Prevalence Of Urinary Incontinence Research Articles

Urinary Symptoms and their Impact on Young Women’s Sexual Function and Quality of Life

Sexuality and urinary function have received scarce research attention in younger women. In this cross-sectional survey study, prevalence, type, severity, and impact of urinary incontinence (UI), and its relationship with sexuality was investigated in 261 nulliparous women aged 18-27 (M = 19.08 years). Modules of the International Consultation on Incontinence Questionnaire and the Female Sexual Function Index assessed UI, sexual function, and quality of life. Thirty percent of the sample experienced UI, and 26% reported sexual function problems. A significant small negative correlation was found between UI and sexual lubrication (p = .017). Forty-three percent of participants in the total sample reported that they were bothered by urinary symptoms, and 13% avoided sexual activity due to urinary symptoms. Of those classified as incontinent, 90% were bothered by their symptoms. Urinary symptoms are impactful on the quality of life and sexual lives of young women, but despite their high prevalence, they remain a largely understudied and undertreated issue in this age group. Further research is crucial for improving awareness and access to treatment for this underserved population.

Prevalence of urinary incontinence and anal incontinence: an internet-based cross-sectional study of female Turkish University students.

The objective of this cross-sectional, epidemiological study was to characterize urinary tract and bowel symptom prevalence and the extent of discomfort/bother associated with them. Additionally, the authors aimed to explore factors associated with both conditions among Turkish female university students. Also, an insight into women's "communication regarding urinary incontinence and anal incontinence" with their family members was sought. This is an internet-based national cross-sectional study. A study-specific 30-item questionnaire containing validated measures of symptom prevalence and bother (Urogenital Distress Inventory questionnaire short form and Colorectal-Anal Distress Inventory) were incorporated into the survey. Out of a total of 2,125 e-mail invitations that were sent, 1,226 responded with data included in this analysis. The age and BMI of all respondents were 26.53 ± 10.082, 23.45 ± 6.609 respectively. Nine hundred and eighty-five (80.5%) respondents claimed that they did not suffer a UI episode in the last year, whereas 10 people (0.08%) claimed that they had a urinary incontinence episode every day. Three hundred and fifty-seven responders (29.1%) stated that they suffered from "gas incontinence," 6 (0.5%) stool incontinence, and 20 (1.6%) declared that they had episodes of both stool and gas incontinence. Five hundred and forty-four participants (44%) reported that they had family relatives with a problem of "urinary incontinence" and 576 (47%) stated they had a conversation on "urinary incontinence." Seventy-five of the responders (6.1%) stated that they had a family member with "anal incontinence" and 246 (20.1%) responded that they had a conversation regarding "anal incontinence" with them. We have demonstrated that the prevalence of UI was 19.5%. Twenty-nine percent stated they suffered "gas incontinence," 0.5% stool incontinence, and 1.6% declared that they had episodes of both stool and gas incontinence.

Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence.

The lack of data on the impact of hyperglycemia and obesity on the prevalence of pregnancy-specific urinary incontinence (PSUI) led us to conduct a cross-sectional study on the prevalence and characteristics of PSUI using validated questionnaires and clinical data. This cross-sectional study included 539 women with a gestational age of 34 weeks who visited a tertiary university hospital between 2015 and 2018. The main outcome measures were the prevalence of PSUI, the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), and the Incontinence Severity Index (ISI) questionnaires. The women were classified into four groups: normoglycemic lean, normoglycemic obese, hyperglycemic lean, and hyperglycemic obese. The differences between groups were tested using descriptive statistics. Associations were estimated using logistic regression analysis and presented as unadjusted and adjusted odds ratios. Prevalence rates of PSUI were no different between groups. However, significant difference in hyperglycemic groups worse scores for severe and very severe PSUI. When adjusted data for confound factors was compared with normoglycemic lean group, the hyperglycemic obese group had significantly higher odds for severe and very severe forms of UI using ICIQ-SF (aOR 3.157; 95% CI 1.308 to 7.263) and ISI (aOR 20.324; 95% CI 2.265 to 182.329) questionnaires and highest perceived impact of PSUI (aOR 4.449; 95% CI 1.591 to 12.442). Our data indicate that obesity and hyperglycemia during pregnancy significantly increase the odds of severe forms and perceived impact of PSUI. Therefore, further effective preventive and curative treatments are greatly needed.

