{"title":"非洲女性尿失禁：来自系统回顾和荟萃分析的患病率估计。","authors":"Jeanne Bertuit, Andy-Muller Luzolo Nzinga, Véronique Feipel","doi":"10.1007/s00192-025-06146-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Female Urinary Incontinence in Africa: Prevalence Estimates from a Systematic Review and Meta-Analysis.\",\"authors\":\"Jeanne Bertuit, Andy-Muller Luzolo Nzinga, Véronique Feipel\",\"doi\":\"10.1007/s00192-025-06146-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":14355,\"journal\":{\"name\":\"International Urogynecology Journal\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-05-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Urogynecology Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00192-025-06146-6\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Urogynecology Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00192-025-06146-6","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Female Urinary Incontinence in Africa: Prevalence Estimates from a Systematic Review and Meta-Analysis.
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.
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
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