Kinchen Kraig S, Lee Janelle, Fireman Bruce, Hunkeler Enid, Nehemiah Jerome L, Curtice Tammy G
Outcomes Research, Eli Lilly and Company, Indianapolis, Indiana 46285, USA.
J Womens Health (Larchmt). 2007 Apr;16(3):415-22. doi: 10.1089/jwh.2006.0122.
Urinary incontinence (UI) symptoms are common among women, yet only a small proportion of women with incontinence receive a diagnosis and treatment. We used survey and utilization data to determine the prevalence, burden, and treatment use for incontinence among women at Kaiser Permanente in Northern California.
In 2002, we surveyed 6726 female health plan members about health issues, including incontinence. We assessed type and bothersomeness of incontinence symptoms in the previous 7 days. For survey respondents and a 10% sample of female plan members (n = 108,825), we assessed use from 1997 to 2003.
The survey response rate was 49.7% (3344 of 6726); 44% of respondents reported incontinence symptoms in the previous 7 days, with over half of these women reporting that these symptoms bothered them. Fifteen percent of women with incontinence symptoms had a diagnosis consistent with incontinence in the previous 5 years. One third of the women reporting current bothersome incontinence and 14 or more incontinence episodes in the last 7 days had a diagnosis consistent with incontinence in the previous 5 years. Among women who had received medical or surgical treatment for incontinence in the previous 5 years, approximately half currently report being bothered by their symptoms.
Prevalence of bothersome incontinence symptoms among females in a prepaid health plan is high. However, only a small proportion of these women received a diagnosis or treatment for incontinence symptoms in the last 5 years. Efforts to improve the detection and treatment of bothersome incontinence symptoms are needed.
尿失禁（UI）症状在女性中很常见，但只有一小部分尿失禁女性得到诊断和治疗。我们使用调查和利用数据来确定北加利福尼亚州凯撒医疗集团女性尿失禁的患病率、负担及治疗情况。
2002年，我们对6726名女性健康计划成员进行了关于健康问题（包括尿失禁）的调查。我们评估了她们在过去7天内尿失禁症状的类型及困扰程度。对于调查受访者以及10%的女性计划成员样本（n = 108,825），我们评估了她们1997年至2003年期间的治疗情况。
调查回复率为49.7%（6726人中的3344人）；44%的受访者报告在过去7天内有尿失禁症状，其中超过一半的女性表示这些症状困扰着她们。15%有尿失禁症状的女性在过去5年中有与尿失禁相符的诊断。在报告当前有困扰性尿失禁且在过去7天内有14次及以上尿失禁发作的女性中，三分之一在过去5年中有与尿失禁相符的诊断。在过去5年中接受过尿失禁药物或手术治疗的女性中，约一半目前表示仍受症状困扰。
在预付健康计划中的女性中，困扰性尿失禁症状的患病率很高。然而，在过去5年中，只有一小部分此类女性因尿失禁症状得到诊断或治疗。需要努力改善对困扰性尿失禁症状的检测和治疗。
