Incidence and risk factors of female urinary incontinence: a 4‐years longitudinal study among 24985 adult women in China

A retrospective study of patients of the Urogynaecological Unit in Siena is reported. Out of 228 women examined, 141 had urinary incontinence (stress incontinence 110, urge incontinence 18, mixed 13). Predisposing factors and risk factors were investigated. A parallel study in a non-selected population of women was performed by means of a questionnaire of self-evaluation for urinary incontinence. About 20% of this population had urinary incontinence to some degree, but only a small percentage of these women had already sought medical advice.

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Female Urinary Incontinence: Prevalence, Risk Factors and Impact on the Quality of Life of Gynecological Clinic Attendees in Lagos, Nigeria

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v15i1.29338 ◽

2020 ◽

Vol 15 (1) ◽

pp. 31-38

Author(s):

Fatimat Motunrayo Akinlusi ◽

Tawaqualit Abimbola Ottun ◽

Yusuf Abisowo Oshodi ◽

Bilkees Oluwatoyin Seriki ◽

Folasade D. Haleemah Olalere ◽

...

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Body Mass Index ◽

Urinary Incontinence ◽

Body Mass ◽

Odds Ratio ◽

High Body Mass Index ◽

Female Urinary Incontinence ◽

Substantial Impact

Aims: To determine the prevalence of urinary incontinence, risk factors and impact on the quality of life in gynecological clinic attendees of a University Hospital. Methods: A cross sectional descriptive study was conducted amongst gynecological clinic attendees in a Teaching Hospital in Nigeria from 1st February to 31st July 2017. Structured questionnaires were used to ascertain the presence of urinary incontinence. Socio-demographic and medical factors; impact on daily activities and treatment history were assessed. Women with and without urinary incontinence were compared. Univariate, bivariate and multivariable analyses were performed. Results: There were 395 women of 25 - 67 years (mean age = 38.81±10.1). About 33% had experienced urinary incontinence in the previous 6 months with Urgency, Mixed and Stress urinary incontinence occurring in 18.0%, 7.6% and 7.3% respectively. Independent risk factors for urinary incontinence were age (odds ratio=0.49, 95% confidence interval [CI] =0.26 - 0.92, P =0.026), higher body mass index (odds ratio=1.92, 95% CI =1.53 - 3.00, P =0.004) and history of constipation (odds ratio=2.11, 95% CI =1.30 - 3.43, P =0.003). About 47% of those with urinary incontinence admitted to negative feelings like anxiety and depression; 45% had moderate to severe impact on their quality of life in all domains but only 27.7% sought help. Conclusions: Urinary incontinence is common and risk factors include older age, high body mass index and constipation. Despite its substantial impact on the quality of life, majority do not seek help. Addressing modifiable risks factors and improving treatment seeking behaviour will assist in reducing the prevalence of urinary incontinence. Keywords: female urinary incontinence; quality of life; risk factors; stress incontinence; urgency incontinence.

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