Prevalence, Risk Factors, and Impact on Life of Female Urinary Incontinence: An Epidemiological Survey of 9584 Women in a Region of Southeastern China

Abstract

Purpose To investigate the prevalence, risk factors, and impact on quality of life (QOL) of female urinary incontinence (UI) in a region of southeastern China. Patients and Methods This cross-sectional study, conducted between June 2022 and March 2023, included 9584 women aged 20–70 years who completed a standardized questionnaire through face-to-face interviews. This sample size represents almost 10% of the population in the target area. Results The prevalence of female UI was found to be 24.8%, with stress UI being the most common subtype (12.7%), followed by mixed UI (8.0%) and urgency UI (4.1%). Notably, the prevalence of UI increased progressively with age and body mass index (BMI). The study also revealed several risk factors for UI, including urban residence, postmenopausal status, multiple vaginal deliveries, instrumental vaginal deliveries, previous delivery of macrosomia, and prior history of pelvic floor surgery as determined by multivariate analysis. Furthermore, the study showed that 89.5% of women who reported UI experienced varying degrees of negative impact on their QOL. The incontinence quality of life (I-QOL) scale had an average score of 79.70±19.03, which decreased with increasing severity of UI. Despite the adverse effects on QOL, only 20.6% of women with UI had sought medical help. Conclusion UI is common among women in the survey area. UI has been observed to have varying degrees of adverse effects on the QOL of those affected, but most of them do not seek treatment for several reasons, highlighting the urgent need for health authorities to develop effective UI intervention strategies.

Health Disparities Among Family Decision-Makers in China: An Ordered Probit Analysis of the China Family Panel Studies

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Care needs for urinary incontinence in older adults: Latent profile analysis

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Development and Validation of a Risk Prediction Model for Female Stress Urinary Incontinence in Rural Fujian, China

“…This analysis is the second part of a previous study and an important component of the Female Pelvic Floor Health Management Centre Project in Fujian Province. 8,17 Data were obtained from a large-scale epidemiologic survey of female UI conducted between June and October 2022 in the Shaxian County of southeastern China. 6000 rural women aged 20-70 years of Shaxian County were selected to participate in this study through multistage stratified random sampling.…”

“…Relevant processes and results of previous studies are described in detail in previously published reports. 8,17 This survey was conducted in full compliance with the principles of the Declaration of Helsinki and was approved by the Ethical Review Committee of Fujian Maternity and Child Health Hospital (2023KYLLR01045). Before participating in the survey, respondents were required to sign an informed consent form.…”