Risk Estimation and Stratification of Urinary Incontinence: Its Determinants and Quality of Life in Indian Females - A Cross-sectional Study

Chettinad Health City Medical Journal Pub Date : 2023-09-30 DOI:10.24321/2278.2044.202356

Reema Joshi

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Abstract

Introduction: The International Continence Society defined urinaryincontinence (UI) as “involuntary loss of urine which is deleterious andcauses social embarrassment and creates negative self-perception infemales”. India has a 21.8% prevalence of UI which increases with age.Methods: A community-based study was conducted using a selfstructuredand validated questionnaire at the Outpatient Departmentof a tertiary healthcare hospital from October 2020 to January 2021for females between 35 and 65 years of age. 182 females who visitedthe hospital underwent preliminary screening for any complaintsrelated to occasional or repeated problems of urinary leakage, andthose who reported concern were further interviewed in detail withthe self-structured questionnaire.Results: Descriptive statistical analysis was performed to estimate theproportion of each category of the respective groups. 28.02% of thestudy population belonging to the age group of 35 to 65 years wasfound to have UI. Regression analysis estimated that females withvaginal deliveries (> 3), diabetes (random blood sugar level above 120mg/dl), chronic cough more than 6 months, constipation, and lowerurinary tract infection, exhibit greater odds of having UI.Quality of life assessment was performed incorporating King’s quality oflife questionnaire which showed that the urinary incontinence impactdecreased the general health of females and caused limitations tophysical functions as well as psychological well-being which may leadto emotional and sleep disturbances.Conclusions: Females with higher BMI, normal vaginal deliveries, andlower urinary tract infections can lead to urinary incontinence andworsen quality of life. How to cite this article:Joshi R, Rathi M. Risk Estimation and Stratificationof Urinary Incontinence: Its Determinants andQuality of Life in Indian Females - A Cross-sectional Study. Chettinad Health City Med J.2023;12(3):86-91. DOI: https://doi.org/10.24321/2278.2044.202356

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尿失禁的风险评估和分层:印度女性的决定因素和生活质量-一项横断面研究

导读:国际尿失禁协会将尿失禁定义为“有害的、导致社交尴尬和对女性产生负面自我认知的非自愿尿失禁”。印度的尿失禁患病率为21.8%，随年龄增长而增加。方法:于2020年10月至2021年1月，在某三级医院门诊部对35 - 65岁的女性进行了一项基于社区的研究。182名到医院就诊的女性接受了初步筛查，以确定是否有任何与偶尔或反复的尿漏问题有关的投诉，并对那些报告有尿漏问题的女性进行了进一步的详细访谈。结果:进行描述性统计分析，估计各类别在各自组中的比例。在研究人群中，年龄在35岁至65岁的人群中有28.02%被发现患有尿失禁。回归分析估计，阴道分娩的女性(>3)糖尿病(随机血糖水平高于120mg/dl)、慢性咳嗽6个月以上、便秘、下尿路感染等易发生尿失禁。结合King 's生活质量问卷进行生活质量评估，结果显示尿失禁影响了女性的总体健康状况，并导致身体机能和心理健康的限制，从而可能导致情绪和睡眠障碍。结论:BMI较高、阴道分娩正常、下尿路感染的女性可导致尿失禁，生活质量下降。Joshi R, Rathi M.印度女性尿失禁的风险评估和分层:其决定因素和生活质量-一项横断面研究。中华卫生杂志;2009;12(3):86-91。DOI: https://doi.org/10.24321/2278.2044.202356

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Chettinad Health City Medical Journal

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