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Coping Strategies And Health Care-seeking Behavior In A US National Sample Of Adults With Symptoms Suggestive Of Overactive Bladder.

J. Ricci, J. Baggish, T. Hunt, W. Stewart, A. Wein, A. Herzog, A. Diokno
Published 2001 · Medicine

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BACKGROUND Although millions of individuals have symptoms suggestive of overactive bladder (OAB), few ever seek or receive medical treatment for their condition. OBJECTIVE The purpose of this study was to describe coping strategies and health care-seeking behavior in a community-based sample of adults with symptoms suggestive of OAB. METHODS A cross-sectional household telephone survey of an age- and sex-stratified sample of adults was conducted. The survey consisted of general health-related questions as well as questions related to OAB symptoms. A total of 4896 adults completed the interview Respondents were considered to have OAB if they reported > or = 1 symptom of urinary urgency, frequency, or urge incontinence. A follow-up questionnaire was then mailed to a subsample of the telephone interview respondents. The mailed questionnaire contained questions related to type and severity of OAB symptoms, coping strategies, medical care/treatment, feelings/beliefs about OAB, and quality of life. Half of the phone respondents with urinary incontinence (n = 638) and a random sample of all other phone respondents received the mailed questionnaire (n = 873); 1,034 questionnaires were returned. RESULTS Of the respondents with OAB, 69.6% tried > or = 1 nonmedical coping strategy. Respondents with incontinent OAB were significantly more likely than those with continent OAB or those with no OAB (controls) to use nonmedical coping strategies (incontinent OAB, 76.1%; continent OAB, 59.0%; controls, 31.9%; P < 0.001). Fewer than half of the respondents with OAB (43.5%) had spoken with a provider about OAB in the previous 12 months. Medical consultation was associated with sex, type and severity of OAB, number of nonmedical coping strategies tried, number of OAB information sources consulted, inclination to try new OAB medications, and feelings/beliefs about OAB. In 90% of patient-provider discussions about OAB, the patient initiated the topic. CONCLUSIONS Individuals manage symptoms suggestive of OAB primarily by using nonmedical coping strategies rather than consulting health care providers. Results of this study support the need for improved clinical recognition of OAB and increased patient-provider communication about this condition.
This paper references
Urinary Incontinence in Adults: Acute and Chronic Management
J. Hruschak (1996)
The Health and Attitudes of People Who Seldom Consult a Doctor
N. Kessel (1965)
The prevalence and severity of urinary incontinence in women.
J. Yarnell (1981)
Urinary incontinence in adults.
B. G. Parulkar (1988)
Why do only a minority of perimenopausal women with urinary incontinence consult a doctor?
J. Reymert (1994)
Is growing old a disease? A study of the attitudes of elderly people to physical symptoms.
T. Gjørup (1987)
The prevalence of female urinary incontinence and reasons for not seeking treatment.
K. Holst (1988)
Definition of overactive bladder and epidemiology of urinary incontinence.
C. Hampel (1997)
The management of urinary incontinence by community-living elderly.
L. S. Mitteness (1987)
Treatment Seeking for Urinary Incontinence in Older Adults
K. Burgio (1994)
Prevalence of urinary incontinence and other urological symptoms in the noninstitutionalized elderly.
A. Diokno (1986)
Does incontinence affect your client's self-concept?
J. Simons (1985)
Urinary incontinence. Why people do not seek help.
M. Goldstein (1992)
Prevalence of urinary incontinence.
T. Thomas (1980)
Methods Used to Manage Urinary Incontinence by Older Adults in the Community
A. Herzog (1989)
Reported prevalence of urinary incontinence in women in a general practice
J. V. Jolleys (1988)
Sex, illness, and medical care. A review of data, theory, and method.
C. Nathanson (1977)
Tolterodine, a new antimuscarinic agent: as effective but better tolerated than oxybutynin in patients with an overactive bladder
Abrams (1998)
Concerning high and low utilizers of service in a medical care plan, and the persistence of utilization levels over a three year period.
P. Densen (1959)
Prevalence and severity of urinary incontinence in ambulatory adults: an UPRNet study.
E. Lagacé (1993)

