International Urogynecology Journal

, Volume 29, Issue 11, pp 1645–1653 | Cite as

Help-seeking behaviour for pelvic floor dysfunction in women over 55: drivers and barriers

  • Amy TinettiEmail author
  • Nicole Weir
  • Usanee Tangyotkajohn
  • Angela Jacques
  • Judith Thompson
  • Kathy Briffa
Original Article



Our aim was to identify drivers of and barriers to help-seeking behaviour of older women with pelvic floor dysfunction (PFD) living independently in Australia .


Women aged ≥55 years were recruited to this cross-sectional study during July and August 2016. Bladder, bowel, pelvic organ prolapse (POP) and sexual dysfunction were assessed with the Australian Pelvic Floor Questionnaire (APFQ). Drivers and barriers were based on the Barriers to Incontinence Care Seeking Questionnaire. Univariate analyses were used to assess any significant relationships between PFD, age, education level, self-reported PFD, barriers and drivers.


Of the 376 study participants [mean, standard deviation (SD) age 68.6 (10.5) years], 67% reported symptoms of PFD and 98.7% scored >0 on the APFQ. Women were more likely to seek help if they scored higher on the APFQ (p < 0.001). The main barrier to seeking help was the perception that PFD was a normal part of ageing (22.4%). Of those who did seek help (50%), the main factor was increased level of symptom bother (51.4%). There was no difference in age or education level between women who did and did not seek help.


Women are more likely to seek help for PFD if scoring higher on the APFQ or symptoms are becoming more bothersome. They are less likely to seek help if they view their symptoms as normal. Future direction should be taken to raise awareness of normal pelvic floor function as well as the availability of help for PFD.


Help-seeking Pelvic floor Dysfunction Barriers Drivers Women 



Pelvic floor dysfunction


Pelvic organ prolapse


Australian Pelvic Floor Questionnaire


Pelvic floor muscle


Pelvic floor muscle training



The authors would like to acknowledge Dr. Terese Fisher, RAAFA, Merriwa and the staff at St Ives, Murdoch and Long Island Village, VIC, Australia.


There is no funding associated with this study.

Compliance with ethical standards

Conflicts of interest


Supplementary material

192_2018_3618_MOESM1_ESM.docx (37 kb)
ESM 1 (DOCX 36 kb)


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Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  • Amy Tinetti
    • 1
    Email author
  • Nicole Weir
    • 1
  • Usanee Tangyotkajohn
    • 1
  • Angela Jacques
    • 1
  • Judith Thompson
    • 1
  • Kathy Briffa
    • 1
  1. 1.School of Physiotherapy and Exercise ScienceCurtin UniversityBentleyAustralia

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