Reymert J, Hunskaar S
Department of Public Health and Primary Health Care, University of Bergen, Norway.
Scand J Prim Health Care. 1994 Sep;12(3):180-3. doi: 10.3109/02813439409003696.
To investigate the reasons for not seeking treatment for urinary incontinence in perimenopausal women.
Postal invitation to participate in a telephone interview to a randomly selected 10% sample (n = 78) of women 40 to 50 years old in Namsos municipality, Norway.
The interview guide included questions about symptoms of urinary incontinence, degree and type, past medical history, whether the women had consulted doctors or others for their illness and reasons for not consulting a doctor.
68 (87%) returned the answer slip, 67 were interviewed. 39 (58%) stated that they had urinary incontinence. 32 thought incontinence was normal at their age, and 33 claimed to have no social or practical inconveniences. Only 9 had consulted a doctor, of whom three had been referred to a gynaecologist. Analyses revealed no statistically significant differences between the women who had or had not consulted a doctor with respect to severity, type of incontinence, duration, or self-assessed psychosocial impact. The most common reason for not consulting a doctor was that the incontinence problem was regarded too small.
More than half of the women said they had urinary incontinence. Fewer than a quarter of the 39 incontinent women had consulted a doctor. Simple quantitative measures concerning the woman and her illness do not seem fully to explain the mechanisms of non-consulting.
调查围绝经期女性尿失禁未就医的原因。
向挪威纳姆索斯市随机抽取的10%的40至50岁女性样本（n = 78）邮寄邀请函，邀请她们参加电话访谈。
访谈指南包括有关尿失禁症状、程度和类型、既往病史、女性是否就其病情咨询过医生或其他人以及未咨询医生的原因等问题。
68人（87%）回复了回执，67人接受了访谈。39人（58%）表示有尿失禁。32人认为在她们这个年龄尿失禁是正常的，33人声称没有社交或实际不便。只有9人咨询过医生，其中3人被转诊至妇科医生处。分析显示，在是否咨询过医生的女性之间，在严重程度、尿失禁类型、持续时间或自我评估的心理社会影响方面，没有统计学上的显著差异。未咨询医生的最常见原因是认为尿失禁问题太小。
超过一半的女性表示有尿失禁。39名尿失禁女性中，不到四分之一的人咨询过医生。关于女性及其病情的简单定量指标似乎并不能完全解释未就医的机制。
