Chi Chiung Grace Chen, Monica L Kao, Bethlehem A Lulseged, Subarna K Khatry, Meeta Singh, Steven C LeClerq, Joanne Katz, James M Tielsch, Luke C Mullany
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Detailed sociodemographic information and histories were captured.</p><p><strong>Results: </strong>We examined 406 women; the mean (SD, range) age was 32.7 (8.5, 16-49) years, mean BMI (SD) was 19.7 (3.3) kg/m<sup>2</sup>, and median (range) number of pregnancies was 4 (1-11). Two hundred and three women (50.0%) had either SUI or UUI, 85 (17.8%) had both SUI and UUI, and 71 (17.5%) had POP at or beyond the hymen. After controlling for other variables significant on bivariate analysis, age (adjusted odds ratio [aOR] 1.06 [95% CI 1.03-1.09]), illiteracy (aOR 2.24 [95% CI 1.04-4.80]), and presence of upper gastrointestinal issues (aOR 3.30, [95% CI 1.77-6.16]) were independently associated with SUI/UUI. Age (aOR 1.05 [95% CI 1.02-1.09]), bispinous diameter (aOR 2.88 ([95% CI 1.11-7.47]), and subpubic angle (aOR 2.78 [95% CI 1.55-5.03]) were independently associated with POP.</p><p><strong>Conclusion: </strong>Risk factors for PFDs in a homogenous community of parous women of reproductive age in rural Nepal are similar to those found in parous women in higher income countries.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Risk Factors of Pelvic Floor Disorders Among Women in Rural Nepal: A Case-Control Study.\",\"authors\":\"Chi Chiung Grace Chen, Monica L Kao, Bethlehem A Lulseged, Subarna K Khatry, Meeta Singh, Steven C LeClerq, Joanne Katz, James M Tielsch, Luke C Mullany\",\"doi\":\"10.1007/s00192-024-05843-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction and hypothesis: </strong>Risk factors for pelvic floor disorders (PFDs) are not well understood in lower resource settings. 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引用次数: 0
摘要
导言和假设:在资源较少的环境中,人们对盆底疾病(PFDs)的风险因素了解不多。本研究旨在确定与尼泊尔农村育龄妇女压力性尿失禁(SUI)、急迫性尿失禁(UUI)和盆腔器官脱垂(POP)相关的风险因素:这是一项病例对照研究,嵌套在对尼泊尔 Sarlahi 县患有 PFD 的准育龄妇女进行的社区横断面调查中。通过临床评估确认是否患有 PFD。我们还收集了详细的社会人口信息和病史:我们共对 406 名妇女进行了检查;平均(标清,范围)年龄为 32.7(8.5,16-49)岁,平均体重指数(标清)为 19.7(3.3)千克/平方米,怀孕次数的中位数(范围)为 4(1-11)次。23 名妇女(50.0%)患有 SUI 或 UUI,85 名妇女(17.8%)同时患有 SUI 和 UUI,71 名妇女(17.5%)的 POP 位于或超过处女膜。在控制了双变量分析中显著的其他变量后,年龄(调整后的几率比 [aOR] 1.06 [95% CI 1.03-1.09])、文盲(aOR 2.24 [95% CI 1.04-4.80])和存在上消化道问题(aOR 3.30 [95% CI 1.77-6.16])与 SUI/UUI 独立相关。年龄(aOR 1.05 [95% CI 1.02-1.09])、双顶径(aOR 2.88([95% CI 1.11-7.47])和耻骨下角度(aOR 2.78 [95% CI 1.55-5.03])与 POP 独立相关:结论:在尼泊尔农村育龄妇女的同质社区中,PFD 的风险因素与高收入国家育龄妇女的风险因素相似。
Risk Factors of Pelvic Floor Disorders Among Women in Rural Nepal: A Case-Control Study.
Introduction and hypothesis: Risk factors for pelvic floor disorders (PFDs) are not well understood in lower resource settings. The objective of this study is to determine the risk factors associated with stress urinary incontinence (SUI), urge urinary incontinence (UUI), and pelvic organ prolapse (POP) among women of reproductive age in rural Nepal.
Methods: This is a case-control study nested within a community-based cross-sectional survey of parous women of reproductive age with PFDs in the Sarlahi District of Nepal. The presence of PFDs was confirmed by clinical assessment. Detailed sociodemographic information and histories were captured.
Results: We examined 406 women; the mean (SD, range) age was 32.7 (8.5, 16-49) years, mean BMI (SD) was 19.7 (3.3) kg/m2, and median (range) number of pregnancies was 4 (1-11). Two hundred and three women (50.0%) had either SUI or UUI, 85 (17.8%) had both SUI and UUI, and 71 (17.5%) had POP at or beyond the hymen. After controlling for other variables significant on bivariate analysis, age (adjusted odds ratio [aOR] 1.06 [95% CI 1.03-1.09]), illiteracy (aOR 2.24 [95% CI 1.04-4.80]), and presence of upper gastrointestinal issues (aOR 3.30, [95% CI 1.77-6.16]) were independently associated with SUI/UUI. Age (aOR 1.05 [95% CI 1.02-1.09]), bispinous diameter (aOR 2.88 ([95% CI 1.11-7.47]), and subpubic angle (aOR 2.78 [95% CI 1.55-5.03]) were independently associated with POP.
Conclusion: Risk factors for PFDs in a homogenous community of parous women of reproductive age in rural Nepal are similar to those found in parous women in higher income countries.
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