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Table 1 Characteristics of studies included in to the systematic review of healthcare-seeking behaviour among women with Pelvic organ prolapse, 2022

From: Inequality in healthcare-seeking behavior among women with pelvic organ prolapse: a systematic review and narrative synthesis

Author & year

Study

Place

Study subjects

Study setting

Sample size

Data collection method

Outcome variable and results

Study period

Care-seeking for POP (%)

(Adhikari and Ranju, 2018)

Nepal

Parous women with Uterovaginal prolapse

Institution- based

9021

Secondary data

1. The prevalence of uterine prolapse = 6%

2. Help/care-seeking = 64%

2011

64

(Brazell et al., 2013)

Boston, USA

POP patients

Community-based

3205

Secondary data

Healthcare-seeking behavior across different groups for prolapse was (from total of 93 patients):

• 74.2% among Black women,

• 76.9% among Hispanics, and

• 58.3% among white women

2002–2005

68.8

(Dheresa et al., 2020).

Ethiopia

Married women who had POP

Community-based

704

Patient Interview

Healthcare-seeking behavior was:

1. 32% of women with Pelvic Floor Disorder

2. 40.3% of POP Patients,

3. 25.9% for urinary symptoms

4. 10.4% for anal incontinence

2016

40.3

(Hammad et al., 2018)

United Arab Emirates

POP patients

Institution- based

127

Patient Interview

1. Degree of bother from POP: 111 (87.4%) had activity (physical, social, or prayers) or sexual relationship affected

2. 54% of them did not seek medical treatment

2010

46

(Jokhio et al., 2020)

Pakistan

POP patients

Community-based

5064

Patient Interview

1. Prevalence of POP: 10.3%.

2. Impact of POP: 60.8% reported quality of life is greatly or moderately affected

3. Care-seeking behavior: 78.7% never sought care

2018

21.3

(Morrill et al., 2007)

California, USA

POP patients

Community-based

4,392

Secondary data

1. Prevalence of pelvic floor disorders:

• POP = 13%, urinary incontinence = 27%,

• Anal incontinence = 29% and

• Fecal incontinence = 19%

2. Health care-seeking behaviour:

• Pelvic organ prolapse = 73%

• 61% for urinary symptoms and

• 28% for anal incontinence.

3. Care-seeking is associated with older age, history of hysterectomy, hormone therapy, and frequent urinary tract infection

2007

73.4

(Shrestha et al., 2014)

Nepal

POP patients

Institution- based

115

Patient Interview

1. Experience of women with POP:

• 85% faced major physical discomfort,

• 68% urinary symptom,

• 42% bowel symptom and

• 73% sexual discomfort

2. 48% never sought Healthcare

2012

52

(Tehrani et al., 2011)

Iran

Reproductive age (18-45years old) POP patients

Community-based

1252

Patient Interview

The main gynecologic morbidities were:

1. Pelvic organ prolapse (41.1%),

2. sexually transmitted infection (37.6%) and

3. Menstrual disorders (30.1%). Overall, two third of these women had not sought medical care.

4. Among the participants, 391 of them had POP whereas only 152 (39.4%) of them sought healthcare

2008–2010

39.4

  1. * POP = Pelvic organ prolapse
  2. ADHIKARI, R. & RANJU, K. 2018. Uterine prolapse and treatment seeking behaviour among women. Frontiers in Women’s Health, 84, 7650
  3. BRAZELL, H. D., O’SULLIVAN, D. M. & TULIKANGAS, P. K. 2013. Socioeconomic status and race as predictors of treatment-seeking behavior for pelvic organ prolapse. American journal of obstetrics and gynecology, 209, 476. e1-476. e5
  4. DHERESA, M., WORKU, A., OLJIRA, L., MENGISTIE, B., ASSEFA, N. & BERHANE, Y. 2020. Women’s health seeking behavior for pelvic floor disorders and its associated factors in eastern Ethiopia. International Urogynecology Journal, 31, 1263–1271
  5. HAMMAD, F. T., ELBISS, H. M. & OSMAN, N. 2018. The degree of bother and healthcare seeking behaviour in women with symptoms of pelvic organ prolapse from a developing gulf country. BMC Women’s Health, 18, 1–7
  6. JOKHIO, A. H., RIZVI, R. M. & MACARTHUR, C. 2020. Prevalence of pelvic organ prolapse in women, associated factors and impact on quality of life in rural Pakistan: population-based study. BMC women’s health, 20, 1–7
  7. MORRILL, M., LUKACZ, E. S., LAWRENCE, J. M., NAGER, C. W., CONTRERAS, R. & LUBER, K. M. 2007. Seeking healthcare for pelvic floor disorders: a population-based study. American Journal of Obstetrics and Gynecology, 197, 86. e1-86. e6
  8. SHRESTHA, B., ONTA, S., CHOULAGAI, B., POUDYAL, A., PAHARI, D. P., UPRETY, A., PETZOLD, M. & KRETTEK, A. 2014. Women’s experiences and health care-seeking practices in relation to uterine prolapse in a hill district of Nepal. BMC women’s health, 14, 1–9
  9. TEHRANI, F. R., SIMBAR, M. & ABEDINI, M. 2011. Reproductive morbidity among Iranian women; issues often inappropriately addressed in health seeking behaviors. International Urogynecol Journal, 11, 863