瑞典、英国和美国男性和女性的尿失禁及其与心理健康和健康相关生活质量的关系。
Urinary incontinence and its relationship to mental health and health-related quality of life in men and women in Sweden, the United Kingdom, and the United States.
机构信息
United BioSource Corporation, Bethesda, MD 20814, USA.
出版信息
Eur Urol. 2012 Jan;61(1):88-95. doi: 10.1016/j.eururo.2011.07.049. Epub 2011 Jul 26.
BACKGROUND
Differences in health burden associated with urinary incontinence (UI) subtypes have been previously described, but the majority of studies are in women. Additional research is needed to examine the prevalence and burden of UI subtype including postmicturition incontinence, nocturnal enuresis, coital incontinence, and incontinence for unspecified reasons.
OBJECTIVE
Examine the burden of UI in men and women in Sweden, the United Kingdom, and the United States.
DESIGN, SETTING, AND PARTICIPANTS: Secondary analyses of the Epidemiology of Lower Urinary Tract Symptoms (EpiLUTS), a cross-sectional Internet survey, were performed. Participants who reported UI were categorized as (1) urgency urinary incontinence (UUI) only, (2) stress urinary incontinence (SUI) only, (3) mixed urinary incontinence (MUI), (4) UUI plus other incontinence (OI), (5) SUI plus OI, or (6) OI. Differences in health outcomes across UI groups were explored by gender using descriptive statistics and general linear models.
MEASUREMENTS
Outcomes included treatment seeking for urinary symptoms, perception of bladder condition, depression, anxiety, and health-related quality of life (HRQL).
RESULTS AND LIMITATIONS
Of 14 140 men and 15 860 women, 6479 men (45.8%) and 10 717 women (67.6%) reported UI. The most prevalent UI subgroups were OI in men and SUI in women. MUI and SUI plus OI had the greatest treatment seeking among men, whereas MUI and UUI plus OI had the greatest treatment seeking among women. Men with MUI had the highest rates of anxiety, followed by those with UUI plus OI and SUI plus OI, and OI with a similar trend observed for depression. Anxiety and depression were highest in SUI plus OI and MUI women. MUI and UUI plus OI men and women had significantly lower HRQL compared with other UI groups.
CONCLUSIONS
UI is common in men and women aged >40. Individuals with UUI combined with SUI or OI bear a greater mental health burden and report poorer HRQL.
背景
先前已经描述了与尿失禁（UI）亚型相关的健康负担差异，但大多数研究都集中在女性。需要进一步研究来检查包括排尿后失禁、夜间遗尿、性交时失禁和不明原因失禁在内的 UI 亚型的患病率和负担。
目的
检查瑞典、英国和美国男性和女性的 UI 负担。
设计、设置和参与者：对下尿路症状的流行病学（EpiLUTS）的二次分析，这是一项横断面互联网调查，进行了分析。报告 UI 的参与者被分为（1）仅急迫性尿失禁（UUI），（2）仅压力性尿失禁（SUI），（3）混合性尿失禁（MUI），（4）UUI 加其他失禁（OI），（5）SUI 加 OI，或（6）OI。使用描述性统计和一般线性模型，按性别探讨了 UI 组之间健康结果的差异。
测量
结果包括对尿症状的治疗寻求、对膀胱状况的感知、抑郁、焦虑和健康相关生活质量（HRQL）。
结果和局限性
在 14140 名男性和 15860 名女性中，有 6479 名男性（45.8%）和 10717 名女性（67.6%）报告了 UI。最常见的 UI 亚组是男性的 OI 和女性的 SUI。MUI 和 SUI 加 OI 在男性中寻求治疗最多，而 MUI 和 UUI 加 OI 在女性中寻求治疗最多。MUI 男性的焦虑率最高，其次是 UUI 加 OI 和 SUI 加 OI，OI 也有类似的抑郁趋势。SUI 加 OI 和 MUI 女性的焦虑和抑郁率最高。MUI 和 UUI 加 OI 的男性和女性的 HRQL 明显低于其他 UI 组。
结论
UI 在年龄>40 岁的男性和女性中很常见。UUI 与 SUI 或 OI 相结合的个体承受更大的心理健康负担，报告的 HRQL 更差。
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