title: Urinary incontinence--why refraining from treatment? A population based study.
abstract: OBJECTIVE
  To investigate why persons with urinary incontinence (UI) refrain from seeking care and treatment.
  
  
  METHODS
  A population-based study was undertaken in which a public health survey and a specific UI questionnaire were sent to 15 360 randomly selected residents (age 18-79 years) of Orebro County, Sweden. For all persons reporting UI, the expressed wish for treatment or no treatment was analyzed in relation to relevant variables from both inquiry forms using binary logistic regression analysis.
  
  
  RESULTS
  The response rate was 64.5%. UI was reported by 2194 persons, 1724 of whom comprised the study population. A statistically significant association was found between the degree of UI and a desire for treatment. Persons who did not experience daily leakage and those who did not perceive the leakage as troublesome or having an affect on their daily life mostly stated that they did not desire treatment. Socioeconomic or other health-related factors were not associated with desiring or not desiring treatment for UI.
  
  
  CONCLUSIONS
  Our results show that it is the perceived severity of UI that determines whether afflicted persons desire treatment or not. Other factors, relating to seeking healthcare in general, were not found to be of importance. Interventions to identify those in need of treatment for UI should primarily be directed towards those with severe symptoms.
authors.affiliation: Department of Clinical Medicine, Orebro University, Orebro, Sweden. gunnel.andersson@orebroll.se
authors.forename: Gunnel
authors.initials: G
authors.lastname: Andersson
authors.forename: Jan-Erik
authors.initials: JE
authors.lastname: Johansson
authors.forename: Eva
authors.initials: E
authors.lastname: Sahlberg-Blom
authors.forename: Nicklas
authors.initials: N
authors.lastname: Pettersson
authors.forename: Kerstin
authors.initials: K
authors.lastname: Nilsson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011795:Surveys and Questionnaires; D013548:Sweden; D016312:Treatment Refusal / Q000523:psychology*; D014549:Urinary Incontinence / Q000523:psychology* / Q000628:therapy*