Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 99 Commercial Road, Melbourne, Victoria 3004, Australia.
Ann Intern Med. 2012 Jul 17;157(2):87-93. doi: 10.7326/0003-4819-157-2-201207170-00005.
Although pregnancy is a risk factor for urinary incontinence (UI), the extent of UI in nulligravid women has not been reported.
To investigate the rate of UI in a sample of young nulligravid women and its potential risk factors and effect on quality of life.
Cross-sectional, self-administered questionnaire-based study.
University campuses and medical and allied health clinics.
Nulligravid Australian women aged 16 to 30 years.
The Questionnaire for Urinary Incontinence Diagnosis, the Psychological General Well-Being Index (PGWBI), the King's Health Questionnaire, and the International Physical Activity Questionnaire-Short Form. Demographic variables and potential risk factors were also documented.
1018 of 1620 questionnaires (63%) were returned, and 1002 provided analyzable data. The mean age of participants was 22.5 years (SD, 3.2). The rate of any UI was 12.6% (95% CI, 10.5% to 14.7%). Incontinence was slightly more common in students than in nonstudents (13.2% [CI, 11.0% to 15.8%] vs. 10.6% [CI, 6.7% to 14.6%]). Rates of UI varied according to sexual activity and use of combined oral contraceptives (COCs), with highest rates reported by students who were ever sexually active and not using COCs (21.5% [CI, 16.7% to 27.3%]). Women with UI reported significantly lower overall well-being than women without UI and had worse PGWBI scores related to anxiety, depression, positive well-being, and self-control.
A convenience sample of healthy, well-educated women was recruited, and response rates and participant characteristics varied by setting.
In a sample of young nulligravid women, UI was associated with ever being sexually active and no COC use, as well as lower psychological well-being. Further research is needed to assess the prevalence and risk factors for UI in nulligravid women.
None.
虽然妊娠是尿失禁（UI）的一个危险因素，但未报道过 nulligravid 女性的 UI 程度。
调查年轻 nulligravid 女性的 UI 发生率及其潜在的危险因素和对生活质量的影响。
基于问卷调查的横断面研究。
大学校园和医疗及相关健康诊所。
年龄在 16 至 30 岁的澳大利亚 nulligravid 女性。
尿失禁诊断问卷、一般心理幸福感指数（PGWBI）、King's 健康问卷和国际体力活动问卷-短表。还记录了人口统计学变量和潜在的危险因素。
1620 份问卷中，有 1018 份（63%）被收回，其中 1002 份提供了可分析的数据。参与者的平均年龄为 22.5 岁（SD，3.2）。任何 UI 的发生率为 12.6%（95%CI，10.5%至 14.7%）。与非学生相比，学生中 UI 更为常见（13.2%[CI，11.0%至 15.8%]比 10.6%[CI，6.7%至 14.6%]）。UI 的发生率因性行为和使用复方口服避孕药（COC）而异，从未有过性行为且不使用 COC 的学生中报告的发生率最高（21.5%[CI，16.7%至 27.3%]）。有 UI 的女性的整体幸福感明显低于没有 UI 的女性，并且在焦虑、抑郁、积极幸福感和自我控制方面的 PGWBI 评分更差。
这项研究招募了一个方便的健康、受过良好教育的女性样本，且应答率和参与者特征因设置而异。
在年轻的 nulligravid 女性样本中，UI 与曾经有过性行为和不使用 COC 有关，同时与心理健康状况较差有关。需要进一步研究以评估 nulligravid 女性中 UI 的患病率和危险因素。
无。
