PREVALENCE, INCIDENCE AND CORRELATES OF URINARY-INCONTINENCE IN HEALTHY, MIDDLE-AGED WOMEN

PREVALENCE, INCIDENCE AND CORRELATES OF URINARY-INCONTINENCE IN HEALTHY, MIDDLE-AGED WOMEN
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DOI:
10.1016/s0022-5347(17)38063-1
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发表时间:
1991-11-01
期刊:
影响因子:
6.6
通讯作者:
ENGEL, BT
ENGEL, BT
中科院分区:
医学1区
文献类型:
--
作者:
BURGIO, KL;MATTHEWS, KA;ENGEL, BT

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尿失禁的患病率,发病率和相关因素进行了研究,在社区为基础的样本541名健康,中年妇女42至50岁。 对参与者进行了两次评估,间隔约3年。 在参与者中,58%的人报告在某个时间尿量减少,30.7%的人报告每月至少一次定期尿失禁。 在3年期间,以前控制的妇女中规律性尿失禁的累积发生率为8.0%。 在经常性尿失禁的患者中,64.9%的人说尿量为1或2滴,而35.1%的人说他们需要更换衣服。 只有25.5%的患者寻求治疗。 尿失禁状态与体重指数和种族显著相关,但与患者年龄、产次、咖啡因或酒精摄入量、吸烟、体力活动、既往妇科手术或几个心理变量无关。 结果表明,尿失禁是常见的中年妇女。 很少有人寻求治疗,这表明需要更多的信息,妇女对尿失禁的态度和更多的关注,这个问题的卫生保健提供者。
The prevalence, incidence and correlates of urinary incontinence were studied in a community-based sample of 541 healthy, middle-aged women 42 to 50 years old. Participants were evaluated on 2 occasions approximately 3 years apart. Of the participants 58% reported urine loss at some time and 30.7% reported incontinence on a regular basis at least once per month. During 3 years the cumulative incidence of regular incontinence in previously continent women was 8.0%. Among those with regular incontinence 64.9% said the volume of loss was 1 or 2 drops, while 35.1% reported that they needed to change their garments. Only 25.5% of the patients had sought treatment. Continence status was significantly related to body mass index and race but not to patient age, parity, caffeine or alcohol intake, smoking, physical activity, prior gynecological surgery or several psychological variables. The results indicate that urinary incontinence is common among middle-aged women. That few seek treatment suggests a need for more information about women's attitudes toward incontinence and more attention to this problem by health care providers.