法国、德国、西班牙和英国尿失禁女性的求助行为及相关因素。
Help-seeking behaviour and associated factors among women with urinary incontinence in France, Germany, Spain and the United Kingdom.
作者信息
O'Donnell M, Lose G, Sykes D, Voss S, Hunskaar S
机构信息
Section for General Practice, Department of Public Health and Primary Health Care, University of Bergen, Kalfarveien 31, 5018 Bergen, Norway.
出版信息
Eur Urol. 2005 Mar;47(3):385-92; discussion 392. doi: 10.1016/j.eururo.2004.09.014. Epub 2004 Nov 21.
OBJECTIVES
To assess the proportion of women who consult their doctor about urinary incontinence (UI), and explore factors associated with help-seeking in France, Germany, Spain and the UK.
METHODS
A representative sample of 29,500 women received a 13 item postal questionnaire to identify those with UI. A randomly selected sub-sample of 2953 women with UI received a more detailed follow-up questionnaire.
RESULTS
There was a response rate of 58% in the initial survey and 53% in the second. Thirty-one percent of all women had consulted a doctor about their UI symptoms with more women consulting in France and Germany than in the UK and Spain. A number of factors relating to general health care, UI and women's attitudes were found to be associated with help-seeking after adjusting for women's age, UI duration and frequency, and 'bothersomeness' of UI; factors traditionally associated with help-seeking. After adjusting for these factors, willingness to take long-term medication and having spoken to others about UI were found to be strong predictors of help-seeking in all four countries.
目的
评估就尿失禁（UI）咨询医生的女性比例，并探究法国、德国、西班牙和英国与寻求帮助相关的因素。
方法
29500名女性的代表性样本收到一份包含13个项目的邮政调查问卷，以识别患有UI的女性。随机抽取的2953名患有UI的女性子样本收到一份更详细的后续调查问卷。
结果
初始调查的回复率为58%，第二次调查的回复率为53%。所有女性中有31%就其UI症状咨询过医生，在法国和德国咨询的女性比在英国和西班牙更多。在对女性年龄、UI持续时间和频率以及UI的“困扰程度”进行调整后，发现一些与一般医疗保健、UI和女性态度相关的因素与寻求帮助有关；这些是传统上与寻求帮助相关的因素。在对这些因素进行调整后，发现愿意长期服药以及与他人谈论过UI是所有四个国家寻求帮助的有力的有力预测因素。
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