Chiarelli P, Brown W, McElduff P
Faculty of Medicine and Health Sciences, The University of Newcastle, Callaghan, NSW, Australia.
Neurourol Urodyn. 1999;18(6):567-77. doi: 10.1002/(sici)1520-6777(1999)18:6<567::aid-nau7>3.0.co;2-f.
The Women's Health Australia project provided the opportunity to examine the prevalence of leaking urine and associated variables in three large cohorts of Australian women 18-23 years of age ("young" N = 14,761), 45-50 ("mid-age" N = 14,070), and 70-75 ("older" N = 12, 893). The proportion of women reporting leaking urine was 12.8% (95% CI: 12.2-13.3), 36.1% (35.2- 37.0), and 35% (34.1- 35.9) in each of the three cohorts, respectively. Logistic regression analysis showed significant associations between leaking urine and parity in the young and mid-age women, and between leaking urine and constipation, other bowel symptoms, body mass index, and urine that burns or stings in all three groups. In the mid-age and older cohorts, women who reported having both hysterectomy and prolapse repair, or prolapse repair alone, were also more likely to report leaking urine. Lower scores on the physical and mental component summary scores of the medical outcomes survey short form (36 items) questionnaire suggest lower quality of life among women who report leaking urine, compared with those who do not. Neurourol. Urodynam. 18:567-577, 1999.
澳大利亚女性健康项目提供了一个机会，可在三组年龄分别为18 - 23岁（“年轻组”，N = 14,761）、45 - 50岁（“中年组”，N = 14,070）和70 - 75岁（“老年组”，N = 12,893）的澳大利亚女性大样本队列中，研究尿失禁的患病率及相关变量。三组队列中报告有尿失禁的女性比例分别为12.8%（95%可信区间：12.2 - 13.3）、36.1%（35.2 - 37.0）和35%（34.1 - 35.9）。逻辑回归分析显示，年轻和中年女性中尿失禁与产次之间存在显著关联，在所有三组中，尿失禁与便秘、其他肠道症状、体重指数以及灼痛或刺痛的尿液之间也存在显著关联。在中年和老年队列中，报告同时进行了子宫切除术和脱垂修复术或仅进行了脱垂修复术的女性，也更有可能报告有尿失禁。与未报告尿失禁的女性相比，医疗结局调查简表（36项）问卷的身体和心理成分总结得分较低，表明报告有尿失禁的女性生活质量较低。《神经泌尿学与尿动力学》18:567 - 577，1999年。
