Quality of life (QoL) and help-seeking in postmenopausal women with urinary incontinence (UI): A population based study

Pakgohar, Minoo; Sabetghadam, Shadi; Rahimparvar, Seyedeh Fatemeh Vasegh; Kazemnejad, Anoshirvan

doi:10.1016/j.archger.2014.07.004

Cited by 27 publications

(43 citation statements)

References 21 publications

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“…[5][6][7] Stress urinary incontinence and pelvic organ prolapse may coexist. 10,[24][25] Present study showed a 1.5 odds (95% CI 1.003-2.388) of urinary incontinence in the presence of pelvic organ prolapse.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have supported this finding. [23][24][25] Maximum number of patients of mild Incontinence shows that a major chunk from the burden of disease goes unreported. In a urodynamic clinic, patients attend with two main types of incontinence, stress urinary incontinence and incontinence caused by detrusor instability; these affect 90% of the population at some time in their lives.…”

Section: Discussionmentioning

confidence: 99%

“…Sample Size estimated after doing a thorough Review of Literature where it was found that the prevalence ranges from 0-60%. [6][7][8][9][10][20][21][22][23][24] Taking a mean prevalence as 30%, relative error of 20% of p. Using Formula: N = z²pq/L², we got the sample size as 233. Taking design effect of 2 and applying non-response rate of 5 %, we finally took a sample size of 530 postmenopausal women.…”

Section: Methodsmentioning

confidence: 99%

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The influence of menopause on urinary incontinence in the women of the community: a cross-sectional study from North India

Khan

Ansari

Vasenwala

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Urinary incontinence is defined as the complaint of any involuntary loss of urine that is a social or hygienic problem. Worldwide, over 200 million people are living with urinary incontinence and as the life expectancy of women is increasing, more number of women are bound to suffer from it. The aim of the present study is to find out the effect of menopause on the occurrence of Urinary Incontinence in women and to find out risk factors in post-menopausal women associated with Urinary Incontinence.Methods: It was a community based cross-sectional study involving post-menopausal women living in the urban and rural areas registered under Community Medicine, J.N. Medical College, Aligarh, India. A total of 530 women were taken for this study. Descriptive statistics as well as simple proportion were calculated with SPSS 20.0. Tests of significance and Binary Logistic regression analysis were used for analysis.Results: Significant differences were found in the association of Urinary Incontinence with increasing age groups and consequent years spent in menopause, rural area of residence, illiteracy, lower socio-economic class, inadequate housing standards, obesity, smoking, parity, history of hysterectomy, and co-morbidities such as Urinary Tract Infection and Pelvic organ prolapse.Conclusions: From a public health perspective, there is considerable opportunity to improve women's quality of life by increasing health education about urinary incontinence and its treatment by taking steps for life style modifications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The influence of menopause on urinary incontinence in the women of the community: a cross-sectional study from North India

Khan

Ansari

Vasenwala

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…It is a common problem among middle‐aged women, among whom it is reported to be severe in 5% and mild in 60% . The prevalence of UI in women varies between 37.9% and 68.8% in studies conducted in various age groups covering the climacteric and senescence period in Turkey …”

Section: Introductionmentioning

confidence: 99%

Quality of life in climacteric Turkish women with urinary incontinence

Güvenç¹,

Kocaöz

Kök³

2016

Int J of Nursing Practice

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Urinary incontinence (UI) is a common health problem and negatively affects the quality of life of women who are afflicted. The aim of the study is to explore the prevalence and risk factors of UI among climacteric Turkish women and to examine the effects of UI on their quality of life. This cross-sectional study was conducted with 258 women aged 40-64 years who visited the outpatient clinic in Ankara, Turkey, between 15 June 2012 and 15 January 2013. The data were collected using the International Consultation on Incontinence Questionnaire Short Form and the Incontinence Quality of Life Questionnaire. This paper reveals that the overall prevalence of UI was 45.3%. Stress UI, mixed UI, and urge UI were reported by 54.7%, 22.2%, and 10.3% of the subjects, respectively. The proportion of women suffering from UI who seek medical treatment was low despite mild or moderate negative effect impacts on their quality of life. Increasing women's awareness of UI and protective measures is essential, and standard UI assessment should be added to all patient examinations.

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“…However, less than 50% of women with incontinence seek medical care for their symptoms 6–8 Incontinence severity appears to be significantly associated with care-seeking for urinary symptoms. 9 Prior studies have shown that perceived severity determines whether or not affected women desire treatment 10 .…”

Section: Introductionmentioning

confidence: 99%

Care-Seeking for Stress Incontinence and Overactive Bladder Among Parous Women in the First Two Decades After Delivery

Fitzgerald¹,

Pierce

Nugent

et al. 2016

Female Pelvic Med Reconstr Surg

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OBJECTIVE To establish the extent to which care-seeking for urinary incontinence is a function of symptom bother; and to identify bother-score thresholds that predict care-seeking in the first two decades after delivery. METHODS In this longitudinal cohort, women were assessed annually for symptom bother related to stress urinary incontinence (SUI) and overactive bladder (OAB), as well as for recent episodes of care-seeking for urinary symptoms. Because the goal was to model care-seeking as a function of the woman’s characteristics at her prior visit, women who completed ≥two consecutive visits were included. The population was randomly divided into “training” (model development) and “testing” (model validation) sets. The predictive model was developed in the training set. For SUI and OAB bother scores, we identified thresholds to define statistically distinct probabilities of care-seeking. A multivariable model was created, including SUI and OAB bother categories as well as characteristics associated with care seeking at the P<0.05 level. The resultant prediction model was then applied to the “testing set”; predicted and observed care-seeking frequencies were compared. RESULTS Care-seeking was strongly associated with SUI and OAB bother. We defined three categories for OAB score and four categories for SUI score. The resulting twelve risk categories were then collapsed into five distinct risk-groups. These groups accurately predicted care-seeking in the testing set (area under the receiver-operating curve 0.760 (95% confidence interval 0.713, 0.807). Inclusion of other risk factors did not improve the model. CONCLUSIONS Symptom bother is a strong determinant of care-seeking in the first two decades after delivery. These results define five ordinal categories that predict seeking-care for urinary symptoms in a community population.

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Quality of life (QoL) and help-seeking in postmenopausal women with urinary incontinence (UI): A population based study

Cited by 27 publications

References 21 publications

The influence of menopause on urinary incontinence in the women of the community: a cross-sectional study from North India

The influence of menopause on urinary incontinence in the women of the community: a cross-sectional study from North India

Quality of life in climacteric Turkish women with urinary incontinence

Care-Seeking for Stress Incontinence and Overactive Bladder Among Parous Women in the First Two Decades After Delivery

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