CoChat
Sign Up
Cited by 18Sexual function and dysfunction studiesIntimate Partner and Family ViolencePelvic floor disorders treatments

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Interpersonal trauma and aging-related genitourinary dysfunction in a national sample of older women

Open access
Gibson, Carolyn J., Lisha, Nadra E., Walter, Louise C., Huang, Alison J.·2019·American Journal of Obstetrics and Gynecology
DOI 10.1016/j.ajog.2018.09.026PMC PMC6604626
Open this paper in CoChat — free account

Abstract

Background Among reproductive-aged women, exposure to interpersonal trauma is associated with genitourinary symptoms. Little is known about the relationship between these exposures and the genitourinary health of older women, who tend to experience different and more prevalent genitourinary symptoms because of menopause and aging. Objectives In this study, we examined relationships between common types of interpersonal trauma and aging-related genitourinary dysfunction among older women. Study design We analyzed data from the National Social Life, Health, and Aging Project, a national area probability sample of older community-dwelling adults born between 1920 and 1947. We used cross-sectional data from home-based study visits conducted in 2005-2006 to examine interpersonal violence exposures (any lifetime sexual assault, past-year emotional and physical abuse), and past-year genitourinary symptoms (urinary incontinence, other urinary problems, and vaginal pain/lubrication problems with sexual intercourse) among women participants. Multivariable logistic regression models were used to relate interpersonal violence and genitourinary symptoms, adjusting for age, race/ethnicity, body mass index, education, marital status, parity, hormone therapy, depressive and anxiety symptoms, and self-reported health. In exploratory models, we further adjusted for vaginal maturation, a tissue-specific marker of aging-related urogenital atrophy obtained from vaginal self-swabs. Results In this national sample of 1551 older women (mean age 69 ± 2 years), 9% reported sexual assault, 23% reported emotional abuse, and <1% reported physical abuse. Urinary incontinence and other urinary problems were reported by 42% and 17%, respectively, and 42% of sexually active women (n = 527) reported vaginal symptoms with intercourse. In multivariable regression analyses adjusted for age, race/ethnicity, education, marital status, parity, hormone therapy, anxiety, depressive symptoms, and self-reported health, women with any lifetime history of sexual assault had 2.5 times the odds (95% confidence interval, 1.0-6.3) of vaginal symptoms, while women who reported past-year emotional abuse had higher odds of urinary incontinence (odds ratio, 1.7, 95% confidence interval, 1.2-2.4) and other urinary problems (odds ratio, 1.8, 95% confidence interval, 1.2-2.8). Among women who provided vaginal self-swabs (n = 869), adjustment for vaginal maturation-attenuated associations with other urinary problems (odds ratio, 1.6, 95% confidence interval, .9-2.6) and vaginal symptoms (odds ratio, 2.2, 95% confidence interval, 0.8-5.8). Conclusion Sexual assault and emotional abuse may play a role in the development or experience of aging-related genitourinary dysfunction in older women. Clinicians caring for older women should recognize the prevalence and importance of traumatic exposures in health related to menopause and aging.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/j.ajog.2018.09.026

Cites

1 of 1 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Most prior studies show a positive association between any kind of violence and all chronic conditions, with a significant difference between abused and not-abused women.

    “Most of these studies show a positive association between any kind of violence and all chronic conditions, with a significant difference between the group of abused women and the group of not-abused women [38–44].”

    From The association between violence against women and chronic pain: a systematic review and meta-analysis (2024) · cites this paper as [43]

    The Comment reports associations between specific forms of trauma and specific genitourinary symptoms in older women. But the Results also report that lifetime sexual assault was not associated with urinary symptoms, and past-year emotional abuse was not significantly associated with vaginal symptoms. The paper therefore does not support the claim that any kind of violence is significantly associated with all chronic conditions. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Flagged first, then by citations

