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阿联酋尿失禁女性的社会影响和就医行为。

Social impact and healthcare-seeking behavior among women with urinary incontinence in the United Arab Emirates.

机构信息

Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.

出版信息

Int J Gynaecol Obstet. 2013 Aug;122(2):136-9. doi: 10.1016/j.ijgo.2013.03.023. Epub 2013 Jun 10.

DOI:10.1016/j.ijgo.2013.03.023
PMID:23764126
Abstract

OBJECTIVE

To determine the prevalence and social impact of urinary incontinence (UI) and healthcare-seeking behaviors among women in the United Arab Emirates (UAE).

METHODS

A study was conducted of 429 women who attended family development foundation centers in Al Ain, UAE, between January 1, 2010, and January 31, 2011. Data on sociodemographics, obstetric and medical history, and factors related to UI were obtained using a questionnaire.

RESULTS

The prevalence of UI was 42.2% (mean age, 37.8years). Aspects of daily life (praying, social activities, physical activities, or sexual relationship) were disrupted by UI among 78.0% of the women, with severe effects reported by 8.8%. Independent risk factors for UI were education level, history of "dragging" genital lump, and constipation. In all, 50.5% of the affected women did not seek medical advice, stating the following reasons: hoped for spontaneous resolution of UI (61.9%); embarrassed to visit a male or female clinician (35.9%); believed that UI was a normal occurrence among women (31.5%); embarrassed to visit a male clinician (29.3%); and unaware that treatment was available (23.9%).

CONCLUSION

Although UI was prevalent in the UAE and affected quality of life, less than half of all women with this condition sought medical advice.

摘要

目的

确定阿联酋女性尿失禁(UI)的流行率和社会影响以及她们寻求医疗保健的行为。

方法

2010 年 1 月 1 日至 2011 年 1 月 31 日期间,对在阿联酋艾因的家庭发展基金会中心就诊的 429 名女性进行了一项研究。使用问卷获取了社会人口统计学、产科和病史以及与 UI 相关的因素数据。

结果

UI 的患病率为 42.2%(平均年龄 37.8 岁)。78.0%的女性因 UI 而扰乱了日常生活(祈祷、社交活动、体育活动或性关系),其中 8.8%的女性报告了严重影响。UI 的独立危险因素是教育程度、“拖拽”生殖器肿块史和便秘。所有受影响的女性中有 50.5%没有寻求医疗建议,原因如下:希望 UI 自行缓解(61.9%);羞于去看男医生或女医生(35.9%);认为 UI 是女性的正常现象(31.5%);羞于去看男医生(29.3%);以及不知道有治疗方法(23.9%)。

结论

尽管 UI 在阿联酋很普遍,且影响了生活质量,但只有不到一半的女性寻求了医疗建议。

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