Perceptions about female urinary incontinence: a systematic review
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Introduction and hypothesis
Perceptions about urinary incontinence (UI) may have a differential impact on treatment-seeking behaviors. Thus, we aimed to systematically review perceptions regarding UI in women of different racial and ethnic populations.
MEDLINE, EMBASE, Scirus, Google Scholar, Open J-Gate, AgeLine, and Global Health (CABI) were searched from January 1980 to August 2011. We included qualitative studies that described knowledge, perception, or personal views about UI in women. Studies were excluded if they did not specify race/ethnicity of subjects, if they reported on non-UI urinary symptoms, or if they were performed exclusively in men. Three independent reviewers screened all studies. The relevance, appropriateness, transparency, and soundness (RATS) scale for qualitative research was used to assess study quality. Because of the qualitative data, meta-analyses were not performed.
Of 3,676 citations, 23 studies met the inclusion criteria. Based on the RATS scale, these were categorized into 11 high-, 2 moderate-, and 10 low-quality studies. Dominant themes fell into two categories, UI management and UI experience, and were similar across racial/ethnic groups. Across multiple studies, women reiterated a preference for discussing UI with other women, even if this was not a physician. Non-white women expressed self-blame and perceived UI as a negative outcome from childbirth or prior sexual experiences. Latina women maintained more secrecy around this issue, even amongst family members.
Women across different racial and ethnic groups share similar UI management strategies and UI experiences. However, perceptions about UI may differ in certain populations. These findings could be useful when considering future educational strategies regarding UI in women.
KeywordsAttitudes Female urinary incontinence Perceptions Qualitative research Systematic review Treatment seeking
Financial disclaimer/conflicts of interest
- 5.Hagglund D, Walker-Engstrom ML, Larsson G, Leppert J (2003) Reasons why women with long-term urinary incontinence do not seek professional help: a cross-sectional population-based cohort study. Int Urogynecol J Pelvic Floor Dysfunct 14(5):296–304. doi: 10.1007/s00192-003-1077-9, discussion 304PubMedCrossRefGoogle Scholar
- 9.Guest G, MacQueen KM, Namey EE (2012) Applied thematic analysis. Sage, Los AngelesGoogle Scholar
- 10.Systematic reviews and meta analysis study design platforms. Duke University. https://sites.google.com/site/researchonresearchtech/file-cabinet. Accessed 20 May 2013
- 11.Godlee F, Jefferson T (2003) Peer review in health sciences, 2nd edn. BMJ Books, LondonGoogle Scholar
- 13.Anger JT, Nissim HA, Le TX, Smith AL, Lee U, Sarkisian C, Litwin MS, Raz S, Rodriguez LV, Maliski SL (2011) Women’s experience with severe overactive bladder symptoms and treatment: insight revealed from patient focus groups. Neurourol Urodyn 30(7):1295–1299. doi: 10.1002/nau.21004 PubMedCentralPubMedGoogle Scholar
- 33.Wilkinson K (2001) Pakistani women’s perceptions and experiences of incontinence. Nursing Standard (Royal College of Nursing (Great Britain): 1987) 16(5):33Google Scholar
- 35.Van den Muijsenbergh ME, Lagro-Janssen TA (2006) Urinary incontinence in Moroccan and Turkish women: a qualitative study on impact and preferences for treatment. Br J Gen Pract: J R Coll Gen Pract 56(533):945–949Google Scholar
- 36.Borgatti SP (1999) Elicitation techniques for cultural domain analysis. In: LeCompte MD, Schensul JJ, Nastasi BK, Borgatti SP (eds) Enhanced ethnographic methods: audiovisual techniques, focused group interviews, and elicitation techniques. Ethnographer Toolkit. Altamira Press, Walnut Creek, CA, pp 115–151Google Scholar
- 37.Charmaz K (2006) Constructing grounded theory: a practical guide through qualitative analysis. Sage, LondonGoogle Scholar
- 38.Bryant A, Charmaz K (2007) The SAGE handbook of grounded theory. Sage, LondonGoogle Scholar