Incidence and risk factors of urinary incontinence in women visiting Family Health Centers

Abstract

BackgroundThe objective of this study is to determine the incidence and the risk factors of the urinary incontinence in women visiting the Health Family Center.Methods430 women, who visited three Family Health Centers in the city center of Erzurum for any reason between 25 November and 20 January 2016, were included in this study without any sampling. The data were collected by using the face-to-face interview method. Percentage distribution, Chi square test, and logistic regression analysis were used in order to analyze the data.ResultsIt was determined that 37.2 % of these women had urinary incontinence, but only 29.3 % of them visited a physician because of this complaint. Among a total of 160 women with urinary incontinence findings, stress type incontinence was observed at the highest rate (33.7 %), which was followed by mixed type (31.8 %), urge type (20.6 %) and other types (overflow, continuous urinary incontinence) (13.7 %). It was found that urinary incontinence had a significant correlation with the number of children, genital prolapse, duration of delivery longer than 24 h, diabetes and urogenital infection, but not with the age at the first and last childbirth, presence of the episiotomy, birth weight over 4 kg, and smoking.ConclusionsIt was determined that one-third of the women had urinary incontinence and certain medical and obstetric conditions were affecting the development of urinary incontinence. It is thought that it is important for the healthcare personnel to take the progression of the urinary incontinence under control by preventing the risk factors and to encourage the patients to seek treatment with the help of the proper information indicating that urinary incontinence is a treatable and preventable condition.

Prevalence of Urinary Incontinence During Pregnancy and Associated Risk Factors

“…26 There was no statistically significant difference between participants with and without urinary incontinence in terms of the last gestational period (P = 0.331). Demircan et al 12 and Kılıç 21 found results similar to the results of the present study. 12,21 Urinary system infections are a risk factor for UI due to causing involuntary stimulation of detrusor muscle contractions.…”

“…Demircan et al 12 and Kılıç 21 found results similar to the results of the present study. 12,21 Urinary system infections are a risk factor for UI due to causing involuntary stimulation of detrusor muscle contractions. In the studies, a significant relation was found between UI and urinary system infections.…”

“…There was no statistically significant difference between participants with and without urinary incontinence in terms of smoking in the study ( P = 0.528). No significant difference was found in some studies similar to results of the present study . Some previous studies have shown an association between UI and smoking .…”

“…In the literature, it is remarkable that the results of the studies investigating the correlation between big baby birth and UI are contradictory. While a correlation was found between big baby birth and UI in some studies, no significant correlation was found in some other studies similar to results of the present study …”

Risk factors for urinary incontinence among Istanbul women: a hospital based case-control study

“…Causation is multifactorial, although many risk factors have been identified. According to Kılıç (2016), urinary incontinence has a significant correlation with number of children, genital prolapse, duration of delivery longer than 24 hours, diabetes, and urogenital infection, but not with age at the first and last childbirth, presence of episiotomy, birth weight over four kg, and smoking (Kılıç, 2016). This study attempted to determine the importance of aging, previous gynecological operations, diabetes mellitus (DM), hypertension (HT), body mass index (BMI), and other possible risk factors for urinary incontinence in the population under study, in order to help clinicians make decisions, and to implement preventive strategies to decrease the incontinence rate in the general population.…”