Roberts R O, Jacobsen S J, Rhodes T, Reilly W T, Girman C J, Talley N J, Lieber M M
Department of Health Sciences Research, Mayo Clinic and Foundation, Rochester, Minnesota 55905, USA.
J Am Geriatr Soc. 1998 Apr;46(4):467-72. doi: 10.1111/j.1532-5415.1998.tb02468.x.
To estimate the prevalence of urinary incontinence and to assess care-seeking behavior for urinary symptoms among community-dwelling people.
A community-based cross-sectional study.
Randomly selected men and women from Olmsted County, Minnesota.
Two cohorts, one comprised of both men (n = 778) and women (n = 762) 50 years of age or older and a second comprised of men aged 40 years or older (n = 2150).
Participants completed questionnaires assessing urinary incontinence in the previous 12 months, the number of days leaked, the amount leaked, and healthcare-seeking measures for urinary symptoms.
In the first cohort, the prevalence of incontinence was 24% in men and 49% in women; 29% of men and 13% of women with incontinence had sought care for urinary symptoms. Urinary incontinence was more strongly associated with care-seeking measures for urinary symptoms in men (Odds Ratio (OR) = 4.3, 95% Confidence Interval (CI) = 2.4, 8.0) than in women (OR = 2.1, 95% CI = 1.2, 3.9). Moderate or severe urinary incontinence was associated significantly with care-seeking for urinary symptoms (OR = 10.5, 95% CI = 5.6, 19.8). In the second cohort, the prevalence of urinary incontinence was 17.3%; 8.5% of men with incontinence had sought care for urinary symptoms. Men with incontinence were 1.2 times (95% CI = .8, 1.9) as likely to seek care for urinary symptoms as men without incontinence.
Our findings indicate that although urinary incontinence is relatively common in the community, care-seeking for urinary symptoms among persons with urinary incontinence is low, particularly among women, for whom the prevalence exceeds 40% between the ages of 50 and 70 years. These findings suggest that strategies to promote care-seeking for incontinence need to be investigated and employed in the community.
评估尿失禁的患病率，并评估社区居民中针对泌尿系统症状的就医行为。
基于社区的横断面研究。
从明尼苏达州奥尔姆斯特德县随机选取男性和女性。
两个队列，一个队列由50岁及以上的男性（n = 778）和女性（n = 762）组成，另一个队列由40岁及以上的男性（n = 2150）组成。
参与者完成问卷调查，评估过去12个月内的尿失禁情况、漏尿天数、漏尿量以及针对泌尿系统症状的就医措施。
在第一个队列中，男性尿失禁患病率为24%，女性为49%；29%的尿失禁男性和13%的尿失禁女性因泌尿系统症状寻求过治疗。与女性（优势比（OR）= 2.1，95%置信区间（CI）= 1.2，3.9）相比，尿失禁与男性泌尿系统症状就医措施的关联更强（OR = 4.3，95% CI = 2.4，8.0）。中度或重度尿失禁与因泌尿系统症状就医显著相关（OR = 10.5，95% CI = 5.6，19.8）。在第二个队列中，尿失禁患病率为17.3%；8.5%的尿失禁男性因泌尿系统症状寻求过治疗。尿失禁男性因泌尿系统症状就医的可能性是无尿失禁男性的1.2倍（95% CI =.8，1.9）。
我们的研究结果表明，虽然尿失禁在社区中相对常见，但尿失禁患者针对泌尿系统症状的就医率较低，尤其是在50至70岁患病率超过40%的女性中。这些研究结果表明，需要在社区中研究并采用促进尿失禁患者就医的策略。
