Gender Differences in Healthcare-Seeking Behavior for Urinary Incontinence and the Impact of Socioeconomic Status

A Study of the Medicare Managed Care Population

Dados Bibliográficos

ID9100265
AutoresYue Li (0009-0004-9365-9070, University at Buffalo, State University of New York, autor correspondente), Xueya Cai (0000-0001-7922-2703), Laurent G Glance (0000-0003-3381-699X, University of Rochester), Dana B Mukamel (0000-0003-4147-5785, University of California, Irvine)
Ano2007
Volume45
Fascículo11
Páginas1116-1122
Data de publicação2007-11-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e31812da820
PMID18049354
OpenAlexW2069203426
IdiomaEN
Citações recebidas3
Referências citadas30

BACKGROUND: Despite the gender difference in etiology, prevalence and management of urinary incontinence (UI) among community-living older adults, little is known about the effect of gender on their healthcare-seeking behaviors. OBJECTIVE: To determine gender differences in professional care seeking, receipt of UI treatment, and the impact of age and socioeconomic status. RESEARCH DESIGN: National survey of Medicare managed care enrollees in 2003 and 2004. SUBJECTS: A total of 28,724 patients who were noninstitutionalized, age 65 and older, and had self-reported UI problem in the last 6 months. MEASURES: Whether a patient with UI had discussed the problem with a health provider, and whether a patient having had such a discussion received treatment. RESULTS: Compared with incontinent men, incontinent women were less likely to seek professional help for the UI problem [46.2% vs. 55.7%; adjusted odds-ratio (AOR) = 0.65, P < 0.01], but more likely to receive treatment (54.8% vs. 51.4%; AOR = 1.12, P < 0.01) after consulting a health professional. These gender differences varied by age, education, or annual household income level. For incontinent women, the predicted rate of receiving treatment decreased with older age, lower education, and lower income level. CONCLUSIONS: Community-living older women with UI problem are less likely to seek professional help than their male counterparts, but more likely to be treated after a health professional is consulted. Patients' socioeconomic status can affect physician behavior and ultimately, their receipt of treatment of UI, especially for women. Current efforts to promote awareness and quality-of-care of UI among older adults should account for gender and other sociodemographic factors

Affect (linguistics) · Environmental health · Family medicine · Health care · Household income · Logistic regression · Odds · Odds ratio · Population · Receipt · Socioeconomic status · Urinary incontinence · Demography · Geriatric Care and Nursing Homes · Internal Medicine · Medicine · Pelvic floor disorders treatments · Psychology · Urinary Tract Infections Management · Gerontology