Female Urinary Incontinence in Africa: Prevalence Estimates from a Systematic Review and Meta-Analysis.

IF 1.8 3区医学 Q3 OBSTETRICS & GYNECOLOGY

International Urogynecology Journal Pub Date : 2025-05-30 DOI:10.1007/s00192-025-06146-6

Jeanne Bertuit, Andy-Muller Luzolo Nzinga, Véronique Feipel

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Abstract

Introduction: This systematic review and meta-analysis aimed to investigate the prevalence of urinary incontinence (UI) among women in African countries. Different types of UI, racial distributions, geographic locations, and methodological approaches were analyzed and compared.

Methods: A systematic search was conducted using CINAHL, PubMed, Embase, and African Journals Online (AJOL). Studies published between 2000 and 2023 in French or English were included if they assessed the prevalence of UI among adult women (≥18 years) in Africa. A meta-analysis using a random-effects model was performed. The PRISMA checklist guided the reporting of this review.

Results: A total of 22 studies were included. The pooled prevalence of UI was 24% (95% CI: 17-33%), with individual study estimates ranging from 2% to 80%. The pooled prevalence was 28% (95% CI: 19-38%) for urgency urinary incontinence (UUI), 35% (95% CI: 26-45%) for stress urinary incontinence (SUI), and 31% (95% CI: 18-45%) for mixed urinary incontinence (MUI). High heterogeneity was observed across studies (I² ranging from 72.6% to 99.8%; p 0.001 for Cochran's Q test in all UI subcategories).

Conclusion: Urinary incontinence affects approximately one-quarter of adult women in Africa. However, the high heterogeneity in prevalence estimates-related to differences in methodology and UI definitions-limits the ability to draw firm conclusions.

查看原文本刊更多论文

非洲女性尿失禁：来自系统回顾和荟萃分析的患病率估计。

本系统综述和荟萃分析旨在调查非洲国家妇女尿失禁（UI）的患病率。对不同类型的UI、种族分布、地理位置和方法方法进行了分析和比较。方法：系统检索CINAHL、PubMed、Embase和非洲期刊在线（AJOL）。2000年至2023年间发表的法语或英语研究纳入了评估非洲成年妇女（≥18岁）尿失禁患病率的研究。采用随机效应模型进行meta分析。PRISMA核对表指导了这次审查的报告。结果：共纳入22项研究。尿失禁的总患病率为24% (95% CI: 17-33%)，个别研究估计范围为2%至80%。急迫性尿失禁（UUI）的总患病率为28% (95% CI: 19-38%)，压力性尿失禁（SUI）的总患病率为35% (95% CI: 26-45%)，混合性尿失禁（MUI）的总患病率为31% （95% CI: 18-45%）。在研究中观察到高度异质性(I²范围为72.6%至99.8%；在所有UI子类别中，科克伦Q检验的p为0.001)。结论：尿失禁影响了非洲大约四分之一的成年妇女。然而，患病率估计的高度异质性——与方法和UI定义的差异有关——限制了得出确定结论的能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Urogynecology Journal 医学-妇产科学

CiteScore

3.80

自引率

22.20%

发文量

406

审稿时长

3-6 weeks

期刊介绍： The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion