scholarly journals Predictors of Delay in Treatment of Urinary Incontinence Among Pakistani Women – A Cross-sectional Study

Author(s):  
Shazia Saaqib ◽  
Amara Jameel ◽  
Muhammad Ghufran ◽  
Amna Zia Eusaph

Abstract BackgroundUrinary Incontinence (involuntary loss of urine) is a highly prevalent problem among women with profound effects on their quality of life. Patients tend to conceal their problems and avoid seeking medical help, which results in their prolonged illness and psychological depression. Only a few researchers have focused on finding out the characteristics of incontinent women with prolonged treatment denial. These women's shared features can serve as predictors of treatment delay; screening the incontinent patients for these predictors can point out the susceptible women with delayed help-seeking behaviour who need in-depth counselling and support for their treatment. This cross-sectional study was designed to investigate the predictors of treatment delays of urinary Incontinence among Pakistani women.Methods We performed this survey at Lady Willingdon Hospital outdoor from july1to Dec 31, 2019. We randomly selected one-hundred and six women with urinary incontinence from the gynaecology outdoor to fill the study Performa(sample size calculated with Raosoft, sample size calculator, Inc 2004). The Performa included risk factors of incontinence: demographic features, psychosocial effects of incontinence, the logic behind treatment delay, and the Incontinence Questionnaire UI-short form for incontinence characteristics. We evaluated predictors by analyzing shared risk factors of treatment delay by regression analysis (IBM SPSS statistics 20; SPSS Inc., Chicago, IL, USA). ResultsThe mean age of participants was 56.11±11.24years (30-77years). Treatment delay ranged from 1-30years; about half of the participants (48.1%) reported >3-year delay. The shared risk factors of treatment-delay were elderly age (OR=1.163; CI:1.075-1.259), embarrassment (OR = 8.15;CI:2.117-31.382), lower subjective severity of symptoms (OR=.316;CI:133-.978) and stress incontinence (OR=8.09;CI:1.87-35).ConclusionIn this cross-sectional survey of urinary incontinent women, elderly age, embarrassment, lower subjective severity of symptoms, and stress incontinence were predictors of treatment-delay among Pakistani women. Trial registrationThis study had ethical approval from King Edward Medical University and registered retrospectively at Clinical trials.gov with reg #NCT04470700 on 13-07-2020.

2020 ◽  
Vol 33 (1) ◽  
pp. 59-62
Author(s):  
Lubna Yasmin ◽  
Ferdousi Begum

Objective: The objectives of the study were to find out the prevalence of urinary incontinencein women. Materials and Methods: A cross sectional study was conducted on five hundred one (501)women older than 18 years of age who were admitted in department of obstetrics andgynaecology of Shaheed Suhrawardi Medical College and Hospital from April to December2009, answered a questionnaire about urinary incontinence. They were grouped accordingto presence or absence of urinary incontinence (incontinent and continent) and type ofincontinence present (urge, stress and mixed). Results: Urinary incontinence was found in 104(20.8%) women, out of which 25 (24%)suffered from stress incontinence only, 21 (20.2%) suffered from urge incontinence and58(55.8%) suffered mixed incontinence. Conclusions: One in five women older than 18 years of age suffer from one or other formof urinary Incontinence. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(1) : 59-62


2020 ◽  
Vol 32 (1) ◽  
pp. 95-102 ◽  
Author(s):  
Chen Xu ◽  
Mingzhu Chen ◽  
Jingxia Fu ◽  
Yanting Meng ◽  
Si Qin ◽  
...  

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Visaratana Therakomen ◽  
Aisawan Petchlorlian ◽  
Narisorn Lakananurak

Abstract No previous study has investigated the prevalence and risk factors for primary sarcopenia in outpatient setting. This study aims to evaluate the prevalence and factors associated with primary sarcopenia in outpatient elderly. Additionally, we compared the severity of sarcopenia based on the 2014 and 2019 Asian Working Group for Sarcopenia (AWGS) criteria. This cross-sectional study was performed in 330 subjects aged over 60 years in an outpatient setting. The muscle strength, muscle performance and muscle mass were assessed using the handheld dynamometer, 6-m gait speed, and bioelectrical impedance analysis, respectively. The prevalence of sarcopenia was 10% as per the 2014 and 2019 AWGS criteria. The development of sarcopenia was positively correlated with the age with an odds ratio (OR) of 6.87 [95% confidence interval (CI) 1.63–28.88] in the middle-old group (70–79 years), and 13.71 (95%CI 3.66–51.41; p = 0.009) in the very old group (≥ 80 years). Prefrailty and low physical activity were significantly associated with sarcopenia with an OR of 4.75 (95%CI 1.90—11.89) in prefrailty, 15.35 (95%CI 1.69–139.47) in the middle activity group, and 17.99 (95%CI 1.95–165.73) in the lowest activity group. In conclusion, primary sarcopenia was found in one-tenth of outpatient elderly. Age, prefrailty, and low activity were independent factors associated with sarcopenia.


