{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:10:48Z","timestamp":1791231048301,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,7,1]],"date-time":"2013-07-01T00:00:00Z","timestamp":1372636800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Institute for Public Health Research (IRESP)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Our main objective was to analyze individual determinants that lead middle\u2010aged women to seek medical care for urinary incontinence (UI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Observational longitudinal study among GAZEL cohort participants: 2,640 women aged 50\u201362 completed a self\u2010administered questionnaire at baseline. Eight years later (2008) 2,273 (86%) responded to a follow\u2010up questionnaire. Seeking care for UI was defined as any consultation for UI during the 8\u2010year follow\u2010up period. Individual determinants considered in the regression analysis were social and demographic characteristics, social relations, UI type and severity, and other health factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 1,192 women reporting incontinence at baseline, 24.4% had visited a physician at least once for UI during the follow\u2010up period (56.0% of those reporting severe UI). The care\u2010seeking rate increased with age at baseline. Multivariate analysis showed that women who reported severe UI (OR\u2009=\u20094.1; 95% CI 2.6\u20136.5), mixed UI (2.0; 1.3\u20133.0), or neurologic disease (1.6; 1.1\u20132.6), had weak social support (1.4; 1.0\u20132.0), or talked about their UI with close friends or family (1.5; 1.0\u20132.1) were more likely to seek care for UI. A model including these factors had a 78% probability of correctly differentiating women with incontinence who chose to seek care from those who did not. Our analysis could not take factors related to the organization of health services into account.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Women do not always seek care for UI, even when it is severe. Besides UI severity and type, consultation is associated with aging, weak social support, conversation about it with close friends and family, and neurologic disorders. <jats:italic>Neurourol. 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