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International Urogynecology Journal

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24.04.2020 | Original Article

Women’s health seeking behavior for pelvic floor disorders and its associated factors in eastern Ethiopia

Erschienen in: International Urogynecology Journal | Ausgabe 6/2020

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Abstract

Background

Pelvic floor disorders (PFDs), include urinary incontinence, overactive bladder, anal incontinence, and pelvic organ prolapse negatively affect physical, psychosocial, and economic wellbeing of women. In developing countries, less than a quarter of women with PFDs seek health care for their problem. Health care seeking for PFDs, and its associated factors, is little known in Ethiopia. This study aimed to assess health care seeking for PFDs, associated factors, and deterrents for seeking care.

Methods

From a community based cross sectional study conducted form August 10 to September 4, 2016 to assess pelvic floor disorders, seven hundred four participants with PFDs drawn for health care seeking behavior analysis. Data were collected through interviewed administered questionnaire. Poisson regression model with robust variance was used to investigate the association of the independent variable with health care seeking behaviors. The results are reported in crude and adjusted prevalence ratio with 95% confidence intervals.

Result

Two hundred twenty five (32%; CI: 26.8–35.5) women sought care for their PFDs. Majority 160 (71%) of them seek care from government health facilities. Middle wealth index Adjusted Prevalence Ratio (APR) = 1.4, CI: 1.1, 1.8), autonomous decision making on own health (APR = 1.3, CI: 1.1, 1.7), and sever impact of PFDs on quality of life (APR = 1.4, CI:1.1, 1.9) were identified as associated factors for health care seeking.

Conclusion

A large number of women with pelvic floor disorder did not seek health care: this calls for urgent and tailored intervention to enhance health care seeking behaviors of women with PFD.

Doshani A, Teo REC, Mayne CJ, Tincello DG. Uterine prolapse. BMJ. 2007;335:819–23. https://doi.org/10.1136/bmj.39356.604074.BE.CrossRefPubMedPubMedCentral

Brækken IH (2010) Pelvic floor muscle function and Pelvic Organ Prolapse Dissertation from the Norwegian School of Sport Sciences; Oslo.

Lawrence JM, Lukacz ES, Nager CW, Hsu J-WY, Luber KM. Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women. Obstet Gynecol. 2008;111:678–85.CrossRefPubMed

Limpawattana P, Kongbunkiat K, Sawanyawisuth K, Sribenjalux W. Help-seeking behaviour for urinary incontinence: experience from a university community. Int J Urol Nurs. 2015;9(3):143–8. https://doi.org/10.1111/ijun.12065.CrossRef

Pakgohar M, Sabetghadam S, Rahimparvar SFV, Kazemnejad A. Quality of life (QoL) and help-seeking in postmenopausal women with urinary incontinence (UI): a population based study. Arch Gerontol Geriatr. 2014;59:403–7.CrossRefPubMed

Ian M, Karin SC, Sean N, Marion K, Chieh-I C, Alan JW. Global prevalence and economic burden of urgency urinary incontinence: a systematic review. Eur Urol. 2015;65:7 9–9 5. https://doi.org/10.1016/j.eururo.2013.08.031.CrossRef

Isuzu M, Holly ER. Impact of fecal incontinence and its treatment on quality of life in women. Women's Health (Lond Engl). 2015;11(2):225–38. https://doi.org/10.2217/whe.14.66.CrossRef

Morhason-Bello I, Adedokun, Ojengbede, Okonkwo, Kolade (2012) Help-seeking behavior among women currently leaking urine in Nigeria: is it any different from the rest of the world? Patient Prefer Adherence: 815. https://doi.org/10.2147/ppa.s24911.

Fritel X, Panjo H, Varnoux N, Ringa V. The individual determinants of care-seeking among middle-aged women reporting urinary incontinence: analysis of a 2273-woman cohort. Neurourol Urodyn. 2014;33(7):1116–22. https://doi.org/10.1002/nau.22461.CrossRefPubMed

10.

Kılıç M (2016) Incidence and risk factors of urinary incontinence in women visiting Family Health Centers. Springerplus. 5(1331). https://doi.org/10.1186/s40064-016-2965-z.

11.

Gjerde JL, Rortveit G, Muleta M, Blystad A. Silently waiting to heal; experiences among women living with urinary incontinence in Northwest Ethiopia. Int Urogynecol J. 2013;24:953–8.CrossRefPubMed

12.

Gjerde JL, Rortveit G, Muleta M, Adefris M, Blystad A. Living with pelvic organ prolapse: voices of women from Amhara region, Ethiopia. Int Urogynecol J. 2017;28(3):361–6. https://doi.org/10.1007/s00192-016-3077-6.CrossRefPubMed

13.

Wu C, Sun T, Guan X, Wang K. Predicting delay to treatment of urinary incontinence among urban community-dwelling women in China. International Journal of Nursing Sciences. 2015;2(1):34–8. https://doi.org/10.1016/j.ijnss.2015.01.015.CrossRef

14.

Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF. The iceberg of health care utilization in women with urinary incontinence. Int Urogynecol J. 2012;23:1087–93.CrossRefPubMedPubMedCentral

15.

Central Statistical Agency (2016) Ethiopian demographic Health Sruvillance https://www.usaid.gov/sites/default/files/documents/1860/EthiopiaDHS2016KIR-Final10-17-2016.pdf. Accessed 5 December, 2016.

16.

Assefa N, Oljira L, Baraki N, Demena M, Zelalem D, Ashenafi W, et al. HDSS profile: the Kersa health and demographic surveillance system. Int J Epidemiol. 2016;45(1):94–101. https://doi.org/10.1093/ije/dyv284.CrossRefPubMed

17.

Dheresa M, Worku A, Oljira L, Mengiste B, Assefa N, Berhane Y (2018) One in five women suffer from pelvic floor disorders in Kersa district Eastern Ethiopia: a community-based study. BMC Women's Health. 18(95). https://doi.org/10.1186/s12905-018-0585-1.

18.

Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF. Predictors of care seeking in women with urinary incontinence. Neurourol Urodyn. 2012;31:470–4.CrossRefPubMedPubMedCentral

19.

Lukacz ES, Lawrence JM, Buckwalter JG, Burchette RJ, Nager CW, Luber KM. Epidemiology of prolapse and incontinence questionnaire: validation of a new epidemiologic survey. Int Urogynecol J. 2005;16:272–84.CrossRef

20.

Haylen BT, Dd R, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An international Urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21:5–26. https://doi.org/10.1007/s00192-009-0976-9.CrossRefPubMed

21.

Gyhagen M, Åkervall S, Milsom I. Clustering of pelvic floor disorders 20 years after one vaginal or one cesarean birth. Int Urogynecol J. 2015;26:1115–21.CrossRefPubMed

22.

Ethiopian Centeral statistics Agency. ETHIOPIA demographic and health survey 2016. Rockville: Key Indicators Report; 2016.

23.

Central Statistical Agency, ICF International. Ethiopia demographic and health survey 2011 central statistical agency and ICF international. Ethiopia and Calverton: Addis Ababa; 2012.

24.

Nosti PA, McDermott CD, Stehman FB, Schilder JM, Woodman PJ. Symptoms of pelvic floor disorders and quality of life measures in postoperative patients WithEndometrial Cancer. Clinical Ovarian & Other Gynecologic Cancer. 2012;5(1):27–30.CrossRef

25.

Zeleke BM, Ayele TA, Woldetsadik MA, Bisetegn TA, Adane AA (2013) Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia. BMC Psychiatry. 13(236). https://doi.org/10.1186/1471-244X-13-236.

26.

Hemachandra NN, Rajapaksa LC, Manderson L. A “usual occurrence:” stress incontinence among reproductive aged women in Sri Lanka. Soc Sci Med. 2009;69:1395–401.CrossRefPubMed

27.

Morrill M, Lukacz ES, Lawrence JM, Nager CW, Contreras R, Luber KM. Seeking healthcare for pelvic floor disorders: a population-based study. Am J Obstet Gynecol. 2007;197(1):86 e81–6. https://doi.org/10.1016/j.ajog.2007.02.051.CrossRef

28.

Xu D, Wang X, Li J, Wang K. The mediating effect of ‘bothersome’ urinary incontinence on help-seeking intentions among community-dwelling women. J Adv Nurs. 2015;71(2):315–25. https://doi.org/10.1111/jan.12514.CrossRefPubMed

29.

Ethiopian Minstry of Health (2016) Nationla Reproductive Health Strategy 2016–2020. Ethiopia, Addis Ababa.

30.

Slavin SL, Rogers RG, Komesu Y, Omotosho T, Hammil S, Lewis C, et al. Complementary and alternative medicine (CAM) use in women with pelvic floor disorders: a cohort study. Int Urogynecol J. 2009;21(4):431–7. https://doi.org/10.1007/s00192-009-1058-8.CrossRefPubMedPubMedCentral

31.

Sung VW, Raker CA, Myers DL, Clark MA. Treatment decision-making and information-seeking preferences in women with pelvic floor disorders. Int Urogynecol J. 2010;21(9):1071–8. https://doi.org/10.1007/s00192-010-1155-8.CrossRefPubMedPubMedCentral

Titel: Women’s health seeking behavior for pelvic floor disorders and its associated factors in eastern Ethiopia
Publikationsdatum: 24.04.2020
Erschienen in: International Urogynecology Journal / Ausgabe 6/2020
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-020-04309-1

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Springer Medizin

Women’s health seeking behavior for pelvic floor disorders and its associated factors in eastern Ethiopia

Abstract

Background

Methods

Result

Conclusion

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Update Gynäkologie

Springer Medizin

Abstract

Background

Methods

Result

Conclusion

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