2021 ◽  
Vol 16 (1) ◽  
pp. 120-123
Author(s):  
Alka Shrestha

Aim: To determine the prevalence of urinary incontinence of women attending gynae outdoor patient department. Method: It is a prospective cross sectional study conducted at Paropakar Maternity and Women’s Hospital for three months. Types of incontinence, their presentation, associated factors, age and parity were the variables studied. Data were analyzed by descriptive statistics. Results: Out of 950 gynaecological out-patients, 97 had urinary incontinence(10.2%); 34.1% were in 50- 59 years and 37.2% were multipara. Stressurinary incontinence (SUI) was the most common incontinence (56.7%) followed by mixed urinary incontinence (22.7%) and urge urinary incontinence (20.6%). Common complaints were leakage during coughing (63.6%) and sneezing(18.2%) in SUI;urgency and frequency were main problem in mixed and urge urinary incontinence. Three-fourth cases had associated medical conditions and rest had gynecological factors. Conclusions: Urinary incontinence is common in the fifth decade of life of women and more than half had stress incontinence.


BMJ ◽  
2004 ◽  
Vol 329 (7471) ◽  
pp. 889-891 ◽  
Author(s):  
Yngvild S Hannestad ◽  
Rolv Terje Lie ◽  
Guri Rortveit ◽  
Steinar Hunskaar

Abstract Objective To determine whether there is an increased risk of urinary incontinence in daughters and sisters of incontinent women. Design Population based cross sectional study. Setting EPINCONT (the epidemiology of incontinence in the county of Nord-Trøndelag study), a substudy of HUNT 2 (the Norwegian Nord-Trøndelag health survey 2), 1995-7. Participants 6021 mothers, 7629 daughters, 332 granddaughters, and 2104 older sisters of 2426 sisters. Main outcome measures Adjusted relative risks for urinary incontinence. Results The daughters of mothers with urinary incontinence had an increased risk for urinary incontinence (1.3, 95% confidence interval 1.2 to 1.4; absolute risk 23.3%), stress incontinence (1.5, 1.3 to 1.8; 14.6%), mixed incontinence (1.6, 1.2 to 2.0; 8.3%), and urge incontinence (1.8, 0.8 to 3.9; 2.6%). If mothers had severe symptoms then their daughters were likely to have such symptoms (1.9, 1.3 to 3.0; 4.0%). The younger sisters of female siblings with urinary incontinence, stress incontinence, or mixed incontinence had increased relative risks of, respectively, 1.6 (1.3 to 1.9; absolute risk 29.6%), 1.8 (1.3 to 2.3; 18.3%), and 1.7 (1.1 to 2.8; 10.8%). Conclusion Women are more likely to develop urinary incontinence if their mother or older sisters are incontinent.


2019 ◽  
Vol 47 (02) ◽  
pp. 132-132
Author(s):  
Sebastian Ganz

Nathues C, Janssen E, Duengelhoef A et al. Cross-sectional study on risk factors for Porcine Reproductive and Respiratory Syndrome virus sow herd instability in German breeding herds. Acta Vet Scand 2018; 60 (1): 1–8 In mit PRRSV (Porcine Reproductive and Respiratory Syndrom Virus) infizierten Schweinebeständen zeigen die Tiere oftmals ernsthafte klinische Symptome. Die Schwere der Symptomatik hängt von der Virulenz der jeweiligen Virusstämme ab. Deshalb ist die Impfung gegen diesen Erreger sinnvoll und wird empfohlen, auch wenn sie nicht immer klinische Fälle verhindert bzw. das Virus vollends eliminiert. Aufgrund dessen rückt die Prävention durch Verbesserung der innerbetrieblichen Abläufe zunehmend in den Fokus. Um solche Maßnahmen erfolgreich etablieren zu können, ist es wichtig, den epidemiologischen Status der Herde und mögliche Risikofaktoren zu kennen. Ziel der Studie war deshalb, die Prävalenz der Infektion in Sauenbetrieben in Norddeutschland zu eruieren und verschiedene Arbeitsabläufe hinsichtlich des Risikos der Erregerverbreitung zu untersuchen.


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