Brieger G M, Mongelli M, Hin L Y, Chung T K
Department of Obstetrics and Gynecology, Prince of Wales Hospital, Chinese University of Hong Kong.
Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(4):191-5. doi: 10.1007/BF02765811.
The epidemiology of urinary dysfunction in a Chinese population living in Hong Kong was investigated. Fifteen hundred ethnic Chinese women answered a telephone questionnaire including symptoms of urinary dysfunction, anthropometric measurements, obstetric history and place of birth. The relative predictive value of these factors was analyzed using logistic regression. The prevalence of urinary dysfunction was 13%. Ten percent reported stress incontinence, and 4% had urgency or urge incontinence. The strongest predictor was place of birth, with women born in mainland China having the highest prevalence of pure stress incontinence (OR 1.33, CI 1.1-1.6). For the symptoms of detrusor instability age was the strongest predictor, with women over 50 years being at greater risk (OR 2.8, CI 1.6-5.0). Contrary to earlier beliefs, urinary dysfunction in Chinese women is as common as in Caucasian women. Place of birth is the strongest predictor for pure stress incontinence, with women born in mainland China being at greater risk. This suggests that environmental factors in early life have a differential effect on the development of urinary incontinence.
对居住在香港的中国人群中的排尿功能障碍流行病学进行了调查。1500名华裔女性回答了一份电话调查问卷，内容包括排尿功能障碍症状、人体测量、产科病史和出生地。使用逻辑回归分析了这些因素的相对预测价值。排尿功能障碍的患病率为13%。10%的人报告有压力性尿失禁，4%的人有尿急或急迫性尿失禁。最强的预测因素是出生地，出生在中国大陆的女性纯压力性尿失禁患病率最高（比值比1.33，可信区间1.1 - 1.6）。对于逼尿肌不稳定症状，年龄是最强的预测因素，50岁以上的女性风险更高（比值比2.8，可信区间1.6 - 5.0）。与早期观点相反，中国女性的排尿功能障碍与白种女性一样常见。出生地是纯压力性尿失禁的最强预测因素，出生在中国大陆的女性风险更高。这表明早年的环境因素对尿失禁的发生有不同的影响。