Prevalence of urinary incontinence in women

Background: Urinary incontinence (UI) is a common gynaecological problem among women, causing both physical and psychological distress in them. It is one of the neglected as well as an under-reported issue not only in India but globally also. Thus, this matter needs to be addressed and explored because of the paucity of the literature available especially on Indian population. Therefore, the aim of the study was to find out the prevalence of UI in women which will aid in addressing such critical issues. Methods: Data was collected by using an online survey via Google forms sent through social media. Total 118 women respondents aged between 20-70 years participated by filling the form. It included an Informed Consent form, Socio-demographic details, Obstetric and Gynaecological history along with a QUID questionnaire. UI was classified as stress, urge and mixed type. Results: The overall prevalence of UI was found to be 27.1%. Stress UI (43.7%) was the most common type followed by Mixed UI (31.2%) and then the Urge UI (25%). Conclusions: The study outlines a prevalence of 27.1% of UI among women, as a result making it a substantial problem in the society. Emphasis should be laid on the need of creating vigorous awareness among women as well as on the timely introduction of different physiotherapy-cum-rehabilitative programs in order to abate such problems.

Knowledge, attitude and practice towards pelvic floor muscle training among childbearing women

This study aims to identify knowledge, attitude, and practice of pelvic floor muscle training (PFMT) and to identify the prevalence of urinary incontinence. The method used was a cross-sectional study. Self-administered knowledge, attitude, and practice questionnaires were distributed among childbearing women attending Maternal & Child Health Clinics in the East Coast region of Malaysia. The findings revealed that most respondents (N = 896) had good or moderate knowledge (80.1%) and attitudes (77.3%) regarding PFMT but most of them (87.2%) still lacked practice. However, there was no association between urinary incontinence and PFMT practice. On the contrary, married women showed a higher risk of urinary incontinence. The practice of pelvic floor muscle training should be recommended and emphasized to childbearing women by healthcare professionals.

Prevalence of Urinary Incontinence among Pregnant Women of Multan City

Background: Incontinence of urine (UI) is a type of lower urinary tract dysfunction that can occur when the natural urination process is disrupted. During pregnancy, incontinence, particularly stress UI, is a common issue. Aim: To identifying the prevalence, factors associated, and the effects of UI throughout pregnancy on health-related QoL. Methods: A cross - sectional descriptive research was carried out. 220 pregnant women who were attending an outpatient clinic at one of the hospitals in Multan were included in the study. As a means of measuring the results, the ICIQ—International Consultation on Incontinence Questionnaire—was utilized. The Questionnaire was distributed among pregnant women, and researcher filled the questionnaire by asking questions to them according to their response. Results: UI was present in 48(21.81%) of the study population. According to a frequency distribution analysis of urine incontinence in females, those b/w 29& 28 years of age, who have a B.M.I of range 18. 5 to 24.9 kg/m2 exhibit the most severe incontinence. Chi square test showed that p value is below 0.05 and study concluded that there is a statistically significant association between urinary incontinence and gravida, as well as between urinary incontinence and trimester.Understanding the prevalence of this condition can help healthcare providers to identify the risk factors associated with urinary incontinence in pregnant women and develop targeted interventions to prevent or manage the condition. Conclusion: UI occurs frequently in expectant mothers.Study concluded that there is a statistically significant association between urinary incontinence and gravida, as well as between urinary incontinence and trimester, among pregnant women in Multan CityA higher risk of UI throughout pregnancy was linked to age, the week of gestation & parity. Keywords: Pregnancy; Prevalence; Quality of life; Urinary incontinence

Prevalence and risk factors for urinary incontinence up to 2 years postpartum: a cross-sectional population-based study.

