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Urinary Incontinence in Premenopausal Women: Prevalence, Risk Factors and Impact on Quality of Life
Author(s) -
ÜNLÜ Mehmet,
ÜSTÜNER Işık,
GÜVEN Emine Seda G.,
ŞENTÜRK Şenol,
ŞAHIN Figen K.
Publication year - 2014
Publication title -
luts: lower urinary tract symptoms
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.451
H-Index - 15
eISSN - 1757-5672
pISSN - 1757-5664
DOI - 10.1111/luts.12038
Subject(s) - urinary incontinence , medicine , quality of life (healthcare) , gynecology , obstetrics , gerontology , urology , nursing
Objectives To determine the prevalence and risk factors of urinary incontinence ( UI ), and assess its impact on the quality of life ( QOL ) in premenopausal women. Methods In this cross‐sectional study, 690 women aged from 18 to 53 were interviewed using a demographic questionnaire and the International Consultation on Incontinence Questionnaire Short Form. Results The overall prevalence of any UI was 27.2%. Of the 188 women reporting UI the types were: stress 36.7%, urgency 32.4% and mixed 30.9%. The mean value of the age and body mass index ( BMI) of the cases with UI was statistically significantly higher than the group without UI ( P < 0.01). In the premenopausal women of similar age and BMI the incontinence rate was significantly higher in those who had a normal vaginal delivery than those who had a Cesarean section ( P < 0.01). In the logistic regression analysis it was determined that the effect on the occurrence of incontinence was as follows in terms of age, education and number of pregnancies; age > 35 years had an odds ratio of 1.896 (95% confidence interval [ CI ]:1.29–2.80); the effect of the status of not attending a school or only attending primary school had an odds ratio 1.839 (95% CI : 1.23–2.75) and the number of pregnancies > 2 had an odds ratio 1.495 (95% CI :1.00–2.26). Conclusion Being older than 35, having a low educational level and a gravida greater than two are the independent risk factors in terms of the occurrence of UI in premenopausal women.