ArticleMenopause (New York, N.Y.)2018
Factors associated with reasons incontinent midlife women report for not seeking urinary incontinence treatment over 9 years across the menopausal transition.
Article in Menopause (New York, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- A mixed methods systematic literature review of barriers and facilitators to help-seeking among women with stigmatised pelvic health symptoms.BMC women's health · 2024Pooled it
- The Experience of Women From Underrepresented Groups With Urinary Incontinence: A Systematic Review.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2023Pooled it
- Symptom Bother Is Associated With Medical Care-Seeking for LUTS in Japanese Women: A Survey of 1800 Women.Lower urinary tract symptoms · 2026Article
- Assessing Self-Management Coping in Urinary Incontinence: Psychometric Evaluation of the UI-SMCSI in Middle-Aged Women.International urogynecology journal · 2026Article
- A Scoping Review of Quantitative Assessments of Women's Bladder Health Knowledge, Attitudes, and Beliefs.Journal of women's health (2002) · 2025Article
- Longitudinal analysis of the association between parity, mode of delivery and urinary incontinence in midlife using the SWAN cohort data.Scientific reports · 2025Article
- Innovating Care for Postmenopausal Women Using a Digital Approach for Pelvic Floor Dysfunctions: Prospective Longitudinal Cohort Study.JMIR mHealth and uHealth · 2025Article
- Addressing Health Care Access Disparities Through a Public Health Approach to Physical Therapist Practice.Physical therapy · 2024Article
- Biomechanical Integrity Score of the Female Pelvic Floor for Stress Urinary Incontinence.International urogynecology journal · 2024Observational
- A Motion-based Device Urinary Incontinence Treatment: A Longitudinal Analysis at 18 and 24 Months.International urogynecology journal · 2024Article
- Factors associated with health-seeking for urinary incontinence in Hong Kong Chinese women: a cross-sectional study.International urogynecology journal · 2024Article
- Effectiveness and predictive factors of pelvic floor muscle training in female urinary incontinence: A retrospective cohort study.Bladder (San Francisco, Calif.) · 2024Article
- Preferences for Public Health Messaging Related to Bladder Health in Adolescent and Adult Women.Journal of women's health (2002) · 2023Article
- Self-reported insomnia symptoms are associated with urinary incontinence among older Indian adults: evidence from the Longitudinal Ageing Study in India (LASI).BMC public health · 2023Article
- Need for Public Health Messaging Related to Bladder Health from Adolescence to Advanced Age.Journal of women's health (2002) · 2023Article
- Beliefs and strategies about urinary incontinence: a possible moderation role between symptoms and sexual function, and quality of life.Frontiers in psychology · 2023Article
- Female Urinary Incontinence Evidence-Based Treatment Pathway: An Infographic for Shared Decision-Making.Journal of women's health (2002) · 2022Review
- Risk factors and prevalence of urinary incontinence in mid-life Singaporean women: the Integrated Women's Health Program.International urogynecology journal · 2020Article
- Serial Assessment of Urinary Incontinence in Breast Cancer Survivors Undergoing (Neo)Adjuvant Therapy.Journal of the National Comprehensive Cancer Network : JNCCN · 2020Article
- Living with Urinary Incontinence: Potential Risks of Women's Health? A Qualitative Study on the Perspectives of Female Patients Seeking Care for the First Time in a Specialized Center.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveWe explored factors associated with reasons that women with urinary incontinence (UI) reported for not seeking treatment for their UI from a healthcare professional and whether reasons differed by race/ethnicity, socioeconomic status, or education.
methodsWe analyzed questionnaire data collected from 1995 to 2005 in the Study of Women's Health Across the Nation. In visits 7 to 9, we elicited reasons that women with UI reported for not seeking treatment and condensed them into: UI not bad enough, beliefs about UI causes (UI is a normal consequence of aging or childbirth), and motivational barriers (such as feeling too embarrassed). We used Generalized Estimating Equations and ordinal logistic regression to evaluate factors associated with these reported reasons and number of reasons.
resultsOf the 1,339 women reporting UI, 814 (61.0%) reported they did not seek treatment for UI. The most frequently reported reasons were as follows: "UI not bad enough" (73%), "UI is a normal part of aging" (53%), and "healthcare provider never asked" (55%). Women reporting daily UI had higher odds of reporting beliefs about UI causes (adjusted odds ratio UI 3.16, 95% CI 1.64-6.11) or motivational barriers (adjusted odds ratio UI 2.36, 95% CI 1.21-4.63) compared with women reporting less than monthly UI. We found no interactions by race/ethnicity, socioeconomic status, or education and UI characteristics in reasons that women reported for not seeking UI treatment.
conclusionsOver half of women who did not seek treatment for their UI reported reasons that could be addressed by public health and clinical efforts to make UI a discussion point during midlife well-women visits.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.