Evidence map›Paper›PMID 31510038›Full record

ArticleInternational journal of environmental research and public health2019

U.S. Adolescent and Adult Women's Experiences Accessing and Using Toilets in Schools, Workplaces, and Public Spaces: A Multi-Site Focus Group Study to Inform Future Research in Bladder Health.

Deepa R Camenga, Sonya S Brady, Cecilia T Hardacker, Beverly R Williams, Jeni Hebert-Beirne, Aimee S James, Kathryn Burgio, Jesse Nodora, Jean F Wyman, Amanda Berry and 2 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 45 citations in OpenAlex.

  1. Toileting and Bladder Health in the Gig Economy.Neurourology and urodynamics · 2025
    Article
  2. Article
  3. Bladder Health Knowledge, Attitudes, and Beliefs among US Adolescent Women.Journal of pediatric and adolescent gynecology · 2025
    Article
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  18. 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
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 1 country.

Deepa R CamengaDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT 06519, USA. deepa.camenga@yale.edu.ORCID 0000-0001-6681-4507
Sonya S BradyDivision of Epidemiology & Community Health, University of Minnesota School of Public Health, Minneapolis, MN 55454, USA. ssbrady@umn.edu.
Cecilia T HardackerDepartment of Education, Center for Education, Research and Advocacy, Howard Brown Health, Chicago, IL 60613, USA. CeciliaH@howardbrown.org.
Beverly R WilliamsDepartment of Medicine, Division of Gerontology, Geriatrics and Palliative Care, University of Alabama at Birmingham, Birmingham, AL 35233, USA. beverlywilliams@uabmc.edu.
Jeni Hebert-BeirneDivision of Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, IL 60612, USA. jheber1@uic.edu.
Aimee S JamesDivision of Public Health Sciences, Department of Surgery, Washington University in St Louis School of Medicine, St Louis, MO 63110, USA. jamesai@wudosis.wustl.edu.
Kathryn BurgioDepartment of Medicine, University of Alabama at Birmingham and Department of Veterans Affairs, Birmingham, AL 35233, USA. kburgio@uabmc.edu.
Jesse NodoraDepartment of Family Medicine and Public Health, University of California San Diego School of Medicine & Moores Cancer Center, La Jolla, CA 92093, USA. jnodora@ucsd.edu.
Jean F WymanSchool of Nursing, University of Minnesota, Minneapolis, MN 55455, USA. wyman002@umn.edu.
Amanda BerryChildren's Hospital of Philadelphia, Philadelphia, PA 19104, USA. berrya@email.chop.edu.ORCID 0000-0001-5926-1107
Lisa K LowDepartment of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA. kanelow@umich.edu.
Prevention of Lower Urinary Tract Symptoms (PLUS) Research ConsortiumMinneapolis, MN 55414, USA. plus-ops@umn.edu.
University of Alabama at Birmingham · USUniversity of Minnesota · USChildren's Hospital of Philadelphia · USHoward Brown Health Center · USUniversity of California San Diego · USUniversity of Illinois Chicago · USUniversity of Michigan · USWashington University in St. Louis · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Prevention of Lower Urinary Tract Symptoms in Women: Bladder Health Scientific and Data Coordinating Center (PLUS-SDCC) (U01)U01DK106786 · NIDDK · UNIVERSITY OF MINNESOTA · PI HARLOW, BERNARD L, RUDSER, KYLE · 2015 to 2019
$8.4M
University of Pennsylvania+ PLUS Clinical Center (PENN+PLUS CC)U01DK106892 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI NEWMAN, DIANE K., SMITH, ARIANA L · 2015 to 2024
$5.4M
PLUS Loyola Clinical CenterU01DK106898 · NIDDK · LOYOLA UNIVERSITY CHICAGO · PI BRUBAKER, LINDA, FITZGERALD, COLLEEN MARIE · 2015 to 2024
$4.7M
Prevention of LUTS: Bladder Health Clinical Center, UC San Diego SiteU01DK106827 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LACOURSIERE, DAPHNE YVETTE, LUKACZ, EMILY S. · 2015 to 2024
$4.5M
Pathways to LUTS Prevention: A Model for Public Education, Behavioral Skills, and Early DetectionU01DK106858 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI MCGWIN, GERALD · 2015 to 2024
$4.5M
LUTS PREVENTION IN ADOLESCENT GIRLS AND WOMEN ACROSS THE LIFESPANU01DK106853 · NIDDK · WASHINGTON UNIVERSITY · PI SUTCLIFFE, SIOBHAN · 2015 to 2024
$4.0M
The Truly Healthy Bladder: Understanding Normal As A Pathway To Prevention Of Lower Urinary Tract Symptoms In WomenU01DK106893 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LOW, LISA KANE · 2015 to 2024
$3.8M
Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium Yale Clinical Research CenterU01DK106908 · NIDDK · YALE UNIVERSITY · PI RICKEY, LESLIE M. · 2015 to 2024
$3.5M
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS U01DK106786NIDDK NIH HHS U01 DK106827NIDDK NIH HHS U01DK106827NIDDK NIH HHS U01DK106853NIDDK NIH HHS U01DK106858NIDDK NIH HHS U01DK106892NIDDK NIH HHS U01DK106893NIDDK NIH HHS U01DK106898NIDDK NIH HHS U01DK106908
6 · The paper itself

Abstract

The World Health Organization recognizes access to clean and safe toilets as crucial for public health. This study explored U.S. adolescent and adult cisgender women's lived experiences accessing toilets in schools, workplaces, and public spaces. As part of the Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium, we conducted 44 focus groups with female participants (n = 360; ages 11-93). Focus groups were stratified by age (11-14, 15-17, 18-25, 26-44, 45-64, 65+) and conducted across 7 geographically diverse U.S. sites from July 2017-April 2018. Using a transdisciplinary approach, we conducted conventional qualitative coding informed by our PLUS conceptual framework and used content analysis processes to identify salient themes. Across settings, toilet access was restricted by "gatekeepers" (i.e., individuals who control access to toilets). In contrast, self-restricting toilet use (deciding not to use the toilet despite biologic need to urinate) was based on internalized norms to prioritize school and job responsibilities over urination. In public spaces, self-restricting use was largely in response to lack of cleanliness. Across the life course, participants perceived gender disparities in the ability to easily access public toilets. Further research is needed to determine if and how these factors impact bladder health across the life course.

Indexed as

Bathroom EquipmentFocus GroupsSchoolsWorkplaceAdolescentAdultAgedAged, 80 and overChildFemaleHumansMiddle AgedPublic HealthUrinary BladderYoung Adultbladder healthfemalefocus groupsqualitative researchtoilet

Identifiers

PMID31510038
PMCPMC6765808
OpenAlexW2972919250

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.