Burgio K L, Locher J L, Zyczynski H, Hardin J M, Singh K
University of Alabama at Birmingham School of Medicine, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(2):69-73. doi: 10.1007/BF01902375.
The objectives of the study were to assess the prevalence of urinary incontinence symptoms during pregnancy in a racially mixed sample and to identify potential predisposing variables. Five hundred and twenty-three women were interviewed in the hospital on postpartum day 2 or 3 and by telephone at 6-week follow-up. A significantly larger proportion of white women reported accidental loss of urine than did black women (62.6% vs. 46.4%; P < 0.01). A breakdown by type of incontinence indicated that the race effect was largely attributable to the significantly higher prevalence of the symptom of stress incontinence among white women (P < 0.0001). In stepwise logistic regression modeling, previous incontinence, education level, parity and nocturia were selected as the strongest predictors of incontinence in white women. Attendance at childbirth classes was the only predictor of incontinence for black women. The results raise the possibility that higher rates of incontinence among white women might be due to differences in the pelvic floor.
该研究的目的是评估种族混合样本中孕期尿失禁症状的患病率，并确定潜在的易感变量。523名女性在产后第2天或第3天在医院接受了访谈，并在6周随访时通过电话进行了访谈。报告有意外漏尿的白人女性比例显著高于黑人女性（62.6%对46.4%；P<0.01）。按尿失禁类型细分表明，种族效应主要归因于白人女性中压力性尿失禁症状的患病率显著更高（P<0.0001）。在逐步逻辑回归模型中，既往尿失禁、教育水平、产次和夜尿症被选为白人女性尿失禁的最强预测因素。参加分娩课程是黑人女性尿失禁的唯一预测因素。研究结果增加了白人女性尿失禁发生率较高可能是由于盆底差异的可能性。