Research works printed but not linked: 34

  1. Tracy, 2012, Intimate partner violence: not just a concern of the reproductive ages, Menopause, 19, 3, 10.1097/gme.0b013e318239c985 · DOI
  2. Cannell, 2015, Cross-sectional and longitudinal risk of physical impairment in a cohort of postmenopausal women who experience physical and verbal abuse, BMC Womens Health, 15, 98, 10.1186/s12905-015-0258-2 · DOI
  3. Knight, 2016, Domestic violence and mental health in older adults, Int Rev Psychiatry, 28, 464, 10.1080/09540261.2016.1215294 · DOI
  4. Gandhi, 2016, Genitourinary syndrome of menopause: evaluation, sequelae, and management, Am J Obstet Gynecol, 215, 704, 10.1016/j.ajog.2016.07.045 · DOI
  5. Bradley, 2012, Urinary incontinence, depression and posttraumatic stress disorder in women veterans, Am J Obstet Gynecol, 206, 10.1016/j.ajog.2012.04.016 · DOI
  6. Yehuda, 2015, PTSD and Sexual dysfunction in men and women, J Sex Med, 12, 1107
  7. Cohen, 2012, Reproductive and other health outcomes in Iraq and Afghanistan women veterans using VA health care: association with mental health diagnoses, Womens Health Issues, 22, e461, 10.1016/j.whi.2012.06.005 · DOI
  8. O'Muircheartaigh, 2009, Statistical design and estimation for the national social life, health, and aging project, J Gerontol B Psychol Sci Soc Sci, 64, i12, 10.1093/geronb/gbp045 · DOI
  9. Hussain, 2015, A comparison of the types of screening tool administration methods used for the detection of intimate partner violence: a systematic review and meta-analysis, Trauma Violence Abuse, 16, 60, 10.1177/1524838013515759 · DOI
  10. Yip, 2013, The association between urinary and fecal incontinence and social isolation in older women, Am J Obstet Gynecol, 208, 10.1016/j.ajog.2012.11.010 · DOI
  11. Erekson, 2015, Functional disability and compromised mobility among older women with urinary incontinence, Female Pelvic Med Reconstr Surg, 21, 170, 10.1097/SPV.0000000000000136 · DOI
  12. Waetjen, 2015, Study of Women's Health Across the N. Factors associated with seeking treatment for urinary incontinence during the menopausal transition, Obstet Gynecol, 125, 1071, 10.1097/AOG.0000000000000808 · DOI
  13. Suskind, 2017, Urinary incontinence in older women: the role of body composition and muscle strength: from the Health, Aging, and Body Composition Study, J Am Geriatr Soc, 65, 42, 10.1111/jgs.14545 · DOI
  14. Townsend, 2010, The incidence of urinary incontinence across Asian, black, and white women in the United States, Am J Obstet Gynecol, 202, 10.1016/j.ajog.2009.11.021 · DOI
  15. Lindau, 2009, Vaginal self-swab specimen collection in a home-based survey of older women: methods and applications, J Gerontol B Psychol Sci Soc Sci, 64, i106, 10.1093/geronb/gbn021 · DOI
  16. Lindau, 2017, Prevalence and correlates of vaginal estrogenization in postmenopausal women in the United States, Menopause, 24, 536, 10.1097/GME.0000000000000787 · DOI
  17. Hess, 2008, Vaginal maturation index self-sample collection in mid-life women: acceptability and correlation with physician-collected samples, Menopause, 15, 726, 10.1097/gme.0b013e31816c5541 · DOI
  18. Simon, 2008, Effective treatment of vaginal atrophy with an ultra-low-dose estradiol vaginal tablet, Obstet Gynecol, 112, 1053, 10.1097/AOG.0b013e31818aa7c3 · DOI
  19. Carmignani, 2015, Effects of a soy-based dietary supplement compared with low-dose hormone therapy on the urogenital system: a randomized, double-blind, controlled clinical trial, Menopause, 22, 741, 10.1097/GME.0000000000000380 · DOI
  20. Davila, 2003, Are women with urogenital atrophy symptomatic?, Am J Obstet Gynecol, 188, 382, 10.1067/mob.2003.23 · DOI
  21. Radloff, 1977, The CES-D Scale: A self-report depression scale for research in the general population, Appl Psychol Measure, 385, 10.1177/014662167700100306 · DOI · Paper page
  22. Spitzer, 2006, A brief measure for assessing generalized anxiety disorder: the GAD-7, Arch Intern Med, 166, 1092, 10.1001/archinte.166.10.1092 · DOI · Paper page
  23. Rubin, 1976, Inference and missing data, Biometrika, 63, 581, 10.1093/biomet/63.3.581 · DOI · Paper page
  24. Collins, 2001, A comparison of inclusive and restrictive strategies in modern missing data procedures, Psychol Methods, 6, 330, 10.1037/1082-989X.6.4.330 · DOI · Paper page
  25. McArdle, 1992, Modeling incomplete longitudinal and cross-sectional data using latent growth structural models, Experimental Aging Research, 18, 145, 10.1080/03610739208253917 · DOI
  26. O'Muircheartaigh, 2014, Sample design, sample augmentation, and estimation for Wave 2 of the NSHAP, J Gerontol B Psychol Sci Soc Sci, 69, S15, 10.1093/geronb/gbu053 · DOI
  27. Golding, 1998, Prevalence of sexual assault history among women with common gynecologic symptoms, Am J Obstet Gynecol, 179, 1013, 10.1016/S0002-9378(98)70208-X · DOI
  28. Campbell, 2005, Understanding rape and sexual assault: 20 years of progress and future directions, J Interpers Violence, 20, 127, 10.1177/0886260504268604 · DOI
  29. Meana, 1999, Psychosocial correlates of pain attributions in women with dyspareunia, Psychosomatics, 40, 497, 10.1016/S0033-3182(99)71188-6 · DOI
  30. Link, 2007, Is abuse causally related to urologic symptoms? Results from the Boston Area Community Health (BACH) survey, Eur Urol, 52, 397, 10.1016/j.eururo.2007.03.024 · DOI
  31. Johnson, 2007, The prevalence of emotional abuse in gynaecology patients and its association with gynaecological symptoms, Eur J Obstet Gynecol Reprod Biol, 133, 95, 10.1016/j.ejogrb.2006.04.035 · DOI
  32. Bradley, 2017, Longitudinal associations between mental health conditions and overactive bladder in women veterans, Am J Obstet Gynecol, 217, 10.1016/j.ajog.2017.06.016 · DOI
  33. Bradley, 2014, Overactive bladder and mental health symptoms in recently deployed female veterans, J Urol, 191, 1327
  34. Klausner, 2009, The influence of psychiatric comorbidities and sexual trauma on lower urinary tract symptoms in female veterans, J Urol, 182, 2785

