Schreiber Pedersen Louise, Lose Gunnar, Høybye Mette Terp, Jürgensen Martina, Waldmann Annika, Rudnicki Martin
Department of Obstetrics and Gynecology, Herlev Gentofte University Hospital, Herlev Ringvej 75, DK 2730, Herlev, Denmark.
Interdisciplinary Research Unit, Elective Surgery Center, Silkeborg Hospital, Silkeborg, Denmark.
Int Urogynecol J. 2018 Apr;29(4):521-530. doi: 10.1007/s00192-017-3434-0. Epub 2017 Aug 5.
The aim of the study was to evaluate the predictors and reasons for help-seeking behavior among women with urinary incontinence (UI) in Germany and Denmark.
This international postal survey was conducted in 2014. In each country, 4,000 women of at least 18 years of age were randomly selected. The questionnaires included validated items regarding help-seeking behavior and the ICIQ-UI SF. UI was defined as any involuntary loss of urine. Binary logistic regression analysis was used to assess factors predicting help-seeking behavior. Reasons for seeking or not seeking help were evaluated in terms of the severity of UI and as the most frequently reported.
Of 1,063 Danish women with UI, 25.3% had consulted a physician compared with 31.4% of 786 German women with UI (p = 0.004). The severity and duration of UI, and actively seeking information regarding UI, were significant independent predictors of help-seeking behavior. Women with slight/moderate UI did not seek help because they did not consider UI as a problem, whereas of women with severe/very severe UI, German women reported that other illnesses were more important and Danish women reported that they did not have enough resources to consult a physician.
Only a small proportion of women with UI had consulted a physician, and the driving forces for help-seeking behavior were severity and duration of UI and actively seeking information regarding UI. Public information campaigns might enhance consultation rates providing that passively receiving and actively seeking information have the same effects on help-seeking behavior. We show for the first time that reasons for not consulting a physician for UI vary depending on the severity of the UI.
本研究旨在评估德国和丹麦尿失禁（UI）女性寻求帮助行为的预测因素及原因。
2014年开展了这项国际邮政调查。在每个国家，随机抽取4000名至少18岁的女性。问卷包含有关寻求帮助行为和ICIQ-UI SF的有效项目。尿失禁被定义为任何不自主的尿液流失。采用二元逻辑回归分析评估预测寻求帮助行为的因素。根据尿失禁的严重程度及最常报告的情况，对寻求或不寻求帮助的原因进行评估。
在1063名丹麦尿失禁女性中，25.3%咨询过医生，相比之下，786名德国尿失禁女性中有31.4%咨询过医生（p = 0.004）。尿失禁的严重程度和持续时间以及积极寻求有关尿失禁的信息是寻求帮助行为的重要独立预测因素。轻度/中度尿失禁的女性不寻求帮助是因为她们不认为尿失禁是个问题，而重度/极重度尿失禁的女性中，德国女性报告其他疾病更重要，丹麦女性报告她们没有足够资源咨询医生。
只有一小部分尿失禁女性咨询过医生，寻求帮助行为的驱动因素是尿失禁的严重程度和持续时间以及积极寻求有关尿失禁的信息。如果被动接收信息和积极寻求信息对寻求帮助行为有相同影响，那么公共信息宣传活动可能会提高咨询率。我们首次表明，因尿失禁不咨询医生的原因因尿失禁严重程度而异。
