title: Seeking care: women's narratives concerning long-term urinary incontinence.
abstract: BACKGROUND
  As part of a recent study (parent study), women's narratives of long-term urinary incontinence (UI) were compiled and analyzed. In this article, findings are presented from a secondary analysis of parent study data.
  
  
  OBJECTIVE
  Primary aims of this study were to 1) examine care-seeking behaviors for women experiencing UI, and 2) describe individual experiences with UI affecting sexuality and intimacy.
  
  
  METHODS
  Seventeen community-dwelling women (mean age, 65; 35% African American) participated in semi-structured interviews. Thirteen (76%) had sought treatment from either their primary care provider or a continence specialist. Demographic, general health, continence, and interview data were analyzed using QSR NUD*ist (Non-numerical Unstructured Data by Indexing, Searching, and Theorizing) 6.0 software and by hand, using line-by-line coding.
  
  
  RESULTS
  Findings suggest that women who seek care for UI are more likely than those who do not seek care to 1) tell a story, 2) describe UI as having a negative impact on sense of self, and 3) be older, Caucasian, in "good" or "excellent" general health, and suffer from UI for a longer period of time than those who choose not to seek care. An additional finding is that some women relate UI to sexuality, intercourse, and intimacy.
  
  
  CONCLUSIONS
  This study expands current knowledge of the characteristics of women with UI and possible relationships between UI and sexuality. Further research is needed to examine how or if these factors relate to whether or not women choose to seek professional care for UI.
authors.affiliation: University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Bradway
authors.forename: Neville
authors.initials: N
authors.lastname: Strumpf
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D001741:Black or African American / Q000208:ethnology; D000368:Aged; D005260:Female; D006801:Humans; D033262:Narration; D015404:Nursing Methodology Research; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology* / Q000706:statistics & numerical data; D015143:Philadelphia / Q000453:epidemiology; D012648:Self Care / Q000523:psychology; D012649:Self Concept; D012725:Sexual Behavior / Q000208:ethnology / Q000502:physiology / Q000523:psychology*; D012752:Shame; D013997:Time Factors; D014549:Urinary Incontinence / Q000208:ethnology / Q000517:prevention & control / Q000523:psychology*; D044465:White People / Q000208:ethnology; D014930:Women / Q000523:psychology*