Risk factors for urinary incontinence in Taiwanese women aged 60 or over

被引：10
作者：
Hsieh, Ching-Hung
Hsu, Chun-Sen
Su, Tsung-Hsien [1 ]
Chang, Shao-Tung
Lee, Meng-Chih
机构：
[1] Mackay Mem Hosp & Mackay Med, Nursing & Management Coll, Dept Obstet & Gynecol, Taipei, Taiwan
[2] Taipei Med Univ, Wan Fang Hosp, Dept Obstet & Gynecol, Taipei, Taiwan
[3] Chung Shan Med Univ, Inst Med, Taichung, Taiwan
[4] Natl Taiwan Normal Univ, Dept Math, Taipei, Taiwan
来源：
INTERNATIONAL UROGYNECOLOGY JOURNAL | 2007年 / 18卷 / 11期
关键词：
risk factors of urinary incontinence; urinary incontinence; Taiwanese women; lower urinary tract symptoms;
D O I：
10.1007/s00192-007-0314-z
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
To determine risk factors of urinary incontinence (UI) in Taiwanese women aged 60 or over, face-to-face interviews with 1,517 women, selected by a multistage random method, were completed. The prevalence of UI in this age group was 29.8%. Factors and their prevalence associated with UI were age [odds ratio (OR)=1.04 per year], diabetes mellitus (39.8%, p=0.002), hypertension (39.5%, p=0.001), abdominal gynecological surgery (41.4%, p=0.001), hysterectomy (42.4%, p=0.003), history of drug allergy (41.3%, p=0.001), smoking (45.5%, p=0.010), hormone replacement therapy (41.5%, p=0.026), and high body mass index (OR=1.05 per unit). Alcohol consumption and marriage did not increase the risk of UI. UI is a common and costly problem in elderly women. It diminishes the quality of life of the affected women. Of the associated factors that are preventable, modifiable, or controllable, smoking, prior hysterectomy, and obesity may have the greatest impact on the prevalence of UI.
引用
收藏
页码：1325 / 1329
页数：5
相关论文
共 19 条
[1]  
[Anonymous], 2005, TAIWAN J OBSTET GYNE, DOI DOI 10.1016/S1028-4559(09)60105-4
[2]   Urinary incontinence in older women: Who is at risk? [J].
Brown, JS ;
Seeley, DG ;
Fong, J ;
Black, DM ;
Ensrud, KE ;
Grady, D .
OBSTETRICS AND GYNECOLOGY, 1996, 87 (05) :715-721
[3]   Prevalence of urinary incontinence and associated brisk factors in a cohort of nuns [J].
Buchsbaum, GM ;
Chin, M ;
Glantz, C ;
Guzick, D .
OBSTETRICS AND GYNECOLOGY, 2002, 100 (02) :226-229
[4]   CIGARETTE-SMOKING AND URINARY-INCONTINENCE IN WOMEN [J].
BUMP, RC ;
MCCLISH, DK .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1992, 167 (05) :1213-1218
[5]   Caesarean section is protective against stress urinary incontinence: an analysis of women with multiple deliveries [J].
Chaliha, C ;
Digesu, A ;
Hutchings, A ;
Soligo, M ;
Khullar, V .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2004, 111 (07) :754-755
[6]  
Chmel R, 2005, Ceska Gynekol, V70, P53
[7]   Urinary incontinence among mothers of multiples: The protective effect of cesarean delivery [J].
Goldberg, RP ;
Kwon, C ;
Gandhi, S ;
Atkuru, LV ;
Sorensen, M ;
Sand, PK .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2003, 188 (06) :1447-1450
[8]   Effects of estrogen with and without progestin on urinary incontinence [J].
Hendrix, SL ;
Cochrane, BB ;
Nygaard, IE ;
Handa, VL ;
Barnabei, VM ;
Iglesia, C ;
Aragaki, A ;
Naughton, MJ ;
Wallace, RB ;
McNeeley, SG .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 293 (08) :935-948
[9]   Prevalence of and attitude toward urinary incontinence in Taiwanese women [J].
Hsieh, CH ;
Su, TH ;
Chang, ST .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2005, 88 (02) :152-153
[10]   Urinary incontinence in elderly women: Findings from the health, aging, and body composition study [J].
Jackson, RA ;
Vittinghoff, E ;
Kanaya, AM ;
Miles, TP ;
Resnick, HE ;
Kritchevsky, SB ;
Simonsick, EM ;
Brown, JS .
OBSTETRICS AND GYNECOLOGY, 2004, 104 (02) :301-307
12