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Furthermore, the concept of "honne" and "tatemae" in Japanese culture can contribute to the stigmatization of urinary incontinence. Honne refers to one's true feelings or desires, while tatemae refers to the social mask or image that individuals present to the world. When it comes to urinary incontinence, many Japanese girls may feel compelled to hide their true experiences and present a perfect image, rather than seeking help or discussing their struggles with others.