A prospective study of the natural history of urinary incontinence in women

Hagan, Kaitlin; Erekson, Elisabeth A.; Austin, Andrea M.; Minassian, Vatché A.; Townsend, Mary K.; Bynum, Julie; Grodstein, Francine

doi:10.1016/j.ajog.2018.01.045

Cited by 39 publications

(35 citation statements)

References 28 publications

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“…Many studies have shown an association between obesity and increased urinary incontinence. In a study by Ninomia et al in Japan [ 59 ] and a study by Hong et al in the United States [ 74 ], a significant relationship was found between weight gain and increased incidence of urinary incontinence.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies

et al. 2021

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Background Urinary incontinence is a common condition in the general population and, in particular, the older adults population, which reduces the quality of life of these people, so this study aims to systematically examine and meta-analyse the overall prevalence of urinary incontinence in older women around the world and the related and influential factors. Methods This report is a comprehensive systematic review and meta-analysis of the findings of research on urinary incontinence in older adults people across the world through looking for MEDLINE, Cochrane Library Sciencedirect, Embase, Scopus, ProQuest and Persian databases, namely iranmedex, magiran, and SID from January 2000 to April 2020, the heterogeneity of the experiments was measured using the I2 index and the data processing was done in the Systematic Meta-Analysis programme. Results In 29 studies and the sample size of 518,465 people in the age range of 55–106 years, urinary incontinence in older adults’ women in the world based on a meta-analysis of 37.1% (95% CI: 29.6–45.4%) was obtained. The highest prevalence of urinary incontinence was reported in older adults’ women in Asia with 45.1% (95% CI: 36.9–53.5%). Meta-regression also showed that with increasing the sample size and year of the study, the overall prevalence of urinary incontinence in the older adults women of the world decreased and increased, respectively, which were statistically significant differences (P < 0.05). According to studies, the most important factors influencing the incidence of urinary incontinence in older women are women’s age (p < 0.001), obesity (p < 0.001), diabetes (p < 0.001), women’s education (p < 0.001), delivery rank (p < 0.001), hypertension (p < 0.001), smoking (p < 0.001). They also have urinary tract infections (p < 0.001). Conclusion Given the high prevalence of urinary incontinence in older women around the world, health policy makers must consider control and diagnostic measures in older women and prioritize treatment and rehabilitation activities.

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Section: Discussionmentioning

confidence: 99%

Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies

et al. 2021

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“…Urinary incontinence (UI) is frequent among women worldwide [ 1 ]. UI may be classified due to the nature of the symptom, such as stress incontinence, urge incontinence and mixed incontinence [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Women’s barriers for contacting their general practitioner when bothered by urinary incontinence: a population-based cross-sectional study

et al. 2021

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Background Urinary incontinence (UI) is a frequently occurring condition among women and increases with age. Effective treatments exist but many women hesitate to contact their general practitioner (GP) regarding UI. Therefore, it is important to generate knowledge regarding barriers for healthcare-seeking. Several factors such as age, duration and number of symptoms are associated with healthcare-seeking. How socioeconomic status (SES) is associated with experiencing barriers for healthcare-seeking for UI has not been explored. The objectives of this study were to: (1) analyze frequencies of barriers for healthcare-seeking, and (2) investigate associations between SES and barriers for contacting the GP, among women reporting bothersome UI. Method A cross-sectional web-based questionnaire study of symptoms occurrence among 51,090 randomly selected women. This study investigates reported symptoms of three types of UI (stress UI, urge UI and UI without stress or urge) and reported barriers for GP contact combined with register data on SES. Results A total of 4,051 (16.4%) women reported to be bothered by either stress UI (9.1%), urge UI (4.0%) or incontinence without stress or urge (2.4%) and 76.3%, 70%, and 64% respectively, had not contacted their GP regarding the symptom(s). The most frequently reported barriers were ‘being too embarrassed’ (19.3%) and ‘being too busy’ (18.4%) for stress incontinence, and ‘being too embarrassed (19.0%) or ‘worried about wasting the doctor’s time’ (16.9%) for women with bothersome urge UI or UI without stress or urge. Younger women had higher odds of reporting barriers and the barriers embarrassment and being worried about what the doctor might find were significantly associated with lower educational level. Conclusion Women with lower educational level have an increased risk of not seeking healthcare for UI symptoms. The GP should be aware of identifying women bothered by UI for whom effective treatment options to alleviate the symptoms are available.

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“…It is possible that high health literacy among nurses would lead to more self-management of symptoms, or that those in a nurses' social network may give advice on UI treatment outside of a medical visit; however, we have previously shown that for preventive care nurses are more likely rather than less likely to receive some services than the general Medicare population. 28 We have also found that UI prevalence, incidence and the progression of UI symptoms is similar in these nurses and in the general population 29 , suggesting that UI is not being addressed any differently in this population than in the general population of women.…”

Section: Discussionmentioning

confidence: 57%

Outpatient Evaluation and Management Visits for Urinary Incontinence in Older Women

et al. 2019

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Objective: The aim of this investigation was to examine how often outpatient visits addressing urinary incontinence among women with self-reported incontinence symptoms occur and to explore characteristics associated with having an outpatient visit for incontinence. Methods: We studied 18,576 women from the Nurses' Health Study, ages 65 years and older, who reported prevalent incontinence symptoms in 2012 on a mailed questionnaire and were linked with Medicare utilization data. We compared women with and without claims for outpatient visits for urinary incontinence, including considering demographic, personal, and clinical characteristics. We controlled for potential confounding factors including age, race, parity, body mass index, medical co-morbidities, smoking status, health seeking behavior, disability, physical function, and geographic region, using logistic regression models. Results: In this linkage between symptom report and insurance claims data, we found that only 16% of older women with current incontinence symptoms also had an outpatient visit addressing incontinence in the prior 2 years. In multivariable-adjusted models, incontinence severity (OR=3.75, 95% CI:3.10-4.53 comparing women with severe vs. slight) and type of incontinence

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A prospective study of the natural history of urinary incontinence in women

Abstract: Most women with incident urinary incontinence continued to experience symptoms over 10 years; few had complete remission. Identification of risk factors for urinary incontinence progression, such as body mass index and physical activity, could be important for reducing symptoms over time.

Cited by 39 publications

References 28 publications

Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies

Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies

Women’s barriers for contacting their general practitioner when bothered by urinary incontinence: a population-based cross-sectional study

Outpatient Evaluation and Management Visits for Urinary Incontinence in Older Women

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