{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:40:05Z","timestamp":1777916405096,"version":"3.51.4"},"reference-count":52,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2018,5,1]],"date-time":"2018-05-01T00:00:00Z","timestamp":1525132800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Urinary urgency is the primary symptom of overactive bladder (OAB). This study aimed to identify targets for effective intervention to delay progression of urinary urgency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>Secondary analyses of data from a study conducted with female employees of a large academic medical center were conducted. Women were \u226518 years and nonpregnant at the time of the survey. An online questionnaire obtained demographic information, presence of lower urinary tract symptoms, and toileting behaviors. Bivariate analyses and multivariate logistic regression were applied to explore factors related to different stages of urinary urgency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Four stages of urinary urgency were constructed: (1) Stage 1: no urinary symptoms (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200920), (2) Stage 2: continent but urinary urgency reported (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200919), (3) Stage 3: nonsevere urgency urinary incontinence (UUI) (incontinent but leakage \u22641\/day,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200974); and (4) Stage 4: severe UUI (leakage \u22651\/day,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200926). In multivariate analyses, older women were more likely to be in Stage 3 than in Stage 2 (aOR 1.053, 95% CI 1.012\u20131.096). Women who lost urine with defecation were more likely to be in Stage 4 than Stage 3 (aOR 3.828, 95% CI 1.921\u20137.629). Women who habitually strained to empty the bladder faster were more likely to be in Stage 4 than in Stage 3 (aOR 6.588, 95% CI 1.317\u201332.971).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Losing urine with defecation and making the bladder empty faster by pushing down should be explored as intervention targets to prevent women from progressing from Stage 3 to Stage 4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2017.6555","type":"journal-article","created":{"date-parts":[[2018,2,2]],"date-time":"2018-02-02T14:48:28Z","timestamp":1517582908000},"page":"575-583","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Urinary Urgency in Working Women: What Factors Are Associated with Urinary Urgency Progression?"],"prefix":"10.1177","volume":"27","author":[{"given":"Fang","family":"Zhou","sequence":"first","affiliation":[{"name":"Xuzhou Medical University","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane K.","family":"Newman","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary H.","family":"Palmer","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,5,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1185\/03007995.2014.934794"},{"issue":"3","key":"e_1_3_3_3_2","first-page":"S2","article-title":"Chapter 1: The conditions of neurogenic detrusor overactivity and overactive bladder","volume":"33","author":"Haab F.","year":"2014","unstructured":"Haab F. Chapter 1: The conditions of neurogenic detrusor overactivity and overactive bladder. Neurourol Urodyn, 2014; 33 Suppl 3:S2\u2013S5.","journal-title":"Neurourol Urodyn"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.01.019"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22520"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22677"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09993.x"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12164"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12029"},{"key":"e_1_3_3_10_2","doi-asserted-by":"crossref","unstructured":"Pierce H Perry L. A systematic review of prevalence and impact of symptoms of pelvic floor dysfunction in identified workforce groups. 2016; 72:1718\u20131734.","DOI":"10.1111\/jan.12909"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20457"},{"key":"e_1_3_3_12_2","first-page":"1111","article-title":"Pelvic organ prolapse","volume":"81","author":"Kuncharapu I","year":"2010","unstructured":"Kuncharapu I, , Majeroni BA, , Johnson DW. Pelvic organ prolapse. Am Fam Physician, 2010; 81:1111\u20131117.","journal-title":"Am Fam Physician"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.01.007"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","unstructured":"Palmer MH Willis-Gray MG Zhou F et al. Self-reported toileting behaviors in employed women: Are they associated with lower urinary tract symptoms?. Neurourol Urodyn 2017. [Epub ahead of print]; DOI: 10.1002\/nau.23337.","DOI":"10.1002\/nau.23337"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20041"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.1996.00186.x"},{"key":"e_1_3_3_17_2","unstructured":"Palmer M. Enhancing women's lives through bladder health. Paper presented at: 2015 APHA Annual Meeting & Expo (October 31\u2013November 4 2015). 2015 (link: apha.confex.com)."},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12592"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.06.007"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2888-1"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.01.032"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2012.02988.x"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.896331"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13395"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-2944-5"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2013.08.008"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1677-55382011000100013"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1757-5672.2011.00117.x"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1113\/jphysiol.2013.262634"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.11.040"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1254\/jphs.09R12FM"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.5213\/inj.2015.19.3.185"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(99)00097-7"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-013-0475-2"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1159\/000438928"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.2002.tb02928.x"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.04.097"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.taap.2006.09.004"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2014.06.009"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.09055.x"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22689"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12798"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05341.x"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20900"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-801772-2.00038-2"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20384"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1111\/luts.12081"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2009.02078.x"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","unstructured":"Newman D Sung V Borello-France D. Structured behavioral treatment research protocol for women with mixed urinary incontinence and overactive bladder symptoms[J]. Neurourol Urodyn 2017. [Epub ahead of print]; DOI: 10.1002\/nau.23244","DOI":"10.1002\/nau.23244"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1111\/luts.12035"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1677-5538.IBJU.2014.02.14"},{"key":"e_1_3_3_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.purol.2012.08.267"},{"key":"e_1_3_3_53_2","first-page":"168","article-title":"The impact assessment of pelvic floor exercises to reduce symptoms and quality of life of women with stress urinary incontinence","volume":"40","author":"Jurczak I","year":"2016","unstructured":"Jurczak I, , Chrzeszczyk M. The impact assessment of pelvic floor exercises to reduce symptoms and quality of life of women with stress urinary incontinence. Pol Merkur Lekarski, 2016; 40:168\u2013172.","journal-title":"Pol Merkur Lekarski"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jwh.2017.6555","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2017.6555","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2017.6555","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:47:20Z","timestamp":1777657640000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jwh.2017.6555"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5]]},"references-count":52,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1089\/jwh.2017.6555"],"URL":"https:\/\/doi.org\/10.1089\/jwh.2017.6555","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5]]}}}