A silent burden—prolapse, incontinence, and infertility in Australian Aboriginal and Torres Strait Islander women: A systematic search and narrative review
- 20 September 2021
- journal article
- review article
- Published by Wiley in International Journal of Gynecology & Obstetrics
- Vol. 155 (2), 268-274
- https://doi.org/10.1002/ijgo.13920
Abstract
Background Pelvic organ prolapse (POP), urinary incontinence, and infertility are all prevalent conditions associated with considerable reduction in quality of life. As a group, Aboriginal and Torres Strait Islander women may be at higher risk of these conditions, but studies are scarce. Objectives To review the literature pertaining to the epidemiology, diagnosis, and management of these conditions in Indigenous Australian women. Search strategy Medline, Embase, and Scopus were searched for articles published between 1980 and 2021 pertaining to these conditions in Indigenous Australian women. Selection criteria Studies that did not directly address the epidemiology, diagnosis, and management of these conditions were excluded. Main results It was possible to identify only 11 papers dealing with these conditions in Indigenous Australian women. Only one dealt with POP and was a retrospective audit of a health outreach program in the Northern Territory concluding that there was significant underreporting of the condition. Five papers dealt with urinary incontinence and, again, described significant underreporting and poor referral pathways. Five papers reported small studies about infertility, one reporting poor engagement from clinical directors. Conclusions It was concluded that despite the importance of these conditions, there is almost no body of research and this is an urgent national problem.This publication has 22 references indexed in Scilit:
- Socio-economic disparities in access to assisted reproductive technologies in AustraliaReproductive BioMedicine Online, 2016
- The health of older Aboriginal and Torres Strait Islander peoplesAustralasian Journal on Ageing, 2016
- Process evaluation of a pilot evidence-based Polycystic Ovary Syndrome clinic in the Torres StraitAustralian Journal of Rural Health, 2016
- Pelvic Organ ProlapseUrogynecology, 2014
- Socioeconomic disparities in access to ART treatment and the differential impact of a policy that increased consumer costsHuman Reproduction, 2013
- Preliminary evaluation of the prevalence of falls, pain and urinary incontinence in remote living Indigenous Australians over the age of 45 yearsInternal Medicine Journal, 2012
- Phenomenology of squalor, hoarding and self‐neglect: an Australian aged care perspectiveInternal Medicine Journal, 2012
- The impact of shame and self-judgment on psychopathology in infertile patientsHuman Reproduction, 2011
- Stress urinary incontinence in the gynecological practiceInternational Journal of Gynecology & Obstetrics, 2004
- Reproductive health, infertility and sexually transmitted infections in Indigenous women in a remote community in the Northern TerritoryAustralian and New Zealand Journal of Public Health, 2000