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Demographics and health care seeking behavior of Singaporean women with chronic constipation: implications for therapeutic management

机译:寻求慢性便秘的新加坡妇女的人口统计学和保健护理:对治疗管理的影响

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Introduction: Chronic constipation is significantly more prevalent in women than men in Singapore. We carried out a survey to study patient demographics, symptom prevalence, healthcare-seeking behavior, and patient satisfaction with available treatment options in women with chronic constipation.Methods: Responses were collected predominantly via a web-based survey from a panel representative of Singapore's women population. Eligibility was established using a nine-question screener.Results: A total of 1006 invited females took part in an online screener survey, of which 911 respondents did not meet the eligibility requirements for the chronic constipation survey. Of the total panelists consenting to participate (via both online and face-to-face interviews), 100 women met eligibility requirements and took the 22-question survey. Eligible respondents were skewed to younger patients but well mixed in terms of marital status. The majority of them were not keen on doing exercise and were working women, especially white collar females. The majority complained of straining and hard stools as the most common constipation symptoms (88% and 80% respectively) and rated constipation symptoms as severe or moderate. On average, respondents experienced constipation symptoms for 6 to 7 months in the last year. In more than two-thirds of respondents, constipation symptoms were frequent (at least 1 in 3 times). Most of the patients had attempted to treat constipation themselves and 80% had tried laxatives before visiting the doctor. Satisfaction with fiber supplements and laxatives was average and many of the users were not satisfied with their effect. Ineffectiveness and prolonged time taken for the treatment to take effect were the most common reasons for dissatisfaction. Nearly all respondents (97%) were interested in considering alternative prescriptive medication that is proven more effective.Conclusion: Chronic constipation symptoms in women are often severe and bothersome, and many patients are dissatisfied with available treatment options primarily because of lack of efficacy.
机译:简介:在新加坡,女性的慢性便秘要比男性普遍得多。我们进行了一项调查,以研究慢性便秘女性患者的人口统计学特征,症状患病率,寻求医疗保健的行为以及患者对可用治疗方案的满意度。方法:主要通过网络调查从新加坡女性小组代表那里收集反应。人口。结果:使用九个问题的筛选器确定了资格。结果:总共有1006名受邀女性参加了在线筛选器调查,其中911名受访者不符合慢性便秘调查的资格要求。在同意参加(通过在线和面对面访问)的全体小组成员中,有100名妇女符合资格要求并参加了22个问题的调查。合格的受访者偏向年轻患者,但在婚姻状况方面则好坏参半。他们中的大多数不热衷于运动,并且是职业女性,尤其是白领女性。大多数人抱怨劳损和大便是最常见的便秘症状(分别为88%和80%),并将便秘症状定为严重或中度。去年,受访者平均有6至7个月出现便秘症状。在超过三分之二的受访者中,便秘症状频繁发生(至少三分之一)。大多数患者自己尝试过治疗便秘,而80%的患者在去看医生之前尝试过泻药。对纤维补充剂和泻药的满意度是中等的,许多使用者对其效果不满意。无效和延长治疗时间是最不满意的最常见原因。几乎所有受访者(97%)都对考虑使用经证明更有效的处方药感兴趣。结论:女性的慢性便秘症状通常很严重且令人不安,许多患者主要由于缺乏疗效而对可用的治疗选择不满意。

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