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Prevalence symptomů hyperaktivního měchýře u pacientů urologických ambulancí
J. Krhut (2011)
Adaptación cultural al Español y validación psicométrica de la Escala de Beneficio del Tratamiento (Treatment Benefit Scale-TBS) en el tratamiento sintomático de la vejiga hiperactiva
Carlos Errando-Smet (2013)
Moderating Perceptions of Bother Reports by Individuals Experiencing Lower Urinary Tract Symptoms
Elizabeth M Botelho (2011)
Under the tip of the iceberg: Psychological factors in incontinence
B. Molinuevo (2012)
The wet patient: understanding patients with overactive bladder and incontinence
Scott Serels (2004)
Tolterodine extended release improves patient‐reported outcomes in overactive bladder: results from the IMPACT trial
R. Roberts (2006)
Solifenacin for Overactive Bladder with Incontinence: Symptom Bother and Health-Related Quality of Life Outcomes
A. Garely (2007)
Predicting self-perceived antimuscarinic therapy effectiveness on overactive bladder symptoms using the Overactive Bladder 8-Question Awareness Tool
F. Villacampa (2012)
Male incontinence: onabotulinum toxin A and sacral nerve stimulation
T. Rashid (2013)
Prevalence of overactive bladder and its impact on quality of life in 1025 patients with type 2 diabetes in mainland China.
D. Xu (2017)
The overactive bladder: a nursing perspective.
D. Newman (2002)
What should the phlebologist know from geriatrics
Clemmy Friedrich (2017)
The prevalence of chronic constipation and faecal incontinence among men and women with symptoms of overactive bladder
K. Coyne (2011)
Onset of action of the β3-adrenoceptor agonist, mirabegron, in Phase II and III clinical trials in patients with overactive bladder
C. Chapple (2014)
Patient-reported outcomes in overactive bladder: importance for determining clinical effectiveness of treatment.
L. Brubaker (2006)
Management of urinary incontinence in women: clinical applications.
J. Holroyd-Leduc (2004)
Overactive bladder symptoms, stress urinary incontinence and associated bother in women aged 40 and above; a Belgian epidemiological survey
D. de Ridder (2013)
The current and future burden and cost of overactive bladder in five European countries.
P. Reeves (2006)
Health-related quality of life in people with overactive bladder symptoms: reliability and validity of the traditional Chinese version of the Kings' Health Questionnaire
A. Chiu (2013)
Patient experience with darifenacin – results of a short-term community-based survey in managing overactive bladder
L. Green (2011)
The pharmacologic management of idiopathic overactive bladder in primary care.
P. Ellsworth (2014)
Overactive bladder: recognition requires vigilance for symptoms.
M. Rosenberg (2007)
Overactive bladder in women: symptom impact and treatment expectations
S. Macdiarmid (2005)
Pathophysiology of overactive bladder.
F. Chu (2006)
Symptom‐specific efficacy of tolterodine extended release in patients with overactive bladder: the IMPACT trial
V. Elinoff (2006)
Symptom bother and health care-seeking behavior among individuals with overactive bladder.
D. Irwin (2008)
Prise en charge de l'incontinence urinaire chez la femme
A. Magnier (2003)
Written versus oral disclosure of fecal and urinary incontinence in women with dual incontinence
S. Cichowski (2014)
Are three‐day voiding diaries feasible and reliable? Results from the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) cohort
A. Cameron (2019)
What determines whether a patient with LUTS seeks treatment?: ICI‐RS 2011
A. Apostolidis (2012)
Effectiveness of educational interventions to raise men's awareness of bladder and bowel health
B. Hodgkinson (2011)
Re: Effect of bothersome overactive bladder symptoms on health-related quality of life, anxiety, depression, and treatment seeking in the United States: results from EpiLUTS.
D. Penson (2013)
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