Predictors of Care-Seeking Behavior for Treatment of Urinary Incontinence in Men

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY LUTS: Lower Urinary Tract Symptoms Pub Date : 2025-03-25 DOI:10.1111/luts.70008

Dora Jericevic Schwartz, Zoe LaPier, Azadeh Nazemi, Diane Lang, Steven Gregg, Benjamin Brucker, Christina Escobar

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Abstract

Objective

To determine factors associated with care-seeking in males with urinary incontinence (UI).

Methods

A cross-sectional study was performed using the National Association for Continence (NAFC) sponsored adult patient-reported survey data from November 2018 to January 2019. Descriptive statistics, chi-squared test, and multivariate logistic regression were used to identify factors associated with care-seeking behavior.

Results

Four hundred and forty-six men completed the survey during the study period. 84% of care-seeking men had initiated the discussion with their doctor about their UI, with 57% initially seeing their primary care provider. Statistically significant predictors of care-seeking were greater UI frequency (OR 1.68, CI 1.22–2.33), UI duration (OR 2.91, CI 1.88–4.65), cost of UI management (OR 1.53, CI 1.12–2.10), and comfort discussing UI (OR 2.83, 1.41–5.87). The top reasons cited for not seeking care for UI were embarrassment (29%) and the sentiment that UI is just a normal part of aging (22%). Non-care-seeking men were more likely to have their UI associated with feelings of shame and isolation.

Conclusions

The majority of men who sought care for UI initiated the conversation with their PCP. Men with longer UI duration, higher UI frequency, higher cost expenditure on UI management, and those who felt comfortable discussing their UI were more likely to seek care.

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男性尿失禁治疗的求诊行为预测因素

目的探讨男性尿失禁（UI）患者求诊的相关因素。方法使用2018年11月至2019年1月由美国国家尿失禁协会（NAFC）赞助的成人患者报告的调查数据进行横断面研究。采用描述性统计、卡方检验和多因素logistic回归分析确定与求医行为相关的因素。结果446名男性在研究期间完成了调查。84%的求诊男性开始与医生讨论他们的尿失禁问题，57%的人最初与他们的初级保健提供者会面。有统计学意义的预测因子为更高的UI频率（OR 1.68, CI 1.22-2.33）、UI持续时间（OR 2.91, CI 1.88-4.65）、UI管理成本（OR 1.53, CI 1.12-2.10）和讨论UI的舒适度（OR 2.83, 1.41-5.87）。不寻求治疗UI的主要原因是尴尬（29%）和认为UI只是衰老的正常部分（22%）。不寻求护理的男性更有可能将他们的UI与羞耻和孤立感联系在一起。结论：大多数因尿失禁寻求治疗的男性都是先与他们的PCP交谈。尿失禁持续时间较长、尿失禁频率较高、尿失禁管理费用较高的男性，以及那些对讨论尿失禁感到自在的男性，更有可能寻求治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

LUTS: Lower Urinary Tract Symptoms UROLOGY & NEPHROLOGY-

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided. LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.