Cited by

Sorted by citations

Metadata

Authors
Gibson, C. J., Lisha, N. E., Walter, L. C., & Huang, A. J.
Affiliations
  • San Francisco VA Medical Center (US)
  • University of California, San Francisco (US)
Corresponding author
Gibson, Carolyn J.
ORCID
Venue
American Journal of Obstetrics and Gynecology
Publisher
Elsevier BV
Published
2019-01
Volume
220
Issue
1
Pages
94.e1-94.e7
ISSN
0002-9378 (ISSN-L)
DOI
10.1016/j.ajog.2018.09.026
PMC
PMC6604626
OpenAlex
W2893862490
Cited by
18
References
1
Citations by year
2025: 2 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 4 · 2020: 2
FWCI
1.18
Type
journal article
Language
en
Open access
Licence
Locations
  • American Journal of Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Office of Research on Women&apos;s Health
  • National Institutes of Health
  • Nutrition Obesity Research Center, University of North Carolina
  • U.S. Department of Veterans Affairs
  • National Institute on Aging
  • Office of AIDS Research
  • University of Chicago
  • Nurses Organization of Veterans Affairs
  • Office of Behavioral and Social Sciences Research (R01AG021487)
  • University of California, San Francisco
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Social Sciences › Health › Intimate Partner and Family Violence
  • Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
Keywords
interpersonal trauma, sexual assault, emotional abuse, physical abuse, genitourinary dysfunction, urinary incontinence, vaginal symptoms, urogenital atrophy, menopause, aging, older women, hormone therapy, depressive symptoms, anxiety symptoms, vaginal lubrication, sexual dysfunction, National Social Life, Health, and Aging Project, community-dwelling women
MeSH terms
Age Factors, Aged, Aging, Cross-Sectional Studies, Female, Humans, Interpersonal Relations, Middle Aged, Prognosis, Retrospective Studies, Sexual Dysfunction, Physiological, Sex Offenses, United States, Databases, Factual, Risk Assessment, Female Urogenital Diseases, Vulvodynia

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review