How Does Stigma Associated with Postpartum Urinary Incontinence Affect Health-seeking Behaviours?
Notice bibliographique
Résumé
Introduction: Postpartum urinary incontinence (PPUI) affects 30–33% of individuals after childbirth, yet health-seeking behaviours remain low despite the availability of prevention and treatment resources. Stigma associated with PPUI may serve as a barrier to seeking resources to manage PPUI such as communication with healthcare providers (HCPs), engaging in physical activity including pelvic floor muscle training (PFMT), and accessing social support. Previous research has not conceptualized the role of stigma in shaping these health behaviours, particularly among racially diverse populations. This study aimed to examine the stigma associated with PPUI and its influence on health-seeking behaviours including interactions with HCPs, physical activity, and social support. A secondary objective was to assess whether further disparities are faced by racialized women experiencing PPUI and associated stigma. Methods: Semi-structured interviews were conducted with participants who self-identified as experiencing PPUI and had delivered a child in Canada within the last two years. Purposeful sampling ensured racial diversity. Using a qualitative descriptive approach, inductive content analysis identified themes related to stigma and health-seeking behaviours. The Health Stigma Discrimination Framework was also used to organize causal factors of PPUI stigma and to help explain stigma responses and their connection to specific behaviours. Findings: Fifteen individuals participated in interviews (nine identifying with racially diverse backgrounds). Six themes were developed: (1) defining PPUI stigma, (2) impact of PPUI stigma on healthcare access, (3) impact of PPUI stigma on physical activity and PFMT, (4) impact of PPUI stigma on social relationships, (5) racial and cultural nuances regarding PPUI stigma, (6) building awareness and support for PPUI to mitigate stigma. Participants described PPUI stigma as embarrassment and self-consciousness about leakage and odour, deterring seeking healthcare, physical activity, and discussing symptoms socially. Barriers to communicating openly with HCPs included shame and appointments being focused on infant health over personal concerns. PPUI stigma also impacted engagement in physical activity, with fears of leakage and odour leading participants to avoid high-impact exercises such as running, opting instead for lower-impact activities like walking. Socially, stigma was reinforced through cultural norms that discourage disclosure and dismissive attitudes, limiting conversations about PPUI with friends, family, and partners. However, some participants found support through peer networks and informal discussions with friends who had similar experiences. Racial differences also played a role in stigma perception, with some participants from racialized backgrounds describing additional barriers to disclosure with HCPs and social networks due to cultural norms emphasizing silence around women’s health issues. Conclusion: Findings from this study illustrate the impact of PPUI stigma on postpartum individuals, affecting their willingness to seek care, engage in physical activity, and receive social support. Interventions aimed at reducing stigma could focus on early education, routine postnatal health screenings that incorporate asking patients about PPUI symptoms, and peer support networks to normalize discussions about PPUI.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,023 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,002 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,000 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».