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Perceptions about female urinary incontinence: a systematic review.
Nazema Y Siddiqui1, Pamela J Levin, Amruta Phadtare
1Department of Obstetrics and Gynecology, Duke University Medical Center, Box 3912, Durham, NC, 27710, USA, nazema.siddiqui@duke.edu.
International Urogynecology Journal
|December 7, 2013
Summary
Women share similar urinary incontinence (UI) experiences, but perceptions can differ by race and ethnicity. Understanding these nuances is key for effective UI educational strategies.
Area of Science:
- Urology
- Women's Health
- Qualitative Research
Background:
- Urinary incontinence (UI) perceptions can influence treatment-seeking behaviors.
- Understanding racial and ethnic differences in UI perception is crucial for targeted interventions.
Purpose of the Study:
- To systematically review qualitative studies on women's perceptions of UI across diverse racial and ethnic groups.
- To identify commonalities and differences in UI knowledge, experiences, and management strategies.
Main Methods:
- Comprehensive literature search of multiple databases (MEDLINE, EMBASE, etc.) from 1980 to 2011.
- Inclusion of qualitative studies detailing women's views on UI, excluding those without specified race/ethnicity or on non-UI symptoms.
- Quality assessment using the RATS scale; meta-analysis was not performed due to qualitative data.
Main Results:
- 23 qualitative studies were included, with 11 rated as high-quality.
- Common themes across racial/ethnic groups included UI management preferences (e.g., discussing with other women) and UI experiences.
- Specific perceptions varied: non-white women reported self-blame and linked UI to childbirth/sexual experiences; Latina women exhibited greater secrecy.
Conclusions:
- While UI experiences and management strategies are similar across diverse women, perceptions can differ significantly by race and ethnicity.
- These insights are valuable for developing culturally sensitive and effective educational programs for urinary incontinence.
- Addressing varied perceptions is essential for improving UI management and treatment-seeking behaviors in all women.
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