Prevalence and incidence of urinary incontinence in women: Review of the literature and investigation of methodological issues

Prevalence and incidence of urinary incontinence in women: Review of the literature and investigation of methodological issues
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DOI:
10.1111/j.1442-2042.2007.01976.x
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发表时间:
2008-03-01
影响因子:
2.6
通讯作者:
Bell, Robin J.
Bell, Robin J.
中科院分区:
医学3区
文献类型:
--
作者:
Botlero, Roslin;Urquhart, Donna M.;Bell, Robin J.

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被引文献

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女性尿失禁很常见,对身体,心理和社会经济生活方面有重大影响。本研究的目的是审查已发表的报告的患病率和尿失禁的发病率在澳大利亚妇女和检查与这些study.Electronic搜索Medline,EMBASE和当前索引护理和盟军健康文献数据库的方法问题进行了使用“医学主题标题”的条款和“自由文本”的话。我们检索了1980年以后发表的关于澳大利亚女性尿失禁患病率和/或发病率的英文论文。每个研究的方法学数据被制成表格,其中7项研究调查了尿失禁的患病率,2项研究报道了尿失禁的发病率。尿失禁的患病率为12.8%~ 46.0%。研究异质性是应答率、纳入机构护理的妇女、数据收集方法、用于识别不同类型尿失禁的问题和报告这些问题的方式、尿失禁发生的时间和尿失禁的严重程度的结果。两项研究,检查发病率提供的证据表明,尿失禁可以是一个短暂的phenomenon.研究的发病率和患病率的尿失禁在澳大利亚妇女表现出显着的异质性的结果,由于方法的局限性。今后的研究需要采用经过验证的工具,并认真注意参与者的选择和按年龄分列的数据的报告。
Urinary incontinence in women is common and has a significant impact on the physical, psychological and socio-economic aspects of life. The aims of this study were to review the published reports on the prevalence and incidence of urinary incontinence in Australian women and to examine the methodological issues associated with these studies.Electronic searches of Medline, EMBASE and the Current Index to Nursing and Allied Health Literature databases were undertaken using 'Medical Subject Heading' terms and 'free text' words. We retrieved papers that investigated the prevalence and/or incidence of urinary incontinence in Australian women and were published in English after 1980. Methodological data from each study were tabulated.Seven studies were identified which examined the prevalence of urinary incontinence and two studies that reported its incidence. The prevalence of urinary incontinence varied between 12.8% and 46.0%. Study heterogeneity was a consequence of response rates, the inclusion of women in institutional care, the method of data collection, the questions used to identify different types of urinary incontinence and the way these questions were reported, the period over which the urinary incontinence had occurred and the severity of the incontinence. Two studies which examined incidence provided evidence that urinary incontinence can be a transient phenomenon.Research into the incidence and prevalence of urinary incontinence in Australian women exhibits significant heterogeneity in the findings due to methodological limitations. There is a need for future studies to employ validated instruments and give careful attention to the selection of participants and the reporting of age-specific data.