismail BiyikHakan Demirci
Jan 8, 2021·Female Pelvic Medicine & Reconstructive Surgery·Elisabeth EreksonJulie P W Bynum

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