Prevalence and trends in urinary incontinence among women in the United States, 2005–2018

Abufaraj, Mohammad; Xu, Tianlin; Cao, Chao; Siyam, Abdelmuez; Isleem, Ula; Massad, A.; Soria, Francesco; Shariat, Shahrokh F.; Sutcliffe, Siobhan; Yang, Lin

doi:10.1016/j.ajog.2021.03.016

Cited by 123 publications

(98 citation statements)

References 24 publications

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“…Moreover, repeated pregnancies and deliveries may constitute a major risk factor among young and middle-aged women [ 14 ]. In addition, increased reporting of urinary incontinence among women is attributed to population aging and raised public awareness that urinary incontinence can be managed and it is not an acceptable part of normal aging [ 15 ]. Differences in risk factors predisposing women to urinary incontinence were reported in different communities [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Patterns of Urinary Incontinence Among Women in Asir Region, Saudi Arabia

Alshehri¹,

Abumilha²,

Amer³

et al. 2022

Cureus

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BackgroundUrinary incontinence among women is a widespread clinical condition that is frequently associated with marked physical, social, and psychological adverse impact that significantly worsens their quality of life. This study is conducted to identify the prevalence of urinary incontinence and associated risk factors among Saudi women in Asir Region, Saudi Arabia. MethodsFollowing a cross-sectional design, 1,964 healthy non-pregnant females aged above 13 years attending primary healthcare centers in Asir Region, Saudi Arabia were included. A self-administered semi-structured questionnaire was used, which included sociodemographic and clinical characteristics, questions related to voiding habits, and the validated Arabic version of the International Consultation on Incontinence Questionnaire (ICIQ). ResultsAlmost half of the participants (47.5%) had urinary incontinence, of which 26.8% was slight, 16.3% was moderate, and 4.3% was severe. About 15.2% used to leak urine once a week or less, 3.6% used to leak two to three times a week, and 5.6% leaked daily. The leaked amount of urine was small in 26% of participants, while it was moderate and large in 8% and 1.4% of participants, respectively. Leaking urine moderately affected the daily life of 21.9% of participants, while it severely affected 14.7% of participants. Their grades of urinary incontinence differed significantly according to their age group, with the highest prevalence of severe incontinence among those aged 50 years or more (p < 0.001). Grades of urinary incontinence also differed significantly according to participants' marital status, with those married or widowed having the highest prevalence of severe incontinence (8.5% and 19%, respectively; p < 0.001). Moreover, its grades differed significantly according to participants' number of pregnancies, with severe incontinence being highest among those with twice gravidity or three times or more (8.3% and 7.9%, respectively; p = 0.004). Grades of urinary incontinence also differed significantly according to the presence of associated diabetes mellitus and renal/urinary tract diseases (p = 0.001 for both). ConclusionsUrinary incontinence is common among Saudi females. Older age, multiparty, and menopause are significant risk factors for urinary incontinence.

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Section: Introductionmentioning

confidence: 99%

Patterns of Urinary Incontinence Among Women in Asir Region, Saudi Arabia

Alshehri¹,

Abumilha²,

Amer³

et al. 2022

Cureus

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“…The prevalence of UI in the United States using data from the National Health and Nutrition Examination Survey (NHANES) 6 has been estimated at 38%, 50%, and 53% using data from 1999–2000, 2001–2004, and 2005–2016, respectively 6–8 . In the 2001–2004 and 2005–2018 NHANES analyses, 49.8% and 45.9% of UI was SUI, 34.3% and 18.1% was MUI, and 15.9% and 31.1% was UUI 8,9 …”

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confidence: 99%

Updated Prevalence of Urinary Incontinence in Women: 2015–2018 National Population-Based Survey Data

Patel

Godecker

Giles

et al. 2022

Female Pelvic Med Reconstr Surg

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ObjectivesThis study aimed to update estimates of urinary incontinence (UI) prevalence and associated risk factors for adult women in the United States, using the National Health and Nutrition Examination Survey (NHANES).MethodsWe used descriptive analysis of 2015–2018 NHANES weighted data for women to estimate prevalence and characterize UI types and severity. Logistic regression modeling determined adjusted associations with UI.ResultsComplete data were available for 5,006 women. In weighted analyses, 61.8% had UI, corresponding to 78,297,094 adult U.S. women, with 32.4% of all women reporting symptoms at least monthly. Of those with UI, 37.5% had stress urinary incontinence, 22.0% had urgency urinary incontinence, 31.3% had mixed symptoms, and 9.2% had unspecified incontinence. The prevalence of moderate or more severe UI by Sandvik Severity Index was 22.1%, corresponding to 28,454,778 adult U.S. women. In multivariate models, increasing age, body mass index ≥25, prior vaginal birth, anxiety, depression, functional dependence, and non-Hispanic White ethnicity and race were associated with any and moderate UI. Urinary incontinence was not associated with diabetes, education level, prior hysterectomy, smoking status, physical activity level, or current pregnancy status.ConclusionsMore than 60% of community-dwelling adult women in the United States experience any UI and an increase from prior estimates (38%–49%) using NHANES data from 1999 to 2004; more than 20% experience moderate or more severe UI. Increases in UI prevalence may be related to population aging and increasing obesity prevalence. Age greater than 70 years, body mass index >40, and vaginal birth had the strongest association with UI in multivariate modeling.

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“…As a result of these changes, a new process has been entered into the life of women, and there are changes in sexual functions (Beyazıt et al, 2018). The studies have reported that UI increases after vaginal delivery (Gyhagen et al, 2019;Abufaraj et al, 2021). In a national study, it was found that a history of having a tough delivery significantly affected the complaint of urinary incontinence (Beşen & Oksay, 2016).…”

Section: Discussionmentioning

confidence: 99%

The Effects Of Urinary Incontinence On Sexual Function And Self-Esteem Of Women

Koçak¹

2022

sssj

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Urinary incontinence is a problem that negatively affects women's quality of life and sexual life. Continuous urinary incontinence can also cause a decrease in women's self-esteem. In this study, the effect of incontinence on sexual function and self-esteem in women who applied to family health centers was evaluated. The study was conducted with women who met the criteria for participation in the study and accepted to participate in the study after the information was given, and the study sample consisted of 132 women. Data were collected by applying the Personal Information Form, the Urinary Incontinence Sexual Function Questionnaire (PISQ-12) and the Rosenberg Self-Esteem Scale (RSS) to women who scored 8 or more on the Urinary Incontinence Questionnaire (ICIQ-SF).The mean ICIQ-SF scale score of women was 13.27±2.79. The mean total score of the PISQ-12 scale was 14.13±6.34, and the mean score of the Rosenberg self-esteem scale was found to be 17.40±4.84. In the correlation analysis, there was a very weak positive correlation between the participants' ICIQ-SF total score and PISQ-12 total score; There was a weak and negative correlation between the ICIQ-SF total score and the Rosenberg selfesteem scale and the mean score of the Rosenberg self-esteem scale. Our study is important in terms of raising awareness about the subject and early detection of problems and improving the quality of life.

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Prevalence and trends in urinary incontinence among women in the United States, 2005–2018

Cited by 123 publications

References 24 publications

Patterns of Urinary Incontinence Among Women in Asir Region, Saudi Arabia

Patterns of Urinary Incontinence Among Women in Asir Region, Saudi Arabia

Updated Prevalence of Urinary Incontinence in Women: 2015–2018 National Population-Based Survey Data

The Effects Of Urinary Incontinence On Sexual Function And Self-Esteem Of Women

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