Evidence map›Paper›PMID 32096679›Full record

ArticleThe Journal of urology2020

Women's Perceptions of Public Restrooms and the Relationships with Toileting Behaviors and Bladder Symptoms: A Cross-Sectional Study.

W Stuart Reynolds, Casey Kowalik, Melissa R Kaufman, Roger R Dmochowski, Jay H Fowke

Open access · greenAbstract read
In one paragraph

Article in The Journal of urology, 2020. 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
3.2field-weighted citation impact, top 8% 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, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Toileting and Bladder Health in the Gig Economy.Neurourology and urodynamics · 2025
    Article
  6. Article
  7. Article
  8. Bladder Health Knowledge, Attitudes, and Beliefs among US Adolescent Women.Journal of pediatric and adolescent gynecology · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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
  14. Article
  15. Article
  16. Article
  17. The Development of a Public Bathroom Perception Scale.International journal of environmental research and public health · 2020
    Article
  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

5 authors at 4 institutions in 1 country.

W Stuart ReynoldsDepartment of Urology, Vanderbilt University Medical Center, Nashville, Tennessee.
Casey KowalikDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
Melissa R KaufmanDepartment of Urology, Vanderbilt University Medical Center, Nashville, Tennessee.
Roger R DmochowskiDepartment of Urology, Vanderbilt University Medical Center, Nashville, Tennessee.
Jay H FowkeDepartment of Urology, University of Kansas Medical Center, Kansas City, Kansas.
Vanderbilt University Medical Center · USGTx (United States) · USUniversity of Kansas 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

purposeBecause current knowledge about public restroom use and bladder health is limited, we sought to identify why women avoid public restrooms and the associations of lower urinary tract symptoms and toileting behaviors. MATERIALS AND

methodsBetween October and December 2017 we recruited a convenience sample of U.S. women to complete a cross-sectional, anonymous questionnaire about public restroom use, lower urinary tract symptoms (International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms [ICIQ-FLUTS]) and toileting behavior (Web-Based Toileting Behavior [TB-WEB]). We compared women who reported limiting public restroom use all or most of the time to those who did not limit or did so occasionally or sometimes.

resultsOf the 6,004 women in the study 26% limited public restroom use most or all of the time and were more concerned with cleanliness than those who did not limit public restroom use. They also reported more often using nonsitting positions when away from home and holding urine to avoid public restrooms, higher ICIQ-FLUTS scores, more frequent overactive bladder and fewer than 7 voids a day.

conclusionsA large number of women reported avoiding public restrooms, often over concerns of cleanliness, availability of amenities and privacy. Women who habitually limit public restroom use more frequently reported unhealthy toilet behaviors and lower urinary tract conditions. These findings will help guide future research and inform public policy and bladder health awareness.

Indexed as

Lower Urinary Tract SymptomsToilet FacilitiesAdultAgedCross-Sectional StudiesFemaleHumansMiddle AgedSurveys and QuestionnairesUnited StatesUrinationWomenlower urinary tract symptomspublic healthtoilet facilitiesurinary incontinencewomen

Identifiers

PMID32096679
PMCPMC7354199
OpenAlexW3009488647

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.