Undetected prevalence of urinary incontinence among middle-aged women and its association with quality of life (original) (raw)
Related papers
Prevalence, Affecting Factors, and Impact of Urinary Incontinence on Quality of Life
Journal of Education and Research in Nursing, 2023
Background: Urinary incontinence is an important problem that is frequently seen in women and affects women's health physically, psychologically, and socially and reduces women's quality of life. Aim: This study was carried out to determine the incidence of urinary incontinence in women, its affecting factors, and its effect on quality of life. Methods: This study was conducted descriptively and cross-sectionally in the gynecology polyclinic of a university hospital in Izmir. The sample of the study consisted of 304 volunteer women living with urinary incontinence. The data were collected with urinary incontinence form, individual description form, and urinary incontinence quality of life scale. The number and percentage distributions, means, standard deviation, t-test, and one-way analysis of variance were used to analyze the data. Results: The mean age of the women was 47.61 ± 11.43, 27% of them had stress, 35.2% of urgency, and 37.8% of mixed urinary incontinence. The majority of women experience urinary incontinence 1-2 times a day (42.4%) and for 1-2 years (33.2%). The mean total score of women urinary incontinence quality of life scale was 79.57 ± 15.05 and the mean of the total scores obtained from the subscales was as follows: behavioral restriction was 27.03 ± 5.86, psychological effect was 36.14 ± 6.50, and restriction of social life was 16.39 ± 3.97. A statistically significant difference was found between urinary incontinence quality of life scale total score means of women and some factors affecting women's urinary incontinence (urgency and mixed urinary incontinence, duration, and frequency of urinary incontinence and such) (P < .05). Conclusion: In the study, it was determined that all types of urinary incontinence are seen in one-third of women, are affected by many factors, and cause deterioration in the quality of life. Nurses should inquire urinary incontinence, which is frequently seen in women, know the factors affecting urinary incontinence, and screen women of all age groups. Thus, nurses will be able to take preventive measures regarding urinary incontinence, determine the factors affecting urinary incontinence, and provide necessary training and counseling by identifying risky women.
Quality of Life Research, 2005
Urinary incontinence (UI) has substantial and important impacts on health-related quality of life. The purpose of this research is to report the psychometric performance of 15 different language versions of the Incontinence-specific Quality of Life (I-QOL) measure, a patient-reported outcome measure specific to stress, urge and mixed urinary incontinence. The multi-national dataset consisted of data from four clinical trials for stress incontinent females and from two additional population studies, enrolling women with stress, urge and mixed UI. All enrolled patients completed the I-QOL and comparative measures at baseline. The clinical trial populations had multiple administrations up to 12 weeks, and the two population studies included a shorter retest. Country-specific psychometric testing for validity, reliability, and responsiveness followed standardized procedures. Confirmatory factor analyses were performed to assess the I-QOL subscales. The I-QOL measurement model was confirmed as three subscales. Summary and subscale scores for the 15 versions were internally consistent (alpha values = 0.91-0.96) and reproducible (ICC = 0.72-0.97). Using changes in the independent measures of incontinence episode frequency standardized response means were predominantly strong (ranged 0.71-1.05) across 13 versions (out of 15) in association with these measures and effect sizes. These additional language versions of the I-QOL instrument demonstrate psychometric properties similar to the original version. The I-QOL has shown good results in both community studies and clinical trials with varying types and severity of urinary incontinence. It is a reliable and valid measure of HRQOL, suitable for use in a variety of international settings.
Health-related quality of life in women aged 20-64 years with urinary incontinence
International Urogynecology Journal
Introduction and hypothesis Urinary incontinence (UI) in women is a frequent and invisible clinical situation that affects several aspects in the lives of patients. The aim of this study is to assess the impact of urinary incontinence on different dimensions of quality of life. Methods Cross-sectional observational study. The sample brings together 381 women living in the Metropolitan Region of Chile, who answered a survey between June 2020 and June 2021, with questions about the sociodemographic situation, obstetric history and the EQ5D-3L questionnaire Chilean version and urinary incontinence variables. For the analysis of association between variables were used a correlation coefficient and logistic regressions. Results The mean age of the sample was 39.9 (SD: 12.6) years, with 68.5% of multiparous women and 42.5% had a history of vaginal delivery. Fifty percent of the respondents belong to a medium-high socioeconomic level according to the health insurance proxy. The analysis adjusted for age, health insurance and obstetrics variables showed that women with a frequency of moderate/severe urine loss had a 72% greater probability of suffering from moderate/severe pain/discomfort compared to women with nothing/little urine loss. In turn, the self-perception of affectation of urine loss was significantly associated with problems in the dimensions of mobility, anxiety/depression and health status. Conclusions This research contributes with evidence that makes visible the affectation on physical and psychological dimensions in women with urinary incontinence, allowing decision-makers to prioritize resources and design health programs that include clinical management.
The Israel Medical Association journal : IMAJ, 2001
Urinary incontinence in older women is common. Its characteristics and impact on quality of life is not well established since these women are usually reluctant to tell their healthcare providers about the problem. To determine the characteristics of urinary incontinence in women and the manner in which it affects patients' quality of life. Twenty family physicians were requested to distribute a questionnaire to the first 25 consecutive women aged 30 to 75 years who visited their clinic for any reason. The questionnaire covered general health issues, symptoms of urinary incontinence, and quality of life. A total of 418 women, mean age 50.0 +/- 11.8 years, completed the questionnaire (84% response rate). Of these, 148 (36%) reported having episodes of urinary incontinence. Urinary incontinence was found to be associated with older age, menopause, obesity and coexisting chronic disorders. Sixty percent of the women with urinary incontinence found it to be a disturbing symptom, and...
