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中国河北女性尿失禁的患病率及相关因素。

Prevalence and related factors of urinary incontinence among Hebei women of China.

机构信息

Department of Obstetrics and Gynecology, PLA Bethune International Peace Hospital, Shijiazhuang, PR China. xiaohuawu65 @ yahoo.com

出版信息

Gynecol Obstet Invest. 2011;71(4):262-7. doi: 10.1159/000320333. Epub 2011 Jan 13.

Abstract

BACKGROUND/AIMS: The aim of this study was to assess the prevalence and related factors of different types of urinary incontinence (UI) among Hebei women in China.

METHODS

A total of 2,500 women aged 20 years or more were sampled and interviewed face-to-face by well-trained interviewers.

RESULTS

Among these women, 35.2% (862/2,448) had UI. The prevalence of stress, urge, and mixed UI was 26.4% (647/2,448), 1.9% (47/2,448), and 6.9% (168/2,448), respectively. In multivariable logistic regression, age, constipation, pelvic organ prolapse, number of abortions, and cesarean sections were associated with both stress and mixed UI; body mass index, dysmenorrhea, vaginitis and cervicitis, fetal weight, and dystocia were associated with stress UI only; age of menarche and dystocia were associated with urge UI only, and living in a city or countryside, a history of pelvic operation, urinary infection, diseases of the respiratory system, heart disease, and alcohol consumption with mixed UI.

CONCLUSIONS

UI is a highly prevalent condition among women in Hebei Province, PR China. Stress, urge, and mixed UI not only have some related factors in common but also have some different ones. Economic condition and a lack of UI-related knowledge are factors keeping patients from seeing a doctor.

摘要

背景/目的:本研究旨在评估中国河北省女性不同类型尿失禁(UI)的患病率及相关因素。

方法

共抽取 2500 名 20 岁及以上的女性进行面对面访谈,由训练有素的访谈员进行。

结果

这些女性中,35.2%(862/2,448)患有 UI。压力性、急迫性和混合性 UI 的患病率分别为 26.4%(647/2,448)、1.9%(47/2,448)和 6.9%(168/2,448)。多变量逻辑回归分析显示,年龄、便秘、盆腔器官脱垂、流产次数和剖宫产与压力性和混合性 UI 均相关;体质量指数、痛经、阴道炎和宫颈炎、胎儿体重和难产与压力性 UI 相关;初潮年龄和难产与急迫性 UI 相关,而居住地为城市或农村、盆腔手术史、尿路感染、呼吸系统疾病、心脏病和饮酒与混合性 UI 相关。

结论

尿失禁是中国河北省女性中一种高发疾病。压力性、急迫性和混合性 UI 不仅有一些共同的相关因素,而且还有一些不同的相关因素。经济状况和缺乏与 UI 相关的知识是导致患者不去看医生的因素。

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