实用妇产科杂志2012,Vol.28Issue(10):830-833,4.
甘肃省女性尿失禁的流行病学调查及影响因素的多因素Logistic分析
Regional Cross-sectional Epidemiological Research and Multivariate Logistic Analysis on Female Urinary Incontinence in Gansu Province
摘要
Abstract
Objective:To estimate the prevalence of urinary incontinence (Ul) in Gansu province and to assess the related risk factors for Ul. Methods: Through level-based community random sample method, 2700 women (20 + years of age) who lived in cities and rural areas in Gansu province were interviewed through a questionnaire including basic characteristics, life qualities questionnaire on urinary incontinence, International Consultation on Incontinence Questionnaire Female Low Urinary Tract Symptoms Module (ICIQ-FLUTS). Results: A total of 2603 questionnaires were completed. The age of these women were all 20 years or older, mean 41.2 ±13.4; the prevalence of UI was 41. 3 %(n = 1 074), among these women, 19. 9% (n=517) had stress UI, 2.7% (n=69) urge Ul and 18.6% (n=485) mixed UI, the major type was stress UI. The prevalence of mixed UI strongly increased with age. In multiple logistic models, Higher BMI, parity, alcohol drinking, pelvic operating history, constipation, chronic pelvic pain, pelvic organ pro-lepses, perineum tear were potential risk factors for UI. Higher education level, higher income status, cesar-ean section,postpartum pelvic floor muscle training were protective factors for UI. Conclusions; The prevalence of UI is high(41.3%), stress UI is the major type (19.9%). We should pay attention to the risk factors of urinary incontinence including higher BMI, parity, alcohol drinking, pelvic operating history, constipation , chronic pelvic pain, pelvic organ prolepses, perineum tear. Improving the educational level and incomes or suitable postpartum exercises to strength pelvic floor muscles can decrease the incidence rate of UI.关键词
尿失禁/危险因素/Logistic回归分析/流行病学Key words
Urinary incontinence/ Risk factor/ Logistic analysis/ Epidemiology分类
医药卫生引用本文复制引用
刘青,仇杰,龙丽霞,邓晓辉,朱兰,李致远,吕玲,李怡林..甘肃省女性尿失禁的流行病学调查及影响因素的多因素Logistic分析[J].实用妇产科杂志,2012,28(10):830-833,4.基金项目
国家十一五科技支撑计划项目资助(编号:2007BAI04B05) (编号:2007BAI04B05)