“…Of these, 151 articles were excluded because they did not meet the inclusion criteria, for example prevalence studies in pregnant women. Finally, a total of 54 studies were included in the systematic review 2,6,8,9,23,26‐71 . All studies underwent methodological quality assessment.…”
Section: Resultsmentioning
confidence: 99%
“…The majority of the included studies were conducted in Eastern Asia and the Pacific region and only a few studies were carried out in Sub‐Saharan Africa. The high number of studies in a highly populated country like China 45,50‐52,58,66‐70,72 is plausible but the high number of studies in less populated countries like Turkey 28,44,47,62 may influence the overall outcome of the meta‐analysis. This appears to be important because ethnicity can influence the prevalence and type of UI 34,52 .…”
Aims: The prevalence of urinary incontinence (UI) in the developing world varies widely. Factors influencing prevalence rates are a key area of interest, and knowledge of these would provide appropriate planning for preventive primary and secondary health care programs. The objective of this report was to synthesize the best available evidence to determine UI prevalence rates in adult women in a population setting.Methods: A comprehensive search strategy was employed to find published and unpublished studies. Databases searched included PubMed, Embase, Scopus, Web of Science, and Google Scholar. We used the standardized Joanna Briggs Institute Meta-Analysis of Statistics, Assessment, and Review Instrument to appraise the included studies.Results: In total, 54 studies with 138,722 women aged 10 to 90 years were included in this meta-analysis. Prevalence of UI ranged from 2.8% in Nigeria to 57.7% in Iran. The total prevalence of UI was 25.7% (95% CI: 22.3-29.5) and the prevalence rates for stress, urgency, and mixed UI were 12.6% (95% CI: 10.3-15.4), 5.3% (95% CI: 3.4-8.3), and 9.1% (95% CI: 7.0-11.8), respectively.When we excluded the elderly population, UI prevalence only slightly changed (26.2%; 95% CI: 22.6-30.2). Prevalence rates varied considerably during different recall periods, ranging from 15.6% for UI during the last 12 months to 41.2% for UI during the last 3 months. However, the study quality and use of validated vs nonvalidated questionnaires only had a minor impact on the prevalence rates. Conclusions: The prevalence, methodology, and definition of UI vary widely.A large-scale multinational study with a homogeneous methodology is necessary to correctly calculate and compare the prevalence rates to improve health policies in the developing world.
K E Y W O R D Sdeveloping countries, prevalence, urinary incontinence
“…Of these, 151 articles were excluded because they did not meet the inclusion criteria, for example prevalence studies in pregnant women. Finally, a total of 54 studies were included in the systematic review 2,6,8,9,23,26‐71 . All studies underwent methodological quality assessment.…”
Section: Resultsmentioning
confidence: 99%
“…The majority of the included studies were conducted in Eastern Asia and the Pacific region and only a few studies were carried out in Sub‐Saharan Africa. The high number of studies in a highly populated country like China 45,50‐52,58,66‐70,72 is plausible but the high number of studies in less populated countries like Turkey 28,44,47,62 may influence the overall outcome of the meta‐analysis. This appears to be important because ethnicity can influence the prevalence and type of UI 34,52 .…”
Aims: The prevalence of urinary incontinence (UI) in the developing world varies widely. Factors influencing prevalence rates are a key area of interest, and knowledge of these would provide appropriate planning for preventive primary and secondary health care programs. The objective of this report was to synthesize the best available evidence to determine UI prevalence rates in adult women in a population setting.Methods: A comprehensive search strategy was employed to find published and unpublished studies. Databases searched included PubMed, Embase, Scopus, Web of Science, and Google Scholar. We used the standardized Joanna Briggs Institute Meta-Analysis of Statistics, Assessment, and Review Instrument to appraise the included studies.Results: In total, 54 studies with 138,722 women aged 10 to 90 years were included in this meta-analysis. Prevalence of UI ranged from 2.8% in Nigeria to 57.7% in Iran. The total prevalence of UI was 25.7% (95% CI: 22.3-29.5) and the prevalence rates for stress, urgency, and mixed UI were 12.6% (95% CI: 10.3-15.4), 5.3% (95% CI: 3.4-8.3), and 9.1% (95% CI: 7.0-11.8), respectively.When we excluded the elderly population, UI prevalence only slightly changed (26.2%; 95% CI: 22.6-30.2). Prevalence rates varied considerably during different recall periods, ranging from 15.6% for UI during the last 12 months to 41.2% for UI during the last 3 months. However, the study quality and use of validated vs nonvalidated questionnaires only had a minor impact on the prevalence rates. Conclusions: The prevalence, methodology, and definition of UI vary widely.A large-scale multinational study with a homogeneous methodology is necessary to correctly calculate and compare the prevalence rates to improve health policies in the developing world.
