女性如厕后的擦拭方式与尿路感染风险有关。
Post-Toilet Wiping Style Is Associated With the Risk of Urinary Tract Infection in Women.
作者信息
Akaishi Tetsuya
机构信息
Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, JPN.
出版信息
Cureus. 2024 Apr 12;16(4):e58107. doi: 10.7759/cureus.58107. eCollection 2024 Apr.
INTRODUCTION
Urinary tract infection (UTI) has a lifetime incidence of ≥50% in women. A wide variety of clinical, physiological, and lifestyle risk factors for UTI have been identified, but the exact relationship between post-toilet anal and perineal hygiene practices, especially the wiping direction with toilet paper, and UTI risks has not been investigated yet. Therefore, this study cross-sectionally investigated the post-toilet wiping habit and lifetime UTI events in the general population.
METHODS
Individuals who visited two hospitals in Japan between April 2020 and March 2023 were initially recruited. Self-reported questionnaires regarding post-toilet wiping habits and past UTI events were collected, and their relationship was investigated in males and females. Subgroup analyses by age were further performed to estimate the impact of age on the relationship.
RESULTS
A total of 294 individuals (141 males and 153 females) agreed to participate and answered the question of post-toilet wiping direction. The number of individuals with post-toilet wiping with the arm from the front between the legs was 32 (23%) in males and 68 (44%) in females. The lifetime UTI events were more frequent in females than in males (p<0.0001). The impact of post-toilet wiping with the arm from the front between the legs on UTI events, adjusting for the age and history of diabetes mellitus, was not statistically significant both in males and females (p≥0.10 for both). Meanwhile, when the relationship was evaluated by different age groups, wiping habits from the front and UTI were significantly associated with each other in middle-aged women aged 40-59, whereas they were not in younger and older age groups.
CONCLUSION
Approximately 40-50% of women performed post-toilet wiping with the arm from the front between the legs. This post-toilet wiping habit was suggested to be a potential risk of UTI in women, especially in middle-aged subgroups, and may be better to be changed to wiping from behind.
引言
女性尿路感染（UTI）的终生发病率≥50%。已经确定了多种导致UTI的临床、生理和生活方式风险因素，但便后肛门与会阴卫生习惯，尤其是卫生纸擦拭方向与UTI风险的确切关系尚未得到研究。因此，本研究对普通人群的便后擦拭习惯和终生UTI事件进行了横断面调查。
方法
最初招募了2020年4月至2023年3月期间在日本两家医院就诊的个体。收集了关于便后擦拭习惯和既往UTI事件的自我报告问卷，并在男性和女性中调查了它们之间的关系。进一步按年龄进行亚组分析，以估计年龄对这种关系的影响。
结果
共有294人（141名男性和153名女性）同意参与并回答了便后擦拭方向的问题。男性中用手臂从两腿间前方擦拭的人数为32人（23%），女性为68人（44%）。女性终生UTI事件比男性更频繁（p<0.0001）。在调整年龄和糖尿病史后，用手臂从两腿间前方擦拭对UTI事件的影响在男性和女性中均无统计学意义（两者p≥0.10）。同时，当按不同年龄组评估这种关系时，40 - 59岁的中年女性中，从前方擦拭的习惯与UTI显著相关，而在年轻和老年组中则不然。
结论
约40 - 50%的女性便后用手臂从两腿间前方擦拭。这种便后擦拭习惯被认为是女性UTI的潜在风险，尤其是在中年亚组中，可能最好改为从后方擦拭。
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