Pathiraja Ramya, Prathapan Shamini, Goonawardena Sampatha
Department of Obstetrics and Gynecology, Faculty of Medical Sciences, University of Sri Jayewardenepura.
Department of Community Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura.
Urol J. 2017 May 23;14(3):3075-3080.
Urinary incontinence, be stress incontinence or urge incontinence or a mixed type incontinence affects women of all ages. The aim of this study was to describe the prevalence and risk factors of urinary incontinence in Sri Lanka.
A community based cross-sectional study was performed in Sri Lanka. The age group of the women in Sri Lanka was categorized into 3 age groups: Less than or equal to 35 years, 36 to 50 years of age and more than or equal to 51 years of age. A sample size of 675 women was obtained from each age category obtaining a total sample of 2025 from Sri Lanka. An interviewer-administered questionnaire consisting of two parts; Socio demographic factors, Medical and Obstetric History, and the King's Health Questionnaire (KHQ), was used for data collection. Stepwise logistic regression analysis was performed.
The Prevalence of women with only stress incontinence was 10%, with urge incontinence was 15.6% and with stress and urge incontinence was 29.9%. Stepwise logistic regression analysis showed that the age groups of 36 - 50 years (OR = 2.03; 95% CI = 1.56 - 2.63) and 51 years and above (OR = 2.61; 95% CI= 1.95 - 3.48), Living in one of the districts in Sri Lanka (OR = 4.58; 95% CI = 3.35 - 6.27) and having given birth to multiple children (OR = 1.1; 95% CI = 1.02 - 1.21), diabetes mellitus (OR = 1.97; 95% CI = 1.19 - 3.23), and respiratory diseases (OR = 2.17; 95% CI = 1.48 - 3.19 ) showed a significant risk in the regression analysis.
The risk factor, mostly modifiable, if prevented early, could help to reduce the symptoms of urinary incontinence.
尿失禁，无论是压力性尿失禁、急迫性尿失禁还是混合性尿失禁，都会影响各年龄段的女性。本研究的目的是描述斯里兰卡尿失禁的患病率及危险因素。
在斯里兰卡进行了一项基于社区的横断面研究。斯里兰卡女性的年龄组分为3个年龄组：小于或等于35岁、36至50岁以及大于或等于51岁。从每个年龄组中抽取675名女性作为样本，共获得来自斯里兰卡的2025个样本。使用由两部分组成的访谈式问卷进行数据收集，这两部分分别是社会人口统计学因素、医学和产科病史以及国王健康问卷（KHQ）。进行了逐步逻辑回归分析。
仅患有压力性尿失禁的女性患病率为10%，患有急迫性尿失禁的为15.6%，患有压力性和急迫性尿失禁的为29.9%。逐步逻辑回归分析表明，36 - 50岁年龄组（OR = 2.03；95% CI = 1.56 - 2.63）和51岁及以上年龄组（OR = 2.61；95% CI = 1.95 - 3.48）、居住在斯里兰卡的某个地区（OR = 4.58；95% CI = 3.35 - 6.27）、生育多个子女（OR = 1.1；95% CI = 1.02 - 1.21）、糖尿病（OR = 1.97；95% CI = 1.19 - 3.23）以及呼吸系统疾病（OR = 2.17；95% CI = 1.48 - 3.19）在回归分析中显示出显著风险。
这些危险因素大多是可以改变的，如果能早期预防，有助于减轻尿失禁症状。
