Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Urol J. 2022 Nov 8;19(5):392-397. doi: 10.22037/uj.v19i.7223.
To evaluate the associations among teenage childbearing (Age at first birth<=19 years old) with later-life risk of stress and urgency urinary incontinence (SUI, UUI) in American women using nationally representative data from America.
Data from the National Health and Nutrition Examination Survey (NHANES) from 2015 to 2018 were merged to include 2673 women. The question, "How old were you at the time of your first live birth?" was used to assess teenage childbearing. Urinary incontinence was ascertained by self-report. Multivariable logistic regression models were used to assess the association between teenage childbearing and urinary incontinence in American women, controlling for potential confounders.
Among the 2673 women with complete data, the prevalence of SUI was 27.3%, and the prevalence of UUI was 22.1%. Overall, 856 of female had given birth at or before the age of nineteen. Teenage childbearing was significantly associated with SUI (OR=1.9, 95%CI=1.5-2.3, p < 0.001), but teenage childbearing was not associated with UUI (OR=1.2, 95%CI=1.0-1.5, p = 0.0658).
After controlling for known risk factors, teenage childbearing seems to be signif-icantly related to female stress urinary incontinence.
利用美国全国代表性数据评估青少年生育（初育年龄<=19 岁）与美国女性晚年压力性和急迫性尿失禁（SUI、UUI）风险之间的关联。
合并 2015 年至 2018 年全国健康和营养调查（NHANES）的数据，纳入 2673 名女性。通过询问“您第一次生育时的年龄是多少？”来评估青少年生育。尿失禁通过自我报告确定。使用多变量逻辑回归模型评估青少年生育与美国女性尿失禁之间的关联，同时控制潜在混杂因素。
在 2673 名具有完整数据的女性中，SUI 的患病率为 27.3%，UUI 的患病率为 22.1%。总体而言，856 名女性在 19 岁或之前生育过。青少年生育与 SUI 显著相关（OR=1.9，95%CI=1.5-2.3，p<0.001），但与 UUI 无关（OR=1.2，95%CI=1.0-1.5，p=0.0658）。
在控制已知风险因素后，青少年生育似乎与女性压力性尿失禁显著相关。