Urinary incontinence (UI) is common in the postpartum period; however, most studies focus on the early postpartum period and assess prevalence at only one or two time points. We hypothesized that UI would be prevalent across the first 2 years postpartum. Our secondary objective was to evaluate risk factors for postpartum UI among a nationally representative, contemporary sample. This cross-sectional, population-based study used National Health and Nutrition Examination Survey (2011-2018) data for parous women within 24months following delivery. Prevalence of UI, UI subtypes, and severity were estimated. Multivariate logistic regression was used to estimate adjusted odds (aOR) of UI for exposures of interest. Among 560 postpartum women, prevalence of any UI was 43.5%. Stress UI was most common (28.7%), and most women (82.8%) experienced mild symptoms. There was no significant change in prevalence of UI across the 24months following delivery (R2 = 0.004). Individuals with postpartum UI tended to be older (30.3 ± 0.5 versus 28.8 ± 0.5years) and had higher BMI (31.1 ± 0.6 versus 28.9 ± 0.6). In multivariate analysis, odds of postpartum UI were higher for women who had had a prior vaginal delivery (aOR 2.0, 95% CI: 1.3-3.3), prior delivery of a baby weighing 9 lb (4 kg) or more (aOR 2.5, 95% CI: 1.3-4.8), or who reported current smoking (aOR 1.5, 95% CI: 1.0-2.3). During the first 2 years postpartum 43.5% of women report UI, with relatively stable prevalence over this period. This high prevalence supports screening for UI after delivery regardless of risk factors.

Prevalence of urinary incontinence and its associated factors among peri- and postmenopausal women of Bollikunta village, Warangal

Background: Urinary incontinence (UI) is an unintentional or involuntary loss of urine. Stress and urge incontinence are the most common types. Many women feel embarrassed to seek medical care, and it affects their quality of life to a greater extent and is usually a neglected problem among rural communities. Objective: The objective of the study was to estimate the prevalence and to determine the factors associated with UI among peri- and postmenopausal women. Methodology: A community-based cross-sectional study was done among 200 peri- and postmenopausal women of age ≥40 years. The sample size was calculated using a prevalence of 25% from previous studies with a 95% confidence interval and absolute precision of 6%. A simple random sampling technique was employed. A semi-structured questionnaire consisting of the Questionnaire for Urinary Incontinence Diagnosis scale was used for data collection. Data analysis was performed in SPSS version 20.0. P ≤ 0.05 was considered statistically significant. Results: The prevalence of UI was 24% (48 out of 200 women), of which stress incontinence was seen in 15% and urge incontinence in 17% of women. Mixed incontinence was seen in 8% of women. Factors such as increasing age, attainment of menopause, chronic constipation, diabetes, and recurrent UTIs were significantly associated with UI. Conclusion: Two out of every ten peri- and postmenopausal women were found to have UI. Identification of women at risk, educating them regarding preventive measures, following a healthy diet, and encouraging them to seek medical care can greatly reduce their chance of developing UI and aid in improving their quality of life.

Prevalence and Correlated Factors of Urinary Incontinence in Geriatic

Abstract. Background. Urinary incontinence is involuntary or uncontrollable urine passing. This is very disruptive, it causes a lot of problems and is often seen as an embarrassing thing. The prevalence of urinary incontinence was found to increase with age. The number in the geriatric population is 22.2%, more significant when compared to the adult population of 12.0%. Objectives. This research aimed to determine the prevalence and factors associated with the incidence of urinary incontinence in geriatric patients at the Haji Adam Malik General Central Hospital and the University of North Sumatra Hospital. Method. This type of research is an analytic observational study with a cross-sectional design. The research sample is determined by consecutive sampling technique using a questionnaire as primary data. Results. Out of 100 respondents, 22 geriatric patients experienced urinary incontinence, with the majority experiencing moderate severity and stress urinary incontinence. Based on bivariate analysis using chi-square found gender (p=0.617), age (p=0.617), overweight (p=<0.001), diabetes mellitus (p=<0.001), hypertension (p=0.001), history of chronic cough (p=<0.001), history of pelvic surgery (p=<0.001), and history of vaginal delivery (0=0.055). Conclusion. There are 22% (22 patients) of geriatric patients experienced urinary incontinence. In this study, the risk factors associated with urinary incontinence are overweight, diabetes mellitus, hypertension, and a history of chronic cough while risk factors that are not found to be associated in this study are age, sex, and history of vaginal delivery.

