{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T22:01:13Z","timestamp":1784584873764,"version":"3.55.0"},"reference-count":79,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,10,3]],"date-time":"2019-10-03T00:00:00Z","timestamp":1570060800000},"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":["Qual Health Res"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:p>Obstetric fistula is a condition that affects women and can lead to identity changes because of uncontrolled urinary and\/or fecal incontinence symptom experiences. These symptoms along with different emerging identities lead to family and community displacement. Using narrative inquiry methodology that concentrates on the stories individuals tell about themselves; interviews were conducted for 15 fistula survivors to explore their perception of identities of living with obstetric fistula. Within a sociocultural context, these identities consist of the \u201cleaking\u201d identity, \u201cmasu yoyon fitsari\u201d (leakers of urine) identity, and the \u201cspoiled\u201d identity, causing stigmatization and psychological trauma. The \u201cmasu yoyon fitsari\u201d identity, however, built hope and resilience for a sustained search for a cure. Identity is a socially constructed phenomenon, and the findings reveal positive community involvement which reduces obstetric fistula stigmatization and improves women\u2019s identity. Sexual and reproductive health issues remain of grave concern within a contextualized societal identity of women\u2019s role.<\/jats:p>","DOI":"10.1177\/1049732319877855","type":"journal-article","created":{"date-parts":[[2019,10,3]],"date-time":"2019-10-03T06:08:53Z","timestamp":1570082933000},"page":"366-379","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Reflections on Identity: Narratives of Obstetric Fistula Survivors in North Central Nigeria"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3156-9964","authenticated-orcid":false,"given":"Hannah M.","family":"Degge","sequence":"first","affiliation":[{"name":"Coventry University, Scarborough, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Laurenson","sequence":"additional","affiliation":[{"name":"University of Hull, Hull, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3563-1617","authenticated-orcid":false,"given":"Emeka W.","family":"Dumbili","sequence":"additional","affiliation":[{"name":"Nnamdi Azikiwe University, Awka, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Hayter","sequence":"additional","affiliation":[{"name":"University of Hull, Hull, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,3]]},"reference":[{"key":"bibr1-1049732319877855","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12893"},{"key":"bibr2-1049732319877855","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68188-9"},{"key":"bibr3-1049732319877855","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.06.016"},{"key":"bibr4-1049732319877855","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-015-0232-z"},{"key":"bibr5-1049732319877855","doi-asserted-by":"publisher","DOI":"10.2307\/2096259"},{"key":"bibr6-1049732319877855","doi-asserted-by":"publisher","DOI":"10.4135\/9781848608412.n18"},{"key":"bibr7-1049732319877855","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep10491512."},{"key":"bibr8-1049732319877855","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2004.07.005"},{"key":"bibr9-1049732319877855","volume-title":"Qualitative inquiry and research design: Choosing among five approaches","author":"Creswell J. 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