Symptomatic Pelvic Floor Disorders and Their Associated Factors Among Women in Yilmana Densa Woreda, Northwest Ethiopia.

Abstract

Introduction and hypothesis: Pelvic floor disorders (PFDs) are common conditions affecting millions of women worldwide. In some regions of Ethiopia, research indicates that one in five women experience PFDs. However, this figure may underestimate the true prevalence due to the stigma surrounding these issues and limited access to healthcare. This study aimed to determine the prevalence of symptomatic PFDs and associated factors among women in Yilmana Densa Woreda.

Methods: A community-based cross-sectional study was conducted among 597 women in Yilama Densa Woreda, Northwest Ethiopia, using a multi-stage sampling technique. Data were collected using a structured, interviewer-administered questionnaire. Data are described, and the results are presented in tables and figures. Logistic regression analyses were performed to assess the predictors of symptomatic PFDs, with a significance level set at p < 0.05.

Results: The prevalence of symptomatic pelvic floor disorders was 70%. Multivariable logistic regression analyses showed that advancing age [AOR 1.24, 95% CI (1.1, 1.3)], lack of formal schooling [AOR 2.64, 95% CI (1.3, 5.0)], carrying loads over 25 kg [AOR 9.82, 95% CI (5.2, 18.2)], and carrying loads for more than 5 h a day [AOR 3.82, 95% CI (2.0, 7.2)] were significantly associated with symptomatic pelvic floor disorders.

Conclusions: This study found a very high prevalence of symptomatic PFDs. Factors such as increasing age, lack of formal education, heavy weightlifting, and caring for a prolonged duration daily were identified as potential associated factors. The findings highlight the need for education on PFDs and reducing workload, particularly for less educated women.