Prevalence of Stress Urinary Incontinence and Risk Factors among Saudi Females.

Background and Objectives: Stress urinary incontinence (SUI) is involuntary urine leakage upon effort or physical exertion, sneezing, or coughing, and it is the most prevalent type of urinary incontinence (UI) in women. We aimed to estimate the prevalence of SUI and its risk factors among Saudi females. Materials and Methods: A descriptive cross-sectional study was conducted in the Kingdom of Saudi Arabia between March 2022 and July 2022, with a total of 842 respondents. We included Saudi females over the age of 20 years. Data were collected through an online questionnaire distributed to the target group and analyzed using SPSS software. Results: The prevalence of SUI was found to be 3.3% among Saudi women. Moreover, only 41.8% of the participants had at least one pregnancy; the majority had five or more pregnancies (29%). According to our findings, the majority of the participants diagnosed with SUI had the following risk factors: increased age, widowhood, a family history of SUI, and a history of pregnancy. The results revealed that the odds of SUI increased among Saudi females with a family history of SUI by 19.68-fold compared with those who had no family history of SUI, and this was statistically significant (p < 0.001). Conclusion: The prevalence of SUI among Saudi females was found to be relatively low. The above-listed associated factors should be considered in future research and interventions.

Prevalence of pelvic floor dysfunction in recreational athletes: a cross-sectional survey.

Pelvic floor dysfunction (PFD) affects many women and participation in elite sport and high-impact exercise has been reported as a potential risk. However, few studies have investigated the effects of exercising at recreational levels on PFD. Our aim was to investigate levels of PFD in women exercising at, or above, UK guidelines for health and compare them with levels in non-exercisers. Data on levels of PFD and potential risk factors (age, hormonal status, body mass index, constipation, parity, forceps delivery, and recreational exercise) were collected using a cross-sectional survey distributed via social media. The International Consultation Incontinence Questionnaire (ICIQ) Urinary Incontinence Short Form was used to estimate prevalence of urinary incontinence (UI). Selected questions from the ICIQ vaginal symptom and bowel symptom questionnaires were used to estimate prevalence of anal incontinence (AI) and pelvic organ prolapse (POP). Logistic regression analysis was used to compare exercisers and non-exercisers after adjusting for potential confounders. We recruited 1,598 adult women (1,141 exercisers and 457 non-exercisers). The majority were parous. High prevalence of UI (70%), AI (52%) and POP (18%) was reported. No significant association was found between recreational exercise and PFD despite adjustment for confounders, or further investigation regarding exercise involving impact, although some increased reporting of AI was seen in those exercising for over 10hoursper week. High levels of all PFD were reported but no significant association was found between recreational exercise and symptoms. However, data suggest that women modify their exercise regimes as required. Few symptomatic women sought professional help.

Prevalence of Urinary Incontinence among Post-Menopausal Females and Its Associated Factors

Abstract:&#x0D; &#x0D; Background: Urinary Incontinence is now recognized as a major public health concern globally. Urinary Incontinence affects a large of women worldwide and has a substantial socio-economic impact. It might also affect the quality of life and might lead to isolation and depression.&#x0D; &#x0D; Objective: The objective of this study is to find out the prevalence of Urinary Incontinence in Post- menopausal Females and its associated factors.&#x0D; &#x0D; Methods: This is a Cross- Sectional Study designed to investigate the prevalence of urinary incontinence among post-menopausal females and factors associated with it. Hundred post- menopausal females were recruited in this study from different health care provider and hospitals of Daska and Gujranwala, Pakistan. Their age ranged between 50 to 65 years and their previous menstruation was from at least 1 year ago. They all answered the Urinary Incontinence Questionnaire.&#x0D; &#x0D; Results: The result of this study concluded that prevalence of urinary incontinence among&#x0D; postmenopausal females is 71%. The prevalence of urinary incontinence according to its types&#x0D; was, Stress Urinary Incontinence was 45%, Urge Urinary Incontinence was 36% and Mixed&#x0D; Urinary Incontinence was 19%.The menopausal age, mode of delivery and parity were not significantly associated with urinary incontinence however, Diabetes was significantly associated with urinary incontinence. (p &lt;0.05)&#x0D; &#x0D; Conclusion: This study concludes that higher prevalence of Urinary Incontinence is found among postmenopausal females of Pakistan, however a study in future should be conducted to find out prevalence of Urinary Incontinence and more details of associated factors with a larger sample size to generalize the results.&#x0D; &#x0D; Key Words: Prevalence, Urinary Incontinence, Postmenopausal&#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D;

