Evidence map›Paper›PMID 30053511›Full record

ArticleThe Journal of urology2019

Toileting Behaviors of Women-What is Healthy?

Casey G Kowalik, Adam Daily, Sophia Delpe, Melissa R Kaufman, Jay Fowke, Roger R Dmochowski, W Stuart Reynolds

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
13.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 93 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Toileting and Bladder Health in the Gig Economy.Neurourology and urodynamics · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Unlocking the Role of Social Norms: How They Shape Women's Public Toilet Usage in India.The American journal of tropical medicine and hygiene · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Why Do Women Not Use the Bathroom? Women's Attitudes and Beliefs on Using Public Restrooms.International journal of environmental research and public health · 2020
    Article
  18. Article
  19. Article
  20. Toileting Behaviors Related to Urination in Women: A Scoping Review.International journal of environmental research and public health · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Casey G KowalikDepartment of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Adam DailyDepartment of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Sophia DelpeDepartment of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Melissa R KaufmanDepartment of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Jay FowkeDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
Roger R DmochowskiDepartment of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
W Stuart ReynoldsDepartment of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Vanderbilt University Medical Center · USUniversity of Tennessee Health Science Center · US

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
Afferent Hyperactivity Mechanisms in Overactive Bladder SyndromeK23DK103910 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI REYNOLDS, WILLIAM STUART · 2015 to 2019
$737k
NCATS NIH HHS UL1 TR002243NIDDK NIH HHS K23 DK103910
6 · The paper itself

Abstract

purposeThe objective of this study was to assess toileting behaviors in community dwelling women. MATERIALS AND

methodsWomen 18 years old or older were recruited through a national registry of research volunteers. They were asked to complete validated questionnaires assessing urinary symptoms and toileting behaviors, specifically place preference for voiding, convenience voiding, delayed voiding, straining during voiding and position preference for voiding. The PPBC (patient perception of bladder condition) was administered to assess the participant impression of bladder health. Analyses were done to determine the prevalence of each toileting behavior reported to occur sometimes or more often as well as differences in toileting behaviors in women with vs without self-perceived bladder problems based on the PPBC response.

resultsThe 6,695 women who completed the questionnaires were 18 to 89 years old (mean ± SD age 41.4 ± 15). Of the women 79.9% identified as white and 71.0% were college educated. Of the women 6,613 (98.8%) reported a place preference for voiding. The 3,552 women (53.1%) who reported a bladder problem were more likely to report convenience voiding, delayed voiding and strained voiding behaviors. While 6,657 women (99.4%) reported sitting to void at home only 5,108 (76.2%) reported sitting when using public toilets.

conclusionsCertain toileting behaviors, of which some may be considered unhealthy, were common in this sample of women and most were associated with a perception of bladder problems. Voiding positions other than sitting were frequently used when away from home. These data have important implications for defining bladder health and implementing behavior based interventions for women with lower urinary tract symptoms.

Indexed as

Health BehaviorUrinationAdolescentAdultAgedAged, 80 and overFemaleHumansIndependent LivingMiddle AgedSelf ReportSocioeconomic FactorsSurveys and QuestionnairesUrinary Bladder DiseasesYoung Adult

Identifiers

PMID30053511
PMCPMC6309941
OpenAlexW2905769576

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.