Help-seeking behaviour for pelvic floor dysfunction in women over 55: drivers and barriers

Objective: Our aim was to identify drivers of and barriers to help-seeking behaviour of older women with pelvic floor dysfunction (PFD) living independently in Australia . Methods: Women aged =55 years were recruited to this cross-sectional study during July and August 2016. Bladder, bowel, pelvic o...

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Main Authors: Tinetti, A., Weir, N., Tangyotkajohn, U., Jacques, Angela, Thompson, Judith, Briffa, K.
Format: Journal Article
Published: Springer U K 2018
Online Access:http://hdl.handle.net/20.500.11937/67897
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author Tinetti, A.
Weir, N.
Tangyotkajohn, U.
Jacques, Angela
Thompson, Judith
Briffa, K.
author_facet Tinetti, A.
Weir, N.
Tangyotkajohn, U.
Jacques, Angela
Thompson, Judith
Briffa, K.
author_sort Tinetti, A.
building Curtin Institutional Repository
collection Online Access
description Objective: Our aim was to identify drivers of and barriers to help-seeking behaviour of older women with pelvic floor dysfunction (PFD) living independently in Australia . Methods: Women aged =55 years were recruited to this cross-sectional study during July and August 2016. Bladder, bowel, pelvic organ prolapse (POP) and sexual dysfunction were assessed with the Australian Pelvic Floor Questionnaire (APFQ). Drivers and barriers were based on the Barriers to Incontinence Care Seeking Questionnaire. Univariate analyses were used to assess any significant relationships between PFD, age, education level, self-reported PFD, barriers and drivers. Results: Of the 376 study participants [mean, standard deviation (SD) age 68.6 (10.5) years], 67% reported symptoms of PFD and 98.7% scored > 0 on the APFQ. Women were more likely to seek help if they scored higher on the APFQ (p < 0.001). The main barrier to seeking help was the perception that PFD was a normal part of ageing (22.4%). Of those who did seek help (50%), the main factor was increased level of symptom bother (51.4%). There was no difference in age or education level between women who did and did not seek help. Conclusion: Women are more likely to seek help for PFD if scoring higher on the APFQ or symptoms are becoming more bothersome. They are less likely to seek help if they view their symptoms as normal. Future direction should be taken to raise awareness of normal pelvic floor function as well as the availability of help for PFD.
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spelling curtin-20.500.11937-678972019-03-20T00:33:40Z Help-seeking behaviour for pelvic floor dysfunction in women over 55: drivers and barriers Tinetti, A. Weir, N. Tangyotkajohn, U. Jacques, Angela Thompson, Judith Briffa, K. Objective: Our aim was to identify drivers of and barriers to help-seeking behaviour of older women with pelvic floor dysfunction (PFD) living independently in Australia . Methods: Women aged =55 years were recruited to this cross-sectional study during July and August 2016. Bladder, bowel, pelvic organ prolapse (POP) and sexual dysfunction were assessed with the Australian Pelvic Floor Questionnaire (APFQ). Drivers and barriers were based on the Barriers to Incontinence Care Seeking Questionnaire. Univariate analyses were used to assess any significant relationships between PFD, age, education level, self-reported PFD, barriers and drivers. Results: Of the 376 study participants [mean, standard deviation (SD) age 68.6 (10.5) years], 67% reported symptoms of PFD and 98.7% scored > 0 on the APFQ. Women were more likely to seek help if they scored higher on the APFQ (p < 0.001). The main barrier to seeking help was the perception that PFD was a normal part of ageing (22.4%). Of those who did seek help (50%), the main factor was increased level of symptom bother (51.4%). There was no difference in age or education level between women who did and did not seek help. Conclusion: Women are more likely to seek help for PFD if scoring higher on the APFQ or symptoms are becoming more bothersome. They are less likely to seek help if they view their symptoms as normal. Future direction should be taken to raise awareness of normal pelvic floor function as well as the availability of help for PFD. 2018 Journal Article http://hdl.handle.net/20.500.11937/67897 10.1007/s00192-018-3618-2 Springer U K fulltext
spellingShingle Tinetti, A.
Weir, N.
Tangyotkajohn, U.
Jacques, Angela
Thompson, Judith
Briffa, K.
Help-seeking behaviour for pelvic floor dysfunction in women over 55: drivers and barriers
title Help-seeking behaviour for pelvic floor dysfunction in women over 55: drivers and barriers
title_full Help-seeking behaviour for pelvic floor dysfunction in women over 55: drivers and barriers
title_fullStr Help-seeking behaviour for pelvic floor dysfunction in women over 55: drivers and barriers
title_full_unstemmed Help-seeking behaviour for pelvic floor dysfunction in women over 55: drivers and barriers
title_short Help-seeking behaviour for pelvic floor dysfunction in women over 55: drivers and barriers
title_sort help-seeking behaviour for pelvic floor dysfunction in women over 55: drivers and barriers
url http://hdl.handle.net/20.500.11937/67897