Prevalence and Features of Post-stroke Urinary Incontinence: A Retrospective Cohort Study.

Long-term complications of stroke, persisting for more than 6 months after the initial event, substantially reduce the quality of life (QoL) in a significant percentage of stroke survivors. In this paper, we studied the prevalence of long-term urinary incontinence (UI) in post-stroke patients. In addition, we attempted to identify patient characteristics which were associated with higher UI prevalence, higher UI severity, and less UI-associated QoL. Medical records in a tertiary referral hospital were used to contact patients who had experienced a stroke between 6 to 32 months before the study date. The patients were given the International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI-SF) questionnaire for determining the presence of UI and its severity. UI-positive patients were then given the I-QOL questionnaire to determine their QoL. The prevalence of UI in our study population (n=189) was 31%. Older age at the time of stroke was associated with higher UI severity (r=0.290) and lower QoL (r=-0.265). Furthermore, the presence of movement limitation was associated with higher UI prevalence (P<0.001, OR=3.89) and severity (P=0.002, d=1.05). Movement limitation also significantly impacted the psychological and social aspects of UI-associated QoL (P=0.035, d=-0.74). Conversely, higher body mass indices (BMIs) were associated with lower UI severity (r=-0.346) and higher QoL (r=0.281). In conclusion, UI continues to be prevalent in stroke survivors long after the cerebrovascular accident (CVA). As a result, these patients require continuous monitoring and UI prevention.

Prevalence and risk factors for urinary incontinence in the first two years postpartum: A cross-sectional population-based study

We aimed to describe the prevalence of urinary incontinence (UI) and to evaluate risk factors for UI in first two years postpartum.

Postpartum stress urinary incontinence: a clinical study of 6,302 cases in Jiangsu Province.

To investigate the prevalence and influencing factors of stress urinary incontinence (SUI) within 6-8 weeks postpartum in Jiangsu Province. We designed a multi-center cross-sectional study involving seven hospitals in Jiangsu province, and enrolled women who underwent postpartum examination at 6-8 weeks in these hospitals between July 2019 and June 2021. According to the presence or absence of SUI, the enrolled patients were divided into two groups: the SUI group and the non-SUI group, respectively. We assessed the general health status, noted the details of delivery, and checked the pelvic floor electromyographic parameters of the postpartum women in both groups. Among 6,302 cases of postpartum women in Jiangsu province, there were 1,579 cases of SUI, with a prevalence of 25.06%. The prevalence of SUI increased significantly with age, BMI, increasing parity, coexisting constipation, organ prolapse, and diastasis recti abdominis. Compared to the non-SUI group, the SUI group had a lower mean value of the pre-baseline rest phase, shorter rise and fall times of fast muscle contractions, and a lower mean value of the endurance contraction phase. Multiple regression analysis revealed associations with weight (especially overweight and obesity), coexisting organ prolapse, constipation, parity, gestational week of delivery, mode of delivery, and mean value of endurance contraction phase. The prevalence of postpartum stress urinary incontinence in Jiangsu Province was 25.06%, and was linked to being overweight, parity > 2, coexisting organ prolapse, constipation, and a decrease in the mean value of the endurance contraction phase of the electromyograph. In this report, we offer a theoretical basis for the effective prevention of postpartum SUI clinically.