K E Y W O R D Sdeveloping countries, prevalence, urinary incontinence
“…There is a strong association between sexual well-being and overall life satisfaction of individuals over time, and sexual problems have negative impacts on emotional well-being [1]. Female sexual dysfunction (FSD) is defined as psychophysiological changes and disturbances in sexual desire, which cause marked distress and interpersonal difficulty [2]. An estimation of the prevalence of sexual dysfunction in women is difficult, because the parameters of female sexual dysfunction are not very clear [3], but it is considered to be about 40%, taking into account at least one sexual dysfunction [4].…”
Background. Combined oral contraceptive pills containing ethinyl estradiol and levonorgestrel are the most common contraceptives that are used by women of the reproductive age. Moreover, sexual function is linked to sexual hormones. Objectives. The aim of this study was to evaluate the sexual function of hormonal contraceptive (OCP) and non-hormonal contraceptive (traditional or withdrawal) methods in Iranian reproductive-age women referred to healthcare centers. Material and methods. This was a cross-sectional study on 206 married women of the reproductive age (18-45). Ninety-six women used OCP to prevent pregnancy, and 110 women did not use any contraceptives, instead using a traditional (withdrawal) method for at least 6 months before the study. Data on sexual function was collected via the Female Sexual Function Index (FSFI) questionnaire. The independent t-test was used for statistical purposes. Results. The results showed that there were no significant differences in all domains of sexual function in the two groups, except in the area of sexual arousal (3.87 in OCP users and 4.14 in withdrawal user methods) (p < 0.05). There was an association between the arousal domain and oral contraceptive use, but there was no relation between OCP and other domains of sexual function. Conclusions. The combined oral and withdrawal contraceptive methods have no impact on sexual function, except in the area of sexual arousal.
“…[20] On the other hand, in a study of 1217 women in Turkey, UI negatively affected sexual function, but there was no correlation between the FSFI total score and the ICIQ-SF score. [21] A US study of 505 women found that activity rates and sexual function are not different among women with and without PFD. Sexually active women were classified as having moderate UI and those who were sexually inactive had more severe UI complaints.…”
Aim The study aimed to analyze the correlation between the intensity of urinary incontinence (UI) in women by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and sexual function by the Female Sexual Function Index (FSFI). Methods: Cross-sectional, correlational and quantitative study. It was developed in the urogynecology clinic with 110 women with stress or mixed UI. Exclusion criteria: overactive bladder syndrome, stage of pelvic organ prolapsed >3, neurological disease or dementia. The FSFI consists of 19 questions assessing female sexual function in the last 4 weeks in the areas of sexual desire, arousal, vaginal lubrication, orgasm, sexual satisfaction and pain. It was considered final score ≤ 26.5 indicative of sexual dysfunction. The UI was evaluated using the (ICIQ-SF) consists of 4 items such as frequency of UI, volume, impact of UI on daily life and urinary symptoms. Results: There was a statistically significant relationship between the final ICIQ-SF result (mean = 13) and the final FSFI score (mean = 23.4), (p = 0.004). The higher the ICIQ-SF final score, the lower the final FSFI score. The FSFI domains most affected by UI severity as evidenced by ICIQ-SF were: sexual desire (p =0.000), sexual arousal (p =0.036) and satisfaction (p =0.010). Conclusions: There was a strong correlation between the severity of stress and mixed UI and sexual function in the studied population. The UI negatively interferes with the woman's desire, arousal, and sexual satisfaction.
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