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Female urinary incontinence: a cross-sectional study from a Thai rural area

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The aims of this study were to investigate the prevalence and associated factors of female urinary incontinence in a Thai rural area and to investigate the impact of female urinary incontinence on quality of life. A population-based cross-sectional survey was performed from September 2003 to February 2004. A total of 1,126 women completed the questionnaires. The overall prevalence of urinary incontinence was 36.50%, i.e. stress urinary incontinence (33.60%), urge urinary incontinence (11.00%) and mixed urinary incontinence (8.07%). Urinary incontinence adversely affected quality of life; the mixed urinary incontinence group reported significantly greater impairment than the stress and urge urinary incontinence groups. Advancing age, labouring occupation, postmenopausal status, years since menopause, medical diseases, childbirth and vaginal delivery were associated with this problem.

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  1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardisation of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21:167–178

    Article  PubMed  Google Scholar 

  2. Hunskaar S, Burgio K, Diokno A, Herzog R, Hjalmas K, Lapitan MC (2003) Epidemiology and natural history of urinary incontinence in women. Urology 62(Suppl):16–23

    Article  PubMed  Google Scholar 

  3. Eva UF, Gun W, