{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T20:06:00Z","timestamp":1793649960804,"version":"4.5.1"},"reference-count":55,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Urinary incontinence (UI) is highly prevalent among older adults and often leads to significant physical, social and psychological consequences. Understanding these lived experiences is essential for developing effective, person-centred interventions that address not only the physiological but also the emotional and social dimensions of UI.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A qualitative systematic review following the PRISMA guidelines was conducted to identify original studies that explored older adults\u2019 experiences with UI. Databases including PubMed, EMBASE, Scopus and PsycINFO were searched up to 30 November 2024. Eligible studies employed qualitative methods or mixed-methods designs with a clear qualitative component, examined participants aged 60 or older with any type of UI and focused on their perceptions, coping mechanisms or lived experiences. Meta-ethnography guided the synthesis of first-, second- and third-order constructs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Thirty-two studies were included. Five interlinked themes emerged: (i) normalisation of UI as a part of ageing, (ii) stigma and concealment, (iii) adaptive self-management strategies, (iv) barriers and critical triggers for help-seeking and (v) identity disruptions and relational strain. A central concept of \u2018resigned agency\u2019 was identified, where individuals acknowledged the burden of UI yet deferred help-seeking, navigating the condition through self-regulation and quiet endurance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Older adults with UI often enact a form of resigned agency, balancing silent acceptance with personal coping strategies while delaying or avoiding formal care. For future work, interventions (such as destigmatising conversations and support) should be developed to address both individual illness representations and the social contexts that shape them, including stigma, cultural norms and healthcare responsiveness.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Registration<\/jats:title>\n                  <jats:p>The study protocol was registered in PROSPERO (registration number CRD42024614673).<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ageing\/afaf207","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T14:47:59Z","timestamp":1753714079000},"source":"Crossref","is-referenced-by-count":4,"title":["`Resigned agency' in older adults: a meta-ethnography of the lived experience of urinary 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En","family":"Yau","sequence":"additional","affiliation":[{"name":"NUS Yong Loo Lin School of Medicine, National University of Singapore , Singapore ,","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1715-7197","authenticated-orcid":false,"given":"Clyve Yu Leon","family":"Yaow","sequence":"additional","affiliation":[{"name":"NUS Yong Loo Lin School of Medicine, National University of Singapore , Singapore ,","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu Liang","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Tan Tock Seng Hospital , Singapore ,","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8561-2513","authenticated-orcid":false,"given":"Qin Xiang","family":"Ng","sequence":"additional","affiliation":[{"name":"Saw Swee Hock School of Public Health, National 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