Stress urinary incontinence among Jordanian women living in rural areas: Prevalence, associated factors and self-management behaviours.

Abstract

Objectives: To assess the prevalence of stress urinary incontinence (SUI) among Jordanian women aged 35-65 years living in in rural areas and its associated risk factors. Patients and methods: A cross-sectional study utilising a convenience sample of 1000 non-pregnant women who were recruited from healthcare centres and community settings. Participants completed a structured questionnaire that included demographic and gynaecological data, and questions about SUI. Descriptive analysis and logistic regression were used to analyse the data. Results: Overall, 551 women (55.1%) reported having SUI with a duration of 37.9-47.6 months. The mean age of the women was 45.38 years and 29.6% were post-menopausal. Moreover, 40.6% were overweight, 38.9% obese, and 16.9% were smokers. Married women comprised 81.8%; with 37.1% having four to six children and 92.8% had a normal delivery, whereas 28% had a history of caesarean section. Coughing was the major precipitating factor for SUI (87.7%). In addition, 64.8% of women with SUI did not avoid activities that precipitated SUI such as housekeeping and lifting, and 78.6% did not seek any medical care. The major significant correlates for SUI were: high body mass index (odds ratio [OR] 2.506, 95% confidence interval [CI] 1.744-3.600, P < 0.001), being aged >50 years (OR 1.716, 95% CI 1.183-2.489, P = 0.004), a history of gynaecological/pelvic surgery (OR 1.631, 95% CI 1.206-2.205, P = 0.001), and vaginal delivery (OR 1.052, 95% CI 1.004-1.101, P = 0.033). Conclusion: SUI prevalence among Jordanian women is high with symptoms reported in more than a half of study participants. Older age, obesity, a history of gynaecological surgery, and history of vaginal delivery were the major correlates of SUI. Public awareness is needed to identify the condition for early diagnosis and treatment of SUI. Abbreviations: BMI: high body mass index; OR: odds ratio; (M)(S)(U)UI: (mixed) (stress) (urge) urinary incontinence.