 |
|
Urinary Incontinence in US Women
A Population-Based Study
Jennifer L. Melville, MD, MPH;
Wayne Katon, MD;
Kristin Delaney, MPH;
Katherine Newton, PhD
Arch Intern Med. 2005;165:537-542.
Background Urinary incontinence (UI) is a common disorder that is increasingly important as our population ages. Less is known about UI in younger women, and few large surveys have been able to determine risk factors by linking their data to patients’ medical findings.
Methods We conducted a population-based, age-stratified postal survey of 6000 women aged between 30 and 90 years who were enrolled in a large health maintenance organization in Washington State.
Results The response rate was 64% (n = 3536) after exclusion criteria were applied. The population-based prevalence of UI was 45%. Prevalence increased with age, from 28% for 30- to 39-year-old women to 55% for 80- to 90-year-old women. Eighteen percent of respondents reported severe UI. The prevalence of severe UI also increased notably with age, from 8% for 30- to 39-year-old women to 33% for 80- to 90-year-old women. Older age, higher body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters), greater medical comorbidity, current major depression, a history of hysterectomy, and parity increased the odds of having UI. Not being white and having had only cesarean deliveries decreased the odds of having UI. Major depression (odds ratio, 2.48; 95% confidence interval, 1.65-3.72) and obesity, defined as having a BMI of 30 or greater (odds ratio, 2.39; 95% confidence interval, 1.99-2.87), had the strongest association with UI. Among women with UI, age, BMI, medical comorbidity, current major depression, diabetes, a history of hysterectomy, and having had only cesarean deliveries were significantly associated with severe UI.
Conclusions Urinary incontinence is highly prevalent in women across their adult life span, and its severity increases linearly with age. Age, BMI, race, medical comorbidity, current major depression, a history of hysterectomy, parity, and having only had cesarean deliveries are each independent factors significantly associated with the likelihood of having UI.
Author Affiliations: Departments of Obstetrics and Gynecology (Dr Melville) and Psychiatry and Behavioral Sciences (Drs Melville and Katon), University of Washington, Seattle, and the Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle (Ms Delaney and Dr Newton).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Weight Loss to Treat Urinary Incontinence in Overweight and Obese Women
Subak et al.
NEJM 2009;360:481-490.
ABSTRACT
| FULL TEXT
Obesity and urinary incontinence
Khong and Jackson
Menopause Int 2008;14:53-56.
ABSTRACT
| FULL TEXT
Invited Commentary: The Contribution of the BACH Survey to the Epidemiology of Urinary Incontinence
Thom
Am J Epidemiol 2008;167:400-403.
ABSTRACT
| FULL TEXT
Prevalence of and Risk Factors for Urine Leakage in a Racially and Ethnically Diverse Population of Adults: The Boston Area Community Health (BACH) Survey
Tennstedt et al.
Am J Epidemiol 2008;167:390-399.
ABSTRACT
| FULL TEXT
Burch Colposuspension versus Fascial Sling to Reduce Urinary Stress Incontinence
Albo et al.
NEJM 2007;356:2143-2155.
ABSTRACT
| FULL TEXT
Quality-of-Life Impact and Treatment of Urinary Incontinence in Ethnically Diverse Older Women.
Huang et al.
Arch Intern Med 2006;166:2000-2006.
ABSTRACT
| FULL TEXT
MR Imaging of the Female Urethra and Supporting Ligaments in Assessment of Urinary Incontinence: Spectrum of Abnormalities.
Macura et al.
RadioGraphics 2006;26:1135-1149.
ABSTRACT
| FULL TEXT
Duloxetine: A balanced and selective norepinephrine- and serotonin-reuptake inhibitor
Westanmo et al.
Am J Health Syst Pharm 2005;62:2481-2490.
ABSTRACT
| FULL TEXT
Urinary Incontinence: Common Even in Younger Women
JWatch Women's Health 2005;2005:5-5.
FULL TEXT
|
