An epidemiological study of urinary incontinence and its impact on quality of life among women aged 35 years and above in a rural area.

Autor:	Bodhare, Trupti N., Valsangkar, Sameer, Bele, Samir D.
Předmět:	AFFECT (Psychology) CHI-squared test CHRONIC diseases CLUSTER analysis (Statistics) COMPUTER software CONFIDENCE intervals CONSTIPATION COUGH RESEARCH methodology QUALITY of life QUESTIONNAIRES REGRESSION analysis RURAL conditions RURAL health STATISTICAL sampling SCALE analysis (Psychology) HUMAN sexuality URINARY tract infections URINARY incontinence WOMEN DISEASE relapse LOGISTIC regression analysis DATA analysis SOCIOECONOMIC factors CROSS-sectional method SEVERITY of illness index EPIDEMIOLOGY PSYCHOLOGY DISEASE risk factors
Zdroj:	Indian Journal of Urology; Jul-Sep2010, Vol. 26 Issue 3, p353-358, 6p, 5 Charts
Abstrakt:	Background: There have been few community-based epidemiological studies on urinary incontinence (UI) evaluating the ackground: risk factors and impact on quality of life (QOL) in India. Objectives: This study was designed (1) to estimate age-specifi c prevalence and risk factors of UI among women aged 35 years and above in a rural area and (2) to analyze the impact of UI on the QOL of incontinent women. Design and Setting: A cross-sectional descriptive study was conducted. esign and Setting: Materials and Methods: A semi-structured questionnaire assessing socio-demographic factors, severity and type of incontinence, and obstetrical and other risk factors along with impact on QOL was administered in two clusters (villages) in Karimnagar district through multistage cluster sampling. Results: In a sample of 552 women, 53 (10%) reported episodes of UI. The prevalence of UI showed signi esults: fi cant association with increasing age (P < 0.01). Fifty-seven percent of the women had symptoms of stress incontinence, 23% of urge, and 20% mixed symptoms. Obstetrical factors associated with UI included high parity (P < 0.003), young age at fi rst childbirth (P < 0.01), forceps delivery (P < 0.001), and prolonged labor (P < 0.001). Chronic constipation, chronic cough, and history of urinary tract infection were predictors of UI in regression analysis (Nagelkerke R2 = 0.7). Women with stress incontinence had the severest perceived impact on QOL on a fi ve-point scale questionnaire, mean 24.87 (95% CI 21.26–28.47). Conclusion: One in 10 women reported episodes of UI with impaired QOL. The outcome is predicted both by obstetric and other risk factors. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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