Women With Diabetes: Understanding Urinary Incontinence and Help Seeking Behavior
Women With Diabetes: Understanding Urinary Incontinence and Help Seeking Behavior
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DOI：
10.1016/j.juro.2010.06.014
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发表时间：
2010-10-01
影响因子：
6.6
通讯作者：
Brown, Jeanette S.
中科院分区：
文献类型：
--
作者：
Doshi, Ashmi M.;Van Den Eeden, Stephen K.;Brown, Jeanette S.
目的：我们研究尿失禁与糖尿病状态和种族的关系，并评估以人群为基础的糖尿病女性与非糖尿病女性的失禁求助信念。材料和方法：我们在Kaiser的尿失禁糖尿病生殖危险因素研究中对2270名不同种族/民族的中老年妇女进行了横断面分析。通过自我报告问卷和面对面访谈对失禁、求助行为和信念进行评估。我们使用单变量分析和多变量模型比较了有糖尿病和无糖尿病女性的尿失禁特征。结果：糖尿病女性报告的每周尿失禁明显多于无糖尿病女性（每周35.4% vs 25.7%, p < 0.001）。在有和没有糖尿病的女性中，种族患病率模式相似，白人和拉丁裔女性与黑人和亚洲女性的尿失禁患病率最高与最低。患有糖尿病的女性中，42.2%的人与医生讨论过尿失禁，而没有糖尿病的女性中有55.5%的人与医生讨论过尿失禁（p < 0.003）。患有糖尿病的女性比没有糖尿病的女性更有可能认为尿失禁是罕见的（17%比6%，p < 0.001）。结论：尿失禁在女性糖尿病患者中非常普遍。糖尿病患者和非糖尿病患者的种族患病率模式相似。了解寻求帮助的行为对于确保适当的病人护理是很重要的。医生应该警惕尿失禁，因为它往往不被发现，因此，治疗不足的女性糖尿病。
Purpose: We examined the association of urinary incontinence with diabetes status and race, and evaluated beliefs about help seeking for incontinence in a population based cohort of women with vs without diabetes.Materials and Methods: We performed a cross-sectional analysis of 2,270 middle-aged and older racially/ethnically diverse women in the Diabetes Reproductive Risk factors for Incontinence Study at Kaiser. Incontinence, help seeking behavior and beliefs were assessed by self-report questionnaires and in-person interviews. We compared incontinence characteristics in women with and without diabetes using univariate analysis and multivariate models.Results: Women with diabetes reported weekly incontinence significantly more than women without diabetes (weekly 35.4% vs 25.7%, p < 0.001). Race prevalence patterns were similar in women with and without diabetes with the most vs the least prevalence of incontinence in white and Latina vs black and Asian women. Of women with diabetes 42.2% discussed incontinence with a physician vs 55.5% without diabetes (p < 0.003). Women with diabetes were more likely than those without diabetes to report the belief that incontinence is rare (17% vs 6%, p < 0.001).Conclusions: Incontinence is highly prevalent in women with diabetes. Race prevalence patterns are similar in those with and without diabetes. Understanding help seeking behavior is important to ensure appropriate patient care. Physicians should be alert for urinary incontinence since it is often unrecognized and, thus, under treated in women with diabetes.