Prevalence and impact on generic quality of life of urinary incontinence in Japanese working women: Assessment by ICI questionnaire and SF-36 health survey
Prevalence and impact on generic quality of life of urinary incontinence in Japanese working women: Assessment by ICI questionnaire and SF-36 health survey
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DOI：
10.1016/j.urology.2005.01.059
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发表时间：
2005-07-01
期刊：
影响因子：
2.1
通讯作者：
Takeda, M
中科院分区：
文献类型：
--
作者：
Araki, I;Beppu, M;Takeda, M
目标.探讨职业女性尿失禁（UI）的患病率及其与生活质量的关系。在日本的7229名女性医院护士中，3734名（51.7%）回答了自填式邮寄问卷，其中包括兰德医疗结局研究36项健康调查（SF-36）和国际咨询调查问卷（ICIQ），用于评估症状和健康相关QOL。年龄在20至64岁（平均35.2）的日本职业女性的UI的总体患病率为16.7%。尿失禁类型以压力性尿失禁为主（73%）。其患病率随着年龄的增长而增加，并在45至49岁达到平台期（34.7%）。一般生活质量，特别是身体功能，角色-身体，社会功能和角色-情感，显着受损的UI。对有UI和无UI的受试者进行的比较显示，SF-36的身体和心理成分总分差异分别在25至29岁和55至59岁年龄组中最大。25 ~ 29岁年龄组和45 ~ 49岁年龄组的ICIQ得分与身体和心理成分得分的相关性最显著。混合性UI对生活质量的影响有大于应激性UI和催促性UI的趋势。UI的患病率呈与年龄相关的增加，高峰在45至49岁。UI对身体健康的影响在20多岁的个体中很大，但其对心理健康的影响在年龄较大的群体中增加。
Objectives. To examine the prevalence of urinary incontinence (UI) and the relationship between UI and generic quality of life (QOL) in working women.Methods. Of 7229 female hospital nurses in Japan, 3734 (51.7%) responded to a self-administered postal questionnaire that included the Rand Medical Outcomes Study 36-item Health Survey (SF-36) and the International Consultation on Incontinence questionnaire (ICIQ) for evaluating symptoms and health-related QOL.Results. The overall prevalence of UI in Japanese working women aged 20 to 64 years (mean 35.2) was 16.7%. The main type of incontinence was stress UI (73%). Its prevalence increased with age and reached a plateau at age 45 to 49 years (34.7%). The ICIQ score also correlated significantly with age, Generic QOL, especially physical functioning, role-physical, social functioning, and role-emotional, was significantly impaired by UI. A comparison of subjects with and without UI revealed that the differences in the physical and mental component summary scores of the SF-36 were largest in the age groups of 25 to 29 and 55 to 59 years, respectively. The correlations of the ICIQ score with the physical and mental component scores were most significant in the age groups of 25 to 29 and 45 to 49 years, respectively. The impact of mixed UI on QOL showed a greater tendency than that of stress or urge UI.Conclusions. The prevalence of UI showed an age-related increase, with a peak at 45 to 49 years old. The impact of UI on physical health was great in individuals in their 20s, but its impact on mental health increased in the older age groups.