A Minimally Invasive, Outpatient, Office Procedure for Severe Stress Urinary Incontinence in Women: Luksenburg Systems LSG3

The worldwide prevalence of female urinary incontinence (UI) is reported at 55%, and about 27% of UIs are severe. The complications in cases of severe UI treated surgically and the ineffective or incomplete results of prolonged treatments with thermal energies motivated us to develop an innovative treatment. Our hypothesis was based on correcting the descent and/or urethral hypermotility and repositioning the descended bladder urethral junction. We have designed a system for the development of a dense and resistant fibrosis that supports the urethra and can correct the alterations of severe UI, Luksenburg systems procedure, LSG3. A group of 652 women between the age of 46 and 74 years, post-menopausal, with more than 2 vaginal births and severe UI, documented by the clinical presentation and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) score index, were enrolled. Originally developed polycaprolactone threads were placed in suburethral space using specific designed tools (LSG3). Immediate results—24 hours (P &lt; .05): 469 patients without clinical UI (72% efficacy), 122 patients with grade 1 UI (drops) (18% improvement), and 59 patients with grade 3 UI (unchanged 9%). Thirty-day results (P &lt; .05): 560 patients without UI (86% efficacy), 58 patients with grade 1 UI (drops) (9% improvement), and 34 patients with grade 3 UI (unchanged 5%). Fifteen-month results (P &lt; .05): 542 patients without UI (83%), 74 patients with grade 1 UI (drops) (11%), and 36 patients with grade 3 UI (6%). No complications or secondary effects were found after the procedure in the 15 months of follow-up. We have developed an innovative system called “suburethral spider web” to treat and cure severe (grade 3) UI in office, as outpatient, that is effective, safe, and cheap.

Prevalence of urinary incontinence in healthy women in South Brazil

Background: The pelvic floor has the function of supporting the pelvic viscera, sexual function, urinary and fecal continence, during pregnancy and childbirth, it allows the support and passage of the fetus. The failure of this musculature can cause urinary incontinence, which is defined as any involuntary loss of urine, which may generate social or hygienic discomfort for the patient. Aims: To investigate the prevalence of urinary incontinence in women over 18 years old, analysis of the degree of intimate selfknowledge and the interference of UI in quality of life. Method: Cross-sectional study of an investigative nature. A sociodemographic and PRAFAB questionnaire was used by Google Forms, through a link posted on social networks. Results: 62 women with an average age of 24.8 years participated, 77.4% had some level of urinary loss. Conclusion: Urinary incontinence was prevalent in young women, with no relationship between the severity of UI and the mode of delivery, but there are several factors that may be linked to this dysfunction.

Prevalence and association between sexual and urinary dysfunction in young women in South Brazil

Background: Issues such as urinary function, sexual function and female intimate health are still seen as forbidden in today's society, so when talking about the pelvic floor, many women do not know what it is, and the dysfunctions that occur in this structure. Urinary and sexual dysfunctions are prevalent, but studies in young populations are scarce. Aims: To survey the prevalence of sexual dysfunction (SD) and urinary incontinence (UI) in young women. Method: Investigative cross-sectional study through the Google Forms platform, using the questionnaires: FSFI and PRAFAB under descriptive statistics. Results: Participants were 54 women, mean age 24 years, average sexarch 16 years, 81 had UI (42.5% mild, 37% moderate and 1.8% severe) and 57% had SD. When combined, 46.2% of women had both disorders (20.3 mild UI and sexual dysfunction, 24% moderate UI and sexual dysfunction, and 1.8% severe UI and sexual dysfunction). Conclusion: There are associated urinary and sexual dysfunctions in young women.

Prevalence and Normalization of Stress Urinary Incontinence in Female Strength Athletes.

