AlQuaiz AlJohara M, Kazi Ambreen, AlYousefi Nada, Alwatban Lemmese, AlHabib Yara, Turkistani Iqbal
Princess Nora Bent Abdullah Research Chair for Women's Health, Deanship of Scientific Research, King Saud University, Riyadh 11421, Saudi Arabia.
Department of Family & Community Medicine, College of Medicine, King Saud University, Riyadh 11421, Saudi Arabia.
Healthcare (Basel). 2023 Jun 15;11(12):1772. doi: 10.3390/healthcare11121772.
Urinary incontinence is a common problem among women of reproductive age. The objectives of this study were to measure the prevalence of urinary incontinence and the association with quality of life, psychological distress and self-esteem in Saudi women in the city of Riyadh. A questionnaire-based cross-sectional study was conducted in primary healthcare centers with Saudi women aged between 30 and 75 years. The questionnaire consisted of Urinary Distress Inventory, Incontinence Impact Questionnaire, Kessler Psychological Distress Scale, Rosenberg Self-esteem Scale, and the Female Sexual Function Index. Around 47.5% of women were suffering from urinary incontinence. The most common type of incontinence was stress (79%), followed by urge (72%) and mixed type (51%). Multivariate logistic regression analysis found that stress (5.83 (3.1, 11.1)), urge (3.41 (2.0, 5.8)), mixed (8.71 (3.4, 22.4)) incontinence and severe urinary distress (8.11 (5.2, 12.7)) were associated with impaired quality of life. Women suffering from stress and urge incontinence were twice (2.0 (1.3, 2.2)) as likely of reporting moderate/severe mental distress. Women suffering from urge incontinence (1.92 (1.4, 2.7)) and severe urinary distress (1.74 (1.1, 2.8)) were at a higher prevalence of reporting low self-esteem. Urinary incontinence affects the physical, psychological, social, and sexual health of women. Healthcare providers should be knowledgeable about the adverse consequences of UI on women's personal and social life, and provide counseling and treatment accordingly.
尿失禁是育龄女性中的常见问题。本研究的目的是测量利雅得市沙特女性尿失禁的患病率及其与生活质量、心理困扰和自尊的关联。在初级医疗保健中心对年龄在30至75岁之间的沙特女性进行了一项基于问卷的横断面研究。问卷包括尿失禁困扰量表、尿失禁影响问卷、凯斯勒心理困扰量表、罗森伯格自尊量表和女性性功能指数。约47.5%的女性患有尿失禁。最常见的尿失禁类型是压力性尿失禁（79%），其次是急迫性尿失禁（72%）和混合性尿失禁（51%）。多因素逻辑回归分析发现，压力性尿失禁（5.83（3.1，11.1））、急迫性尿失禁（3.41（2.0，5.8））、混合性尿失禁（8.71（3.4，22.4））和严重的尿失禁困扰（8.11（5.2，12.7））与生活质量受损相关。患有压力性和急迫性尿失禁的女性报告中度/重度精神困扰的可能性是正常人的两倍（2.0（1.3，2.2））。患有急迫性尿失禁（1.92（1.4，2.7））和严重尿失禁困扰（1.74（1.1，2.8））的女性报告自尊水平低的患病率更高。尿失禁会影响女性的身体、心理、社会和性健康。医疗保健提供者应了解尿失禁对女性个人和社会生活的不良后果，并据此提供咨询和治疗。
