Self-reported urinary incontinence and factors associated with symptom severity in community dwelling adult women: implications for women’s health promotion

BMC Women's Health

Research Article

Joshua Kanaabi Muliira¹  Vidya Seshan¹ 

[1] College of Nursing, Sultan Qaboos University, P. O. Box 66, 123, Al Khod, Muscat, Oman;

关键词: Risk factors;    Women;    Attitude;    Urinary incontinence;    Predictors;    Prevalence;   

DOI  :  10.1186/1472-6874-13-16

 received in 2012-10-02, accepted in 2013-03-27,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundUrinary incontinence (UI) continues to affect millions of women worldwide and those living in resource poor settings seem to be more affected. The purpose of this study was to determine the prevalence of UI and factors associated with UI symptom severity (UISS) among women in a selected district in India.MethodsA cross-sectional design was used to collect data from a sample of 598 community dwelling women in the age range of 20 to 60 years. Data was collected using a questionnaire survey of participants who were found in their homes.ResultsThe prevalence of UI was 33.8% and the majority of women had negative attitudes about the condition. For instance most women were in agreement with statements such as: UI cannot be prevented or cured (98%); women with UI are cursed (97%); women are not supposed to tell anyone about the problem (90%) and others. Of the 202 women with self-reported UI, the majority reported having moderate UISS (78%) and others rated the symptoms as mild (22%). The woman’s age at first birth (p<.01) was negatively associated with UISS, while the number of pregnancies (p<.01) and weight of the largest baby ever delivered (p<.01), were positively associated with UISS. The weight of the largest baby delivered had the strongest impact on predicting UISS.ConclusionsMany community dwelling women are suffering from UI at proportions which warrant significant public health consideration. Therefore public health programs to prevent UI or worsening of symptoms are required and should emphasize health education, because of the pervasive negative attitudes among affected and unaffected women. The predictors reported here can be used to priotize care for affected women and to encourage early uptake of health actions and behaviors that promote pelvic floor strengthening in at risk women who may be reluctant to disclose UI.

【 授权许可】

CC BY   
© Seshan and KMuliira; licensee BioMed Central Ltd. 2013