Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan.
Institute of Health and Sport Sciences, University of Tsukuba, Ibaraki, Japan.
Womens Health (Lond). 2023 Jan-Dec;19:17455057231207754. doi: 10.1177/17455057231207754.
Epidemiological studies on urinary incontinence that used a validated international standard questionnaire are limited in Japan, and few studies have examined the sociodemographic and behavioral correlates of urinary incontinence.
The aim of this study was to estimate the prevalence of urinary incontinence according to the Japanese version of the International Consultation on Incontinence Questionnaire-Short Form, and its sociodemographic and behavioral correlates among Japanese women.
A web-based cross-sectional study.
A randomly sampled cross-sectional Internet survey was conducted in Japan among 3030 women aged 20-64 years. The International Consultation on Incontinence Questionnaire-Short Form score, sociodemographic, body mass index, medical and childbirth history, practice of pelvic floor muscle training, and medical care use were obtained. Descriptive statistics, the chi-square test, and forced-entry logistic regression analysis were used in data analysis.
Participants' average age was 43.4 years, and the response rate was 32.9%. The prevalence of urinary incontinence was 25.5%, and it increased with age. Stress urinary incontinence was the most common subtype (57.4%), followed by urge urinary incontinence (20.3%) and mixed urinary incontinence (16.7%). Less than 5% of those with urinary incontinence had experience with pelvic floor muscle training and medical care use. Middle-aged and older (p < 0.001), overweight and obesity (p < 0.001), vaginal delivery status (p < 0.001), low back pain (p = 0.008), and previous pelvic floor muscle training engagement (p < 0.001) were significantly associated with urinary incontinence.
Increasing population awareness of urinary incontinence from an early age and developing effective interventions for the identified at-risk groups, such as the middle-aged and older, those with overweight and obesity, and those with previous pregnancies, are urgently needed.
在日本，使用经过验证的国际标准问卷进行的尿失禁流行病学研究有限，很少有研究调查尿失禁的社会人口学和行为相关性。
本研究旨在根据日本版国际尿失禁咨询问卷-短表评估尿失禁的患病率及其在日本女性中的社会人口学和行为相关性。
基于网络的横断面研究。
在日本，对 3030 名 20-64 岁的女性进行了一项基于互联网的随机横断面调查。获得了国际尿失禁咨询问卷-短表评分、社会人口统计学、体重指数、医疗和分娩史、骨盆底肌肉训练实践以及医疗保健使用情况。数据分析采用描述性统计、卡方检验和强制进入逻辑回归分析。
参与者的平均年龄为 43.4 岁，应答率为 32.9%。尿失禁的患病率为 25.5%，且随年龄增长而增加。压力性尿失禁是最常见的亚型（57.4%），其次是急迫性尿失禁（20.3%）和混合性尿失禁（16.7%）。不到 5%的尿失禁患者有骨盆底肌肉训练和医疗保健使用的经验。中年及以上（p<0.001）、超重和肥胖（p<0.001）、阴道分娩史（p<0.001）、下腰痛（p=0.008）和既往骨盆底肌肉训练参与（p<0.001）与尿失禁显著相关。
迫切需要提高人们对尿失禁的认识，特别是对中年及以上、超重和肥胖以及有既往妊娠史的人群，以便及早发现并针对这些高危人群制定有效的干预措施。
