TABLE 2.
Univariate logistic regression analysis of factors associated with delayed medical seeking in women with stress urinary incontinence (N = 1400).
| Variable | Reference category | OR (95% CI) | P-value |
|---|---|---|---|
| Demographic characteristics | |||
| Age (per 1-year increase) | – | 1.04 (1.02–1.06) | < 0.001 |
| BMI (per 1-unit increase) | – | 1.07 (1.02–1.12) | 0.004 |
| Education level | Primary or below | – | < 0.001 |
| – Secondary | 0.63 (0.46–0.86) | 0.004 | |
| – College or above | 0.26 (0.18–0.38) | < 0.001 | |
| Employment status | Unemployed/retired | 0.73 (0.58–0.91) | 0.006 |
| Marital status | Unmarried/divorced/widowed | 0.78 (0.54–1.12) | 0.174 |
| Clinical characteristics | |||
| SUI duration > 12 months | ≤ 12 months | 4.86 (3.91–6.06) | < 0.001 |
| SUI severity | Mild | – | < 0.001 |
| – Moderate | 1.35 (1.01–1.80) | 0.041 | |
| – Severe | 3.81 (2.70–5.37) | < 0.001 | |
| Previous conservative treatment | Yes | 2.71 (2.07–3.56) | < 0.001 |
| First consulted department | Gynecology | – | < 0.001 |
| – Urology | 2.64 (2.00–3.47) | < 0.001 | |
| – Other | 1.52 (0.97–2.37) | 0.068 | |
| Psychological measures | |||
| SAS score (per 1-point increase) | – | 1.08 (1.06–1.10) | < 0.001 |
| SDS score (per 1-point increase) | – | 1.07 (1.05–1.09) | < 0.001 |
| Perceived shame (per 1-point increase) | – | 1.72 (1.53–1.93) | < 0.001 |
| Social avoidance (Yes vs. No) | No | 2.64 (2.09–3.34) | < 0.001 |
| Low self-esteem (Yes vs. No) | No | 2.62 (2.00–3.44) | < 0.001 |
OR, odds ratio; CI, confidence interval; BMI, body mass index; SUI, stress urinary incontinence; SAS, Self-Rating Anxiety Scale; SDS, Self-Rating Depression Scale. Education level and SUI severity were analyzed as categorical variables using dummy coding with the lowest category as reference. Continuous variables (age, BMI, SAS, SDS, shame) were treated linearly. Variables with P < 0.10 were considered for multivariable modeling in Table 3. “Delayed seeking” was defined as a time interval > 6 months between symptom onset and first consultation.