女性尿失禁的隐匿性流行：一项基于人群的研究，重点关注预防策略。
The hidden epidemic of urinary incontinence in women: a population-based study with emphasis on preventive strategies.
作者信息
Ahmadi Batoul, Alimohammadian Masoumeh, Golestan Banafsheh, Mahjubi Bahar, Janani Leila, Mirzaei Rezvan
机构信息
Department of Health Management and Economics, School of Public Health (SPH), Tehran University of Medical Science (TUMS), Tehran, Iran.
出版信息
Int Urogynecol J. 2010 Apr;21(4):453-9. doi: 10.1007/s00192-009-1031-6. Epub 2010 Jan 20.
INTRODUCTION AND HYPOTHESIS
Urinary incontinence (UI) is a prevalent clinical condition especially among women aged 40 years and above. It is not often reported as it is considered an age-related problem. This study attempts to estimate UI among women above 40 years and its determinants in an area zone of Tehran, Iran.
METHODS
In this cross-sectional study, a total of 800 women were selected from residents of area zone 17 of Tehran.
RESULTS
Prevalence of UI is estimated to be 38.4% (95% CI, 0.35-0.42). Our findings show that those who suffer from osteoarthritis or chronic cough, had any type of internal surgery, had rupture during delivery, and had no regular exercise are significantly at higher risk of UI.
CONCLUSION
The rather high prevalence of UI among middle-aged women has negative impact on women's quality of life; therefore, strategies regarding prevention and management, medical education, and research programs have been proposed.
引言与假设
尿失禁（UI）是一种常见的临床病症，尤其在40岁及以上的女性中较为普遍。由于它被认为是一个与年龄相关的问题，所以并不常被报告。本研究旨在估计伊朗德黑兰一个区域内40岁以上女性的尿失禁情况及其决定因素。
方法
在这项横断面研究中，总共从德黑兰第17区的居民中选取了800名女性。
结果
尿失禁的患病率估计为38.4%（95%可信区间，0.35 - 0.42）。我们的研究结果表明，患有骨关节炎或慢性咳嗽、接受过任何类型的内外科手术、分娩时出现破裂以及没有规律运动的女性患尿失禁的风险显著更高。
结论
中年女性中尿失禁的患病率较高，对女性的生活质量有负面影响；因此，提出了关于预防和管理、医学教育以及研究项目的策略。
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