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A scoping review exploring stigma associated with postpartum urinary incontinence

2023-09Journal article Open access
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dc.contributor.authorCox, Jordyn M.
dc.contributor.authorSánchez-Polán, Miguel
dc.contributor.authorMota, Patrícia
dc.contributor.authorBarakat, Ruben
dc.contributor.authorNagpal, Taniya S.
dc.date.accessioned2023-04-18T16:25:01Z
dc.date.embargo2025-04-18
dc.date.issued2023-09
dc.description.abstractIntroduction and hypothesis: Postpartum urinary incontinence (UI) is prevalent, yet health-seeking behaviours for prevention and treatment are markedly low. Health-related stigma refers to conditions that may be socially devalued and considered deviating from "expected norms" and is a barrier to equitable health care. It may be plausible that stigma is associated with postpartum UI and leads to avoiding health-seeking behaviours, which this scoping review sought to examine and summarize. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews were followed. The following keywords were used to develop a search strategy: Postpartum, Urinary Incontinence, and Stigma. The search was carried out on PubMed, PsycINFO, Scopus, CINAHL, Web of Science, ProQuest Dissertation, and Theses Global. All study designs (clinical trials, observational studies, qualitative studies) were eligible for inclusion. Data were extracted and mapped to identify causal factors of postpartum UI stigma and implications for outcomes and behaviours. Results: Twelve studies were included. Most studies utilized questionnaires assessing constructs related to the quality of life that also captured potential stigma or interviews. Sources of postpartum UI stigma included community values surrounding UI and self-stigma, whereby participants directed stereotypes associated with urinary leakage toward themselves. Implications of postpartum UI stigma included negative mental emotions such as shame and embarrassment, which led to avoiding situations where they needed to disclose symptoms, including in healthcare environments. Conclusions: Future research requires a purposeful assessment of postpartum UI stigma to learn from lived experience how to mitigate stigma and improve the quality of care.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCox JM, Sánchez-Polán M, Mota P, Barakat R, Nagpal TS. A scoping review exploring stigma associated with postpartum urinary incontinence. Int Urogynecol J. 2023;34(9):1997-2005.pt_PT
dc.identifier.doi10.1007/s00192-023-05526-0pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/15905
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Naturept_PT
dc.relation.publisherversionhttps://link.springer.com/article/10.1007/s00192-023-05526-0pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectPostpartumpt_PT
dc.subjectStigmapt_PT
dc.subjectUrinary incontinencept_PT
dc.subjectScoping reviewpt_PT
dc.titleA scoping review exploring stigma associated with postpartum urinary incontinencept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage2005pt_PT
oaire.citation.issue9pt_PT
oaire.citation.startPage1997pt_PT
oaire.citation.titleInternational Urogynecology Journalpt_PT
oaire.citation.volume34pt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

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