年龄和植物雌激素的使用(而非复原力)会影响绝经后妇女的尿失禁。

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Ana M Fernández-Alonso, Isabel M Fernández-Alonso, Ignacio Rodríguez, Faustino R Pérez-López
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引用次数: 0

摘要

背景:本研究旨在确定绝经后妇女尿失禁(UI)的相关因素以及她们的心理承受能力:本研究旨在确定与尿失禁(UI)有关的因素以及绝经后妇女的心理承受能力:在这项横断面研究中,137 名绝经后妇女(年龄在 50-75 岁之间)填写了 4 个项目的尿失禁国际咨询问卷简表(ICIQ-SF)、10 个项目的流行病学研究中心抑郁量表(CESD-10)、10 个项目的康纳-戴维森复原力量表(CD-RISC)以及一份包含个人数据的问卷。我们设计了一个有向无环图(DAG),以确定与绝经后妇女尿失禁和复原力相关的协变量:所有受访女性的平均年龄为(58.7±5.1)岁,大多数为白种人(92.7%)。第1项ICIQ-SF得分与CD-RISC得分呈反相关。与无尿失禁或轻度尿失禁的妇女相比,重度尿失禁妇女的 ICIQ-SF 总分中位数更高,CD-RISC 总分更低:与无尿路不适的妇女相比,尿失禁与经济问题、植物雌激素的使用和抑郁症状有明显关联。多变量逻辑模型证实,年龄和使用植物雌激素是导致尿失禁的原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Age and phytoestrogen use, but not resilience, influence urinary incontinence in postmenopausal women.

Background: The aim of this study was to determine factors involved in urinary incontinence (UI), and psychological resilience in postmenopausal women.

Methods: In this cross-sectional study, 137 postmenopausal women (aged 50-75 years) filled out the 4-item International Consultation on Incontinence Questionnaire short form (ICIQ-SF), the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10), the 10-item Connor-Davidson Resilience Scale (CD-RISC), and a questionnaire containing personal data. We designed a directed acyclic graph (DAG) to identify covariates related to urinary incontinence and resilience in postmenopausal women.

Results: The mean age of all surveyed women was 58.7±5.1 years, the majority were Caucasian (92.7%). There was an inverse correlation between item-1 ICIQ-SF scores and CD-RISC Scores. Women with severe UI had a higher median total ICIQ-SF score and lower total CD-RISC Scores as compared to those with nil or mild (P<0.05 for both). Odds ratios of sociodemographic and clinical characteristics indicate that phytoestrogen use (OR: 10.80; 95% CI 2.42-48.13) and economic problems (OR: 2.46; 95% CI 1.22-4.93) were associated with UI. However, a multivariable logistic model only identified urinary incontinence significantly associated with phytoestrogen use and age (P<0.05). The effect of other variables was attenuated in the model when controlling for population confounders, and significance was not achieved.

Conclusions: Urinary incontinence was significantly associated with economic problems, phytoestrogen use, and depressive symptoms compared to women without urinary complaints. The multivariable logistic model confirmed age and phytoestrogen use as causal factors for urinary incontinence.

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来源期刊
Minerva obstetrics and gynecology
Minerva obstetrics and gynecology OBSTETRICS & GYNECOLOGY-
CiteScore
2.90
自引率
11.10%
发文量
191
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