Mahoney, K, Heidel, RE, and Olewinski, L. Prevalence and normalization of stress urinary incontinence in female strength athletes. J Strength Cond Res 37(9): 1877-1881, 2023-Strength training is increasing in popularity in women but is also a potential risk factor for stress urinary incontinence (SUI). There is potential for normalization of SUI in sports with high rates of SUI. Pelvic floor physical therapy is an effective treatment for SUI in both athletes and nonathletes, but female strength athletes may not be aware of this option. Our study sought to assess prevalence, normalization, rates of treatment, and preferred sources of information about SUI in female strength athletes. A novel cross-sectional survey was distributed online through social media groups dedicated to female strength athletes with 425 women responding within 4 days. Statistical significance of results was assumed at a 2-sided alpha value of 0.05. 43.5% of athletes experienced incontinence with daily tasks, 59.1% experienced incontinence with normal strength training, and 50.2% experienced incontinence during competition. Of the athletes who experienced incontinence, 61.4% did not have incontinence before starting their sport and only 9.4% had ever sought treatment. 67.9% of all athletes surveyed believed that urinary incontinence was a normal part of their sport. Our findings indicate that SUI is common in female strength athletes and may be a consequence of the sport itself. Normalization of SUI is common, and few athletes seek treatment.

MP49-03 EXPLORING THE PREVALENCE OF URINARY INCONTINENCE IN MULTI-ETHNIC REFUGEE WOMEN IN MARICOPA COUNTY, ARIZONA

You have accessJournal of UrologyCME1 Apr 2023MP49-03 EXPLORING THE PREVALENCE OF URINARY INCONTINENCE IN MULTI-ETHNIC REFUGEE WOMEN IN MARICOPA COUNTY, ARIZONA Aqsa Khan, Sheila Malekian, Olufunmilola Adeleye, and Lubayna Fawcett Aqsa KhanAqsa Khan More articles by this author , Sheila MalekianSheila Malekian More articles by this author , Olufunmilola AdeleyeOlufunmilola Adeleye More articles by this author , and Lubayna FawcettLubayna Fawcett More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003297.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Data regarding urinary symptoms among refugee women is sparse, but multiple risk factors associated with urinary incontinence (UI) such as high parity and diabetes have been reported to be more prevalent in resettled refugee populations. Refugees often have low socioeconomic status and low health literacy rates, which may decrease their likelihood of initiating a discussion of UI with their healthcare providers, exacerbating existing barriers to care such as culture and language. Data from the Arizona Refugee Resettlement Program reports over 90,000 refugees have resettled in Arizona. We sought to investigate the prevalence of incontinence amongst women of this group and to assess their comfort and patterns in discussing incontinence with healthcare providers. METHODS: In this cross-sectional study, multi-ethnic refugee women recruited with convenience sampling and word-of-mouth strategies within refugee community spaces from July 2021 to November 2021 were administered a 20-item questionnaire that was translated into Arabic, Burmese, Swahili, and Somali. Urinary incontinence was defined by an affirmative response to any of the 6-item Urogenital Distress Inventory (UDI-6) questions or having more than one reported occurrence of stress or urgency incontinence per month. Additional questions also addressed comfort with discussing UI with healthcare providers. RESULTS: In total, 58 participants were included in the study, 68.4% of whom originated from Sub-Saharan Africa, primarily the Democratic Republic of Congo, Somalia, and Burundi. The prevalence of UI in this sample was 50%, with higher reports of urgency compared to stress incontinence. 82.8% reported they never discussed urinary symptoms with their healthcare provider, despite 59.6% of participants reporting feeling comfortable having these discussions. Additionally, 77.6% of these women reported never being asked about these symptoms by a healthcare provider. CONCLUSIONS: Refugee women have a high prevalence of urinary incontinence, which exceeds or at least matches the prevalence of urinary incontinence in the general female population. Many of these women are not discussing urinary symptoms with their healthcare providers, which may be in part due to the lack on inquiry by the provider. Healthcare providers caring for refugee women should consider screening for this condition during regular office visits. The long-term goal is to identify and minimize health disparities within refugee populations. Source of Funding: Mayo Clinic in Arizona (AZ) Small Grants © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e679 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Aqsa Khan More articles by this author Sheila Malekian More articles by this author Olufunmilola Adeleye More articles by this author Lubayna Fawcett More articles by this author Expand All Advertisement PDF downloadLoading ...