scholarly journals Population-Level Prevalence, Bother, and Treatment Behavior for Urinary Incontinence in an Eastern European Country: Findings from the LUTS POLAND Study

2021 ◽  
Vol 10 (11) ◽  
pp. 2314
Author(s):  
Mikolaj Przydacz ◽  
Marcin Chlosta ◽  
Piotr Chlosta

Objectives: Population-level data are lacking for urinary incontinence (UI) in Central and Eastern European countries. Therefore, the objective of this study was to estimate the prevalence, bother, and behavior regarding treatment for UI in a population-representative group of Polish adults aged ≥ 40 years. Methods: Data for this epidemiological study were derived from the larger LUTS POLAND project, in which a group of adults that typified the Polish population were surveyed, by telephone, about lower urinary tract symptoms. Respondents were classified by age, sex, and place of residence. UI was assessed with a standard protocol and established International Continence Society definitions. Results: The LUTS POLAND survey included 6005 completed interviews. The prevalence of UI was 14.6–25.4%; women reported a greater occurrence compared with men (p < 0.001). For both sexes, UI prevalence increased with age. Stress UI was the most common type of UI in women, and urgency UI was the most prevalent in men. We did not find a difference in prevalence between urban and rural areas. Individuals were greatly bothered by UI. For women, mixed UI was the most bothersome, whereas for men, leak for no reason was most annoying. More than half of respondents (51.4–62.3%) who reported UI expressed anxiety about the effect of UI on their quality of life. Nevertheless, only around one third (29.2–38.1%) of respondents with UI sought treatment, most of whom received treatment. Persons from urban and rural areas did not differ in the degrees of treatment seeking and treatment receiving. Conclusion: Urinary incontinence was prevalent and greatly bothersome among Polish adults aged ≥ 40 years. Consequently, UI had detrimental effects on quality of life. Nonetheless, most affected persons did not seek treatment. Therefore, we need to increase population awareness in Poland about UI and available treatment methods, and we need to ensure adequate allocation of government and healthcare system resources.

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 555
Author(s):  
Mikolaj Przydacz ◽  
Piotr Chlosta

Background and Objectives: The purpose of this study was to measure at the population level the prevalence, bother, effect on quality of life, and behavior associated with treatment for nocturia in a large representative cohort of Polish adults aged ≥40 years. Materials and Methods: Data were derived from LUTS POLAND, a computer-assisted telephone survey of urological health that mirrored the entire Polish population in urban and rural areas. Results: Six thousand persons completed the survey. The respondents were representative for age, sex, and place of residence. Nocturia was highly prevalent because 73.7% of all participants reported ≥1 nocturia episode, and 36.1% reported ≥2 nocturia episodes. We did not identify differences between urban and rural areas. Women were more often affected than men, and the prevalence of nocturia increased with age. More than one-third (29.7–45.3%) of respondents who reported nocturia were bothered by the symptom and, thereby, concerned about their urinary-specific quality of life. Notably, we found a statistically significant correlation between the frequency of nocturia and intensification of its bother (p < 0.001 for men and women). However, only about one-fourth (22.2–29.2%) of respondents with nocturia sought treatment, most of whom received treatment. Conclusions: Nocturia was highly prevalent and often bothersome with negative effects on quality of life of Polish adults aged ≥40 years. However, the percentage of treatment seeking was low. Combined with the fact that nocturia has multiple causes and consequences, including high morbidity and mortality, our findings revealed that nocturia was a significant public health issue. We need to develop strategies to specifically increase awareness about nocturia and provide greater healthcare and financial resources for persons with nocturia in Poland.


2004 ◽  
Vol 6 (1) ◽  
pp. 1-36 ◽  
Author(s):  
HEIDRUN MOLLENKOPF ◽  
ROMAN KASPAR ◽  
FIORELLA MARCELLINI ◽  
ISTO RUOPPILA ◽  
ZSUZSA SZÉMAN ◽  
...  

2014 ◽  
Vol 32 (3) ◽  
pp. 401-413 ◽  
Author(s):  
Darlene Mara dos Santos Tavares ◽  
◽  
Alisson Fernandes Bolina ◽  
Flavia Aparecida Dias ◽  
Pollyana Cristina dos Santos Ferreira ◽  
...  

2020 ◽  
Vol 5 (2) ◽  
pp. 43-49
Author(s):  
Hiorran Coelho Almeida Matos ◽  
Gabrielle Carrozzino ◽  
Andrea Vaz Braga Pintor ◽  
Ivete Pomarico Ribeiro de Souza ◽  
Michelle Mikhael Ammari ◽  
...  

2020 ◽  
pp. 37-58
Author(s):  
S.Y. AKSYONOVA ◽  
L.I. SLYUSAR

Demographic research is mainly aimed at analysing the diff erences between marriage and birth rates in urban and rural areas. Th ere is much less investigations which study the particularities of these demographic processes within the big cities. The special status of the capital city reinforces the interest of researchers to it. However, the capital city is oft en considered as particular district of the country and compared to other regions or provinces which may include urban and rural areas. Th e purpose of the proposed paper is to fi nd out the peculiarities of marriage and fertility in Kiev and other capitals of some countries of Eastern Europe on the background of the general characteristics of these processes (national level and urban area level), to identify similarities and diff erences between them. Th is research presented fi rst revealed common and specifi c characteristics of marriage, divorce and fertility in the capital cities of Eastern European countries. Th e study used such methods of scientifi c knowledge as comparison, analysis, generalization, graphical method. Demographic yearbooks of Poland, the Czech Republic, Bulgaria, Belarus, Ukraine for 2009-2018, and statistics from statistical sites in these countries and Slovakia were used for the detailed analysis. Th e important conditions for using statistical information were free access to it and the same methodology for calculating demographic indicators involved in the analysis. Among the common features of the development of demographic processes in the capital cities of the selected countries our attention was attracted by aging of marriage and motherhood which rate exceeded level in the whole country. Th e share of marriages aft er 30 years, the share of children born to women aged 35 and over among all births, the mean age of mothers at the birth in the capitals were considerable higher than the corresponding national indicators. Diff erences between capitals in the dynamics and structure of the processes of formation and dissolution of marriages are largely caused by national characteristics of the marital-family behaviour. In our study we question the universality of the well-known statement that big cities tend to have lower fertility rates comparison to other areas of country. Th e fertility level in some capitals could be both below and above the national average level.


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