Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea; Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea.
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea; Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
J Affect Disord. 2021 Jan 15;279:549-553. doi: 10.1016/j.jad.2020.10.039. Epub 2020 Oct 26.
Urinary incontinence (UI) affects 200 million people worldwide and is a common problem in middle-aged and older women. The symptoms of UI in women are known to have a variety of effects on their health. Therefore, this study aimed to identify the effects of changes in UI status on depressive symptoms and identify determinants of the progression of UI among South Korean women 45 years old and above.
Data were collected from the Korean Longitudinal Study of Aging from 2012 to 2016. Participants were categorized into five groups by the results of a prior panel survey on UI status: "Recovered," "Better," "Same," "Worse," and "No symptoms of urinary incontinence." We used the generalized estimating equation model and performed subgroup analyses based on age, working status, household income, perceived health status, and the number of chronic medical conditions.
A total of 3,957 middle-aged and older women were included in the analysis. Those with a change to "worse" UI status (β: 0.408, P=0.005) had higher depressive symptom scores than those who reported "no symptoms of UI." Conversely, those with a "better" (β: -0.271, P=0.0131) or "recovered" (β: -0.518, P=0.0020) UI status had lower depressive symptom scores than those with "no symptom of UI". Younger women and those with a "better" or "recovered" status showed a tendency of having fewer depressive symptoms. Older women and those with a "worse" status showed a tendency of having more depressive symptoms.
The cause of UI could not be evaluated. Changes in UI status were evaluated based on self-reported data.
This study showed that a change in UI status is associated with depression in middle-aged and older Korean women. It is important to consider UI management to relieve depressive symptoms.
尿失禁（UI）影响全球 2 亿人，是中年和老年女性的常见问题。女性 UI 症状已知对其健康有多种影响。因此，本研究旨在确定 UI 状态变化对抑郁症状的影响，并确定韩国 45 岁及以上女性 UI 进展的决定因素。
数据来自 2012 年至 2016 年的韩国老龄化纵向研究。根据先前 UI 状态的面板调查结果，将参与者分为五组：“恢复”、“好转”、“相同”、“恶化”和“无尿失禁症状”。我们使用广义估计方程模型，并根据年龄、工作状态、家庭收入、感知健康状况和慢性疾病数量进行亚组分析。
共纳入 3957 名中老年人。与报告“无 UI 症状”的人相比，UI 状态恶化的人（β：0.408，P=0.005）抑郁症状评分更高。相反，UI 状态好转（β：-0.271，P=0.0131）或“恢复”（β：-0.518，P=0.0020）的人抑郁症状评分低于报告“无 UI 症状”的人。年轻女性和 UI 状态好转或恢复的人表现出抑郁症状较少的趋势。年龄较大的女性和 UI 状态恶化的人表现出更多抑郁症状的趋势。
无法评估 UI 的病因。UI 状态的变化是根据自我报告的数据评估的。
本研究表明，UI 状态的变化与中年和老年韩国女性的抑郁有关。考虑 UI 管理以缓解抑郁症状很重要。