Quality of life in women with urinary incontinence
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2011
To determine the characteristics of urinary incontinence and its impact on the quality of life in adult women with urinary incontinence who presented to a tertiary care clinic of Vojvodina from September 2008 to May 2009 for treatment We used a prospective case-control study. Cases were defined as patients (47) with urinary incontinence symptoms. Controls (50) were defined as patients without urinary incontinence who presented to a tertiary care gynecology clinic for other reasons. Both, cases and controls, completed two questionnaires recommended for the evaluation of symptoms, The Urinary Distress Inventory, and quality of life impact The Urinary Impact Questionnaire. There was a significant correlation between aging (r=0.614; p<0.01), body mass index (r=0.357; p<0.01) and menopause (r= -0.572; p<0.01) and urinary incontinence. All patients had symptoms of stress incontinence, 61.7% had urge incontinence symptoms, 21.3% voiding difficulty and 85.1% dysuria. Ninety-four pa...
Assessing quality of life of women with urinary incontinence using the Kings Health questionnaire
Einstein
Objective: To evaluate the quality of life of women with urinary incontinence, as well as its association with other demographic and socioeconomic factors that may influence their perception of quality of life. Methods: A total of 50 patients were submitted to the Kings Health questionnaire and to other independent scales to evaluate severity of urinary incontinence, as well as presence and intensity of urinary symptoms. results: One third of women considered their health status bad or very bad. Half of the patients referred that urinary incontinence symptoms greatly affected their quality of life. Patients with symptoms of overactive bladder and mixed urinary incontinence presented statistically higher scores of quality of life in the domain "sleep/mood". There was no statistical difference between the groups concerning other quality of life domains, sociodemographic factors, and the correlation between bladder problem and general health perception. conclusions: Most women with urinary incontinence considered their health status from regular to very bad. The sociodemographic factors did not influence the quality of life of the patients studied. The Kings Health questionnaire showed a negative impact of urinary incontinence on patient's quality of life.
Urinary incontinence in women: prevalence rates,risk factors and impact on quality of life
Pakistan Journal of Medical Sciences, 2013
Objectives: To determine the prevalence, risk factors of urinary incontinence (UI) and to assess its impact on the quality of women's life. Methods: This cross-sectional study was performed 1050 female participants aged between 20-80 years. A questionnaire form, including the socio-demographic characteristics and risk factors and the "International Consultation on Incontinence Questionnaire-Short Form" were used for the data collection. Results: The mean age of women was 48.80±11.53 years. The prevalence of UI was 44.6%. The distribution of the types of UI was 31% stress incontinence, 47.4% urge, and 33.1% mixed type. Although 95.5% of the women reported a negative impact on the quality of life, admission to a health center was only 63.9%, and 64.7% of the women had not received any medical help. The statistical analysis revealed that menopause, constipation, hypertension, diabetes, family history and parity are associated with UI as risk factors. Conclusion: We suggest that in the early diagnosis and treatment of urinary incontinence (UI), mental, educational and psychosocial support should be given to patients together with medical therapy.
Frequency and Associated Risk Factors of Urinary Incontinence and It’s Impact on Life of Women
Journal of Akhtar Saeed Medical & Dental College, 2020
The study was conducted to determine the frequency of urinary incontinence, its types, associated risk factors, and its impact on the life of women. Material and Methods: This cross-sectional study was conducted in the gynaecological out patient department (OPD) of Akhtar Saeed Trust Teaching Hospital from July 2018 to December 2018. The patients of age 18 or more who complained of involuntary loss of urine were selected from gynae OPD, and after informed consent, they were further questioned about the problem according to the questionnaire. The data was analyzed on SPSS version 17. Results: Out of 1425 patients, 210 patients answered yes to the complaint of urinary incontinence. 198 patients who agreed to participate were interviewed according to the questionnaire. The overall frequency of incontinence was 13.8 % (198). Stress incontinence was the most common type of incontinence found in 127 patients (64.1%), urge incontinence was seen in 37 patients (18.7%), and mixed incontinence was present in 34 patients (17.2%). Urinary incontinence was found to be markedly high in women above 40 years of age (69.7%). One hundred seventy-nine patients (90.4%) belonged to poor socioeconomic status, 17 patients were from the middle class, and two patients (1%) belong to upper socioeconomic status. Incontinence especially stress incontinence, was associated with increasing parity as 81 patients (40.9%) were grand multipara making it a significant risk factor for urinary incontinence. Other risk factors were vaginal delivery (85.4%), increased BMI that is > 25 per kg/m 2 (47%), constipation (51%), history of prolapse (34.8%), and chronic respiratory disease (10%). Urinary incontinence was seen more in postmenopausal women (48%) and in those having a habit of tobacco/tea coffee intake (60.5%). Urinary incontinence greatly affected women's quality of life as 71 patients (35.9%) avoided going out of the house due to this problem, 38 patients (19.2%) had reduced sexual relationships, and 23 patients (11.6%) had to use sanitary towels. Conclusion: Urinary incontinence is a common health issue which is usually under-reported though it greatly affects the quality of life of women, especially above 40 years of age.