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Published in: International Urogynecology Journal 6/2020

01-06-2020 | Care | Original Article

Women’s health seeking behavior for pelvic floor disorders and its associated factors in eastern Ethiopia

Authors: Merga Dheresa, Alemayehu Worku, Lemessa Oljira, Bezatu Mengistie, Nega Assefa, Yemane Berhane

Published in: International Urogynecology Journal | Issue 6/2020

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Abstract

Background

Pelvic floor disorders (PFDs), include urinary incontinence, overactive bladder, anal incontinence, and pelvic organ prolapse negatively affect physical, psychosocial, and economic wellbeing of women. In developing countries, less than a quarter of women with PFDs seek health care for their problem. Health care seeking for PFDs, and its associated factors, is little known in Ethiopia. This study aimed to assess health care seeking for PFDs, associated factors, and deterrents for seeking care.

Methods

From a community based cross sectional study conducted form August 10 to September 4, 2016 to assess pelvic floor disorders, seven hundred four participants with PFDs drawn for health care seeking behavior analysis. Data were collected through interviewed administered questionnaire. Poisson regression model with robust variance was used to investigate the association of the independent variable with health care seeking behaviors. The results are reported in crude and adjusted prevalence ratio with 95% confidence intervals.

Result

Two hundred twenty five (32%; CI: 26.8–35.5) women sought care for their PFDs. Majority 160 (71%) of them seek care from government health facilities. Middle wealth index Adjusted Prevalence Ratio (APR) = 1.4, CI: 1.1, 1.8), autonomous decision making on own health (APR = 1.3, CI: 1.1, 1.7), and sever impact of PFDs on quality of life (APR = 1.4, CI:1.1, 1.9) were identified as associated factors for health care seeking.

Conclusion

A large number of women with pelvic floor disorder did not seek health care: this calls for urgent and tailored intervention to enhance health care seeking behaviors of women with PFD.
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Metadata
Title
Women’s health seeking behavior for pelvic floor disorders and its associated factors in eastern Ethiopia
Authors
Merga Dheresa
Alemayehu Worku
Lemessa Oljira
Bezatu Mengistie
Nega Assefa
Yemane Berhane
Publication date
01-06-2020
Publisher
Springer International Publishing
Keyword
Care
Published in
International Urogynecology Journal / Issue 6/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-020-04309-1

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