ArticleFrontiers in global women's health2026
Knowledge, attitudes, and predictors of urinary incontinence and overactive bladder as components of lower urinary tract symptoms among female healthcare professionals.
Article in Frontiers in global women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Lower urinary tract symptoms (LUTS), including urinary incontinence (UI) and overactive bladder (OAB), are prevalent urogynecology conditions that affect women's quality of life. Despite their clinical importance, these symptoms are often underreported and inadequately managed, even among healthcare professionals. This study aimed to determine the prevalence and severity of UI and OAB among female healthcare professionals, assess their knowledge and attitudes toward UI, and identify predictors associated with these conditions. Methods: A multicentre cross-sectional study was conducted among 493 female healthcare professionals from primary and tertiary healthcare institutions in Novi Sad, Serbia, adhering to the STROBE guidelines. Data were collected using validated instruments: the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-UI-SF), the Overactive Bladder Module (ICIQ-OAB), the Urinary Incontinence Knowledge Scale (UIKS), and the Urinary Incontinence Attitude Scale (UIAS). Results: The prevalence of UI and OAB was high, at 35.5% and 53.1%, respectively, with stress UI as the predominant subtype. Mean UIKS and UIAS scores (19.2 ± 4.8 out of 30, 42.6 ± 4.1 out of 60, respectively) indicated moderate knowledge and generally positive attitudes toward UI. In the logistic regression model, age was the only independent predictor associated with UI: women aged 46-64 years had higher odds of reporting UI than those aged 19-30 years (OR = 1.85, Conclusions: UI and OAB are highly prevalent among female healthcare professionals, highlighting LUTS as an under-recognised occupational and women's health issue. Although attitudes toward UI are generally positive, knowledge levels remain moderate, particularly in domains related to symptom control and risk factors. These results suggest that LUTS are associated with both non-modifiable factors, such as age, and potentially modifiable psychosocial factors, such as attitudes toward UI. Targeted educational and preventive initiatives should be integrated into undergraduate and continuing professional training to improve continence awareness, earlier recognition, and timely management.
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