Brady Sonya S, Rahm-Knigge Ryan, Robinson Beatrice Bean E, Nakib Nissrine, Connor Jennifer Jo
Program in Health Disparities Research, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Department of Family Medicine and Community Health, Institute of Sexual and Gender Health, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
J Womens Health (Larchmt). 2025 Jul 31. doi: 10.1177/15409996251363801.
Associations between different forms of emotional distress (depression, anxiety, posttraumatic stress) and lower urinary tract symptoms (LUTS) among general populations of women are well established. To contribute to culturally informed clinical practice, this study examines the association between emotional distress and LUTS among Somali migrant women who have experienced female genital cutting (FGC). Data was analyzed from the Our body, Our health study of Somali women ( = 300; mean age, 36 years). Data were collected audio computer-assisted self-survey between September 2021 and April 2023. The Refugee Health Screener was used to assess emotional distress (symptoms of depression, anxiety, and posttraumatic stress). LUTS items were adapted from the International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms. In logistic regression analyses adjusting for covariates (age, education, vaginal childbirth, episiotomy, FGC type), total emotional distress was associated with greater odds of experiencing all assessed LUTS (urgency, frequency, nocturia, urgency and stress urinary incontinence, straining, bladder pain). For example, for each 1-unit increment in total emotional distress, participants' odds of urgency increased by 10% (OR = 1.10, 95% CI = 1.05, 1.16), urgency urinary incontinence by 9% (OR = 1.09, 95% CI = 1.04, 1.14), and stress urinary incontinence by 12% (OR = 1.12, 95% CI = 1.07, 1.18). In this cross-sectional study of Somali migrant women who had experienced FGC, consistent associations were observed between emotional distress in the past month and an array of LUTS. Women who present with LUTS should be screened for emotional distress and referred for mental health services as indicated.
在一般女性人群中，不同形式的情绪困扰（抑郁、焦虑、创伤后应激）与下尿路症状（LUTS）之间的关联已得到充分证实。为了促进基于文化背景的临床实践，本研究调查了经历过女性生殖器切割（FGC）的索马里移民妇女中情绪困扰与LUTS之间的关联。对索马里妇女的“我们的身体，我们的健康”研究（n = 300；平均年龄36岁）的数据进行了分析。数据收集于2021年9月至2023年4月期间，通过音频计算机辅助自我调查进行。使用难民健康筛查工具评估情绪困扰（抑郁、焦虑和创伤后应激症状）。LUTS项目改编自国际尿失禁咨询委员会女性下尿路症状问卷。在对协变量（年龄、教育程度、经阴道分娩、会阴切开术、FGC类型）进行调整的逻辑回归分析中，总的情绪困扰与出现所有评估的LUTS（尿急、尿频、夜尿、尿急和压力性尿失禁、用力排尿、膀胱疼痛）的较高几率相关。例如，总情绪困扰每增加1个单位，参与者尿急的几率增加10%（OR = 1.10，95%CI = 1.05，1.16），急迫性尿失禁的几率增加9%（OR = 1.09，95%CI = 1.04，1.14），压力性尿失禁的几率增加12%（OR = 1.12，95%CI = 1.07，1.18）。在这项针对经历过FGC的索马里移民妇女的横断面研究中，观察到过去一个月的情绪困扰与一系列LUTS之间存在一致的关联。出现LUTS的女性应接受情绪困扰筛查，并根据需要转介至心理健康服务机构。
