Hu J C, Ding Y Q, Pang H Y, Yu C Q, Sun D J Y, Pei P, Du H D, Chen J S, Chen Z M, Zhu L, Lyu J, Li L M
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing 100191, China.
Medical Science Research Center, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2024 Jan 10;45(1):11-18. doi: 10.3760/cma.j.cn112338-20230910-00144.
To describe the population and area distribution differences in the prevalence of urinary incontinence in middle-aged and elderly adults in 10 areas in China. A total of 24 913 participants aged 45-95 years who completed the third resurvey of China Kadoorie Biobank during 2020-2021 were included. The prevalence of urinary incontinence was assessed by an interviewer-administered questionnaire, and urinary incontinence was classified as only stress urinary incontinence, only urgency urinary incontinence and mixed urinary incontinence. The prevalence of urinary incontinence and its subtypes were reported by sex, age and area, and the severity of urinary incontinence and treatment were described. The average age of the participants was (65.4±9.1) years. According to the seventh national census data in 2020, the age-standardized prevalence rates of urinary incontinence was 25.4% in women and 7.0% in men. The age-standardized prevalence rates of only stress, only urgency and mixed incontinence were 1.7%, 4.2% and 1.2% in men and 13.5%, 5.8% and 6.1% in women, respectively. The prevalence rates of urinary incontinence and all subtypes in men and the prevalence of urinary incontinence and all subtypes except only stress urinary incontinence in women all increased with age (<0.001). After adjusting for age, the prevalence of urinary incontinence in both men and women were higher in rural area than in urban area (<0.001). The treatment rates in men and women with urinary incontinence were 15.4% and 8.5%, respectively. The prevalence of urinary incontinence was high in middle-aged and elderly adults in China, and the prevalence rate was higher in women than in men, but the treatment rate of urinary incontinence was low.
描述中国10个地区中老年成年人尿失禁患病率的人群及地区分布差异。纳入了2020年至2021年期间完成中国嘉道理生物银行第三次再调查的24913名年龄在45 - 95岁的参与者。通过访员管理的问卷评估尿失禁患病率，尿失禁分为仅压力性尿失禁、仅急迫性尿失禁和混合性尿失禁。按性别、年龄和地区报告尿失禁及其亚型的患病率，并描述尿失禁的严重程度和治疗情况。参与者的平均年龄为（65.4±9.1）岁。根据2020年第七次全国人口普查数据，尿失禁的年龄标准化患病率女性为25.4%，男性为7.0%。男性仅压力性、仅急迫性和混合性尿失禁的年龄标准化患病率分别为1.7%、4.2%和1.2%，女性分别为13.5%、5.8%和6.1%。男性尿失禁及其所有亚型的患病率以及女性除仅压力性尿失禁外的尿失禁及其所有亚型的患病率均随年龄增加而升高（<0.001）。调整年龄后，农村地区男性和女性的尿失禁患病率均高于城市地区（<0.001）。尿失禁男性和女性的治疗率分别为15.4%和8.5%。中国中老年成年人尿失禁患病率较高，女性患病率高于男性，但尿失禁治疗率较低。
