Urinary incontinence in young women: Risk factors, management strategies, help-seeking behavior, and perceptions about bladder control
Urinary incontinence in young women: Risk factors, management strategies, help-seeking behavior, and perceptions about bladder control
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DOI：
10.1002/nau.24483
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发表时间：
2020-08-17
影响因子：
2
通讯作者：
Brown, Wendy J.
中科院分区：
文献类型：
--
作者：
Lamerton, Tayla J.;Mielke, Gregore I.;Brown, Wendy J.
目的：描述报告尿失禁（UI）的年轻成年女性的特征，他们经历的UI类型，他们使用或认为重要的管理UI的策略，以及寻求帮助的行为。方法数据来自1989-1995年澳大利亚妇女健康队列纵向研究（n = 8457），年龄为22至27岁（2017年）。描述性统计用于总结：经历UI的年轻女性的特征;他们经历的UI类型;女性用于管理UI的策略;对膀胱控制的看法;以及寻求帮助的女性比例（以及不寻求帮助的原因）。根据样本特征，使用泊松回归模型计算UI的患病率。结果在22 - 27岁的年轻女性中，11%（n = 986）的人在过去一个月内报告了UI。与没有UI的女性相比，报告UI的女性平均重7公斤，更有可能属于肥胖体重指数类别，报告高心理困扰，并且至少有一个孩子。大多数患有UI的女性报告了UI的混合症状（压力和冲动），并使用多种策略来自我管理UI症状。只有五分之一的女性曾向医疗保健专业人士寻求帮助或建议。结论肥胖、产次、高心理压力与年轻女性尿失禁密切相关。由于大多数患有UI的妇女不寻求帮助，产前期可能是医疗保健提供者识别风险的关键时期，并鼓励早期预防或有效的管理策略。由于体力活动与肥胖和心理困扰的更好结果呈正相关，如果这些问题得到解决，UI也可能同时改善。
Aim The aim was to describe the characteristics of young adult women who report urinary incontinence (UI), the types of UI they experience, the strategies they use or consider important for managing UI, and help-seeking behavior. Methods Data were from the 1989-1995 Australian Longitudinal Study on Women's Health cohort (n = 8457) at age 22 to 27 (in 2017). Descriptive statistics were used to summarize: characteristics of young women who experience UI; the types of UI they experience; which strategies women use to manage UI; perceptions of bladder control; and the proportion of women who seek help (and reasons why not). Prevalence ratios for UI according to sample characteristics were calculated using Poisson regression models. Results At age 22 to 27, 11% (n = 986) of young women reported UI in the past month. Compared with women who did not have UI, those reporting UI were 7 kg heavier on average and were more likely to be in the obese body mass index category, report high psychological distress, and have at least one child. Most women with UI reported mixed symptoms of UI (stress and urge), and used a combination of strategies to self-manage UI symptoms. Only one in five women had sought help or advice from a healthcare professional. Conclusions Obesity, parity, and high psychological distress are strong correlates of UI in young women. As the majority of women with UI do not seek help, the antenatal period may be a critical time for healthcare providers to identify those at risk, and encourage early prevention or effective management strategies. As physical activity is positively associated with better outcomes for obesity and psychological distress, there may also be concurrent improvements in UI if these issues are addressed.