Effects of a new community-based reproductive health intervention on knowledge of and attitudes and behaviors toward stress urinary incontinence among young women in Shanghai: a cluster-randomized controlled trial

Zhang, Ning; He, Yonghong; Wang, Jue; Zhang, Ying; Ding, Jingxin; Hua, Keqin

doi:10.1007/s00192-015-2851-1

Cited by 12 publications

(14 citation statements)

References 20 publications

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“…In a prospective cluster-randomized controlled trial of UI among young women (18-40 years), SUI prevalence was 14.3% [66]; 49.5% of these women had SUI during pregnancy, 43.6% had postpartum SUI, and 6.9% had SUI before pregnancy. Because muscle, connective, and nervous system pelvic structures are subjected to anatomical, morphological, functional, and hormonal changes during pregnancy, clinicians should initiate primary prevention interventions [67].…”

Section: Table 1 Prevalence Rates and Factors Associated With Urinarymentioning

confidence: 99%

Prevalence and associated factors of urinary incontinence in women living in China: a literature review

2020

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Background This review of studies on urinary incontinence (UI) was focused primarily on UI prevalence rates and associated factors across the adult lifecourse of Chinese women. UI is a urologic symptom that can have a significant impact on women's physical and mental health and quality of life. In addition, women with UI may experience socioeconomic burdens due to UI’s effect on their ability to work and function in society. Although researchers from many countries have reported prevalence rates and associated factors for UI, little is known about the prevalence of UI in China’s large female population. Language may act as a barrier to the inclusion of published studies in English-language journals. To overcome this barrier and to add to the global knowledge base about UI in women, the authors reviewed and discussed findings from epidemiological studies published in China and in Chinese language. Methods The authors retrieved research studies from the Wanfang database using the following search terms: "Subject: (Female) × Subject: (Urinary incontinence) × Subject: (Prevalence) × Date: 2013 to 2019". Searches employed the China National Knowledge Infrastructure Database, VIP Database for Chinese Technical Periodicals and China Biology Medicine Database. The authors also used PubMed to search English-language studies published in Chinese journals on UI in Chinese women. Results This literature review includes 48 articles published between January 2013 and December 2019. The overall UI prevalence rates reported in adult Chinese women ranged from 8.7 to 69.8%, representing 43–349 million women, respectively. For women aged 17–40 years, 41–59 years, and 60 years and older, prevalence rates ranged from 2.6–30.0, 8.7–47.7, to 16.9–61.6%, respectively. Significant associated factors for overall UI included age, body mass index, constipation, parity, and menopause. Despite the 17–40 age range being peak reproductive years, the literature revealed little focus on UI prevalence rates. For women aged 41–59 years, the main associated factors included those related to pregnancy and gynecologic diseases. For women 60 years and older, chronic diseases represented most of the associated factors. Conclusions About 43–349 million Chinese women may experience UI. Many of the identified associated factors could be mitigated to reduce UI incidence and prevalence rates. Little is known about the prevalence rates and associated factors for UI among young (aged 17–40) Chinese women. Future research should investigate UI in young women to improve bladder health across their lifecourse.

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Section: Table 1 Prevalence Rates and Factors Associated With Urinarymentioning

confidence: 99%

Prevalence and associated factors of urinary incontinence in women living in China: a literature review

2020

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“…Those studies have targeted different populations, including migrant women, adolescents, adults, post-abortion women, and mixed populations (both adults and adolescents) with a relatively wide age range (13–48 years old), through a variety of media and interactive methods [21, 23, 24, 27–32]. Those intervention programs can be classified into four types: facility based, out-of facility based, interventions to reach marginalized or vulnerable populations, and interventions to generate demand and/or community acceptance [33].…”

Section: Discussionmentioning

confidence: 99%

“…This study was part of the community-based reproductive health projects on women during their reproductive period (the projects were divided into pre-conception, prenatal and child-born sub-projects) [27]. This prospective, parallel, randomized controlled study was carried out from 1st June 2013 to 30th December 2013 with a total duration of 6 months, in Shanghai, China.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of two intervention models on contraceptive attitudes and behaviors among nulliparous women in Shanghai, China: a clustered randomized controlled trial

Zhang

Wang

et al. 2017

Reprod Health

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BackgroundWith increasing acceptance of premarital sex among young Chinese women, the rates of unintended pregnancies and induced abortions are becoming alarmingly high, suggesting the needs of educating women with adequate contraceptive knowledge and providing them with accessible contraceptive services. Previous studies have shown that knowledge and attitudes towards contraception could be modified through intervention strategies. This study aimed to evaluate the effects of two community intervention models on modifying contraceptive attitudes and behaviors among nulliparous women.MethodsIn this clustered randomized controlled trial, nulliparous women aged 18–40 years from 18 communities were enrolled and randomized to either the traditional community intervention model (TC model) or the more comprehensive new community-based intervention model (NC model) with a ratio of 1:2. Contraceptive attitudes and behaviors were assessed before and after the interventions.ResultsA total of 901 nulliparous women were followed. The most common contraceptive method in both groups was condom (approximately 80%) before or after interventions. The rates of using effective contraceptive methods were very low (<5%) even after the intervention. Comparing the NC with TC group, the adjusted ORs and 95% CIs regarding natural family planning, emergency contraceptive usage and short-acting OCPs were1.53 (95% CI: 1.11–2.13), 2.87 (95% CI: 2.05–4.02), and 2.71 (95% CI: 1.65–4.47), respectively; while the ORs and 95%CIs of gynecological examination and contraceptive use were 2.31 (95% CI: 1.63–3.27) and 2.89 (95% CI: 1.98–4.23), respectively. No statistical significant difference was found for the use of effective contraceptive methods at post-intervention among the two models.ConclusionsHigh proportions of nulliparous women held negative attitudes and behaviors towards effective contraceptive methods. The NC model, integrating existing health resources, had more positive influence than the TC model on the favorable contraceptive attitudes and behaviors towards the use of any contraceptive methods, but had limited impact on the use of effective contraceptive methods. Our study suggested the feasibility of applying the NC model in Shanghai. Interventions on contraceptive attitudes and behaviors should base on the existing health service system, synthesize resources and selectively apply to populations with distinct characteristics.

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“…Despite this limitation, when using the prevalence rate range of 2.6%[45] to 30%[46] for young women aged 17 to 40 years old, the number of Chinese women in this age group who are affected by UI is estimated to be between 6.6 million and 75.8 million. This finding alone indicates that screening young women for risk factors, especially modifiable ones, and taking actions to minimize or eliminate the effects of these factors could potentially prevent or delay incident cases of UI throughout the lifecourse and especially later in life.In a prospective cluster-randomized controlled trial of UI among young women (18-40 years), SUI prevalence was 14.3%[66]; 49.5% of these women had SUI during pregnancy, 43.6% had postpartum SUI, and 6.9% had SUI before pregnancy. Because muscle, connective, and nervous system pelvic structures are subjected to anatomical, morphological, functional, and hormonal changes during pregnancy, clinicians should initiate primary prevention interventions[67].…”

mentioning

confidence: 99%

Prevalence and Associated Factors of Urinary Incontinence in Women Living in China: A Literature Review

Xue

Palmer

Zhou

2020

Preprint

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Background: This review of studies on urinary incontinence (UI) was focused primarily on UI prevalence and associated factors across the adult lifecourse of Chinese women. UI is a urologic symptom that can have a significant impact on women's physical and mental health and quality of life. Although researchers from many countries have reported prevalence rates and associated factors for UI, little is known about the prevalence of UI in China’s large female population. Language may act as a barrier to the inclusion of published studies in English-language journals. To overcome this barrier and to add to the global knowledge base about UI in women, the authors reviewed and discussed findings from epidemiological studies published in China and in Chinese language. Methods: The authors retrieved research studies from the five databases using the following search terms: "Subject: (Female) * Subject: (Urinary incontinence) * Subject: (Prevalence) * Date: 2013-2019". The authors used PubMed to search English-language studies published in Chinese journals on UI in Chinese women. Results: This literature review includes 48 articles published between January 2013 and December 2019. The overall UI prevalence rates reported in adult Chinese women ranged from 8.7% to 69.8%. For women aged 17 to 40 years, 41 to 59 years, and 60 years and older, prevalence rates ranged from 2.6% to 30.0%, 8.7% to 47.7%, and 16.9% to 61.6%, respectively. Significant associated factors for overall UI included age, body mass index, constipation, parity, and menopause. Despite the 17 to 40 age range being peak reproductive years, the literature revealed little focus on UI prevalence rates. For women aged 41 to 59 years, the main associated factors included those related to pregnancy and gynecologic diseases. For women 60 years and older, chronic diseases represented most of the associated factors. Conclusions: About 43 to 349 million Chinese women may experience UI. Many of the identified associated factors could be mitigated to reduce UI incidence and prevalence rates. Little is known about the prevalence rates and associated factors for UI among young Chinese women. Future research should investigate UI in young women to improve bladder health across their lifecourse.

show abstract

Effects of a new community-based reproductive health intervention on knowledge of and attitudes and behaviors toward stress urinary incontinence among young women in Shanghai: a cluster-randomized controlled trial

Cited by 12 publications

References 20 publications

Prevalence and associated factors of urinary incontinence in women living in China: a literature review

Prevalence and associated factors of urinary incontinence in women living in China: a literature review

Evaluation of two intervention models on contraceptive attitudes and behaviors among nulliparous women in Shanghai, China: a clustered randomized controlled trial

Prevalence and Associated Factors of Urinary Incontinence in Women Living in China: A Literature Review

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