Risk factors for urinary incontinence in
Taiwanese women aged 20-59 years
許淳森
Hsieh CH;Lee MS;Lee MC;Kuo TC;Hsu CS;Chang ST
摘要Abstract
Objective
To assess the risk factors for urinary incontinence among Taiwanese women. Materials and Methods
A sample of 4,549 women was selected using a multistage random sampling protoco The women selected were interviewed face-to-face by well-trained interviewers. The usual risk factors, which included marital status, age, body mass index, menstrual status, alcohol intake, drug allergy, diabetes mellitus, hypertensio and gynecologic events, were evaluated. The factors were assessed by frequency analysis and logistic regressio analysis using a significance level of less than 0.05.
Results
A total of 3,537 women were successfully interviewed, producing a response rate of 77.8% (3,735/4,549＇ The prevalence of urinary incontinence increased significantly with
marriage (21.7%; 95% confidence interva Cl, 20.2-23.2), alcohol intake (24.9%; 95% Cl, 1 9.3-30.5), drug allergy (24.5%; 95% Cl, 1 9.9-29.2), diabete mellitus (40.3%; 95% Cl, 29.3-51.2), hypertension (30.1%; 95% Cl, 23.8-36.4), body mass index (odds ratic 1.05 per unit increase; 95% Cl, 1.02-1.09) and a previous gynecologic operation (25.5%; 95% Cl, 1 9.9-31.2). Ag was also a risk factor for urinary incontinence (odds ratio, 1.04; 95% Cl, 1.03-1.05), but there was no relationshi between urinary incontinence and parity, route of delivery, smoking or menstrual status.
Conclusion
There is a high prevalence of urinary incontinence among women who suffer from diabetes o hypertension, or who have undergone a gynecologic operation, in particular
hysterectomy. From a public healt viewpoint, it is important to promote better health education in order to improve understanding of urinar incontinence and its risk factors and to increase the awareness of the availability of mainstream treatment; [Taiwan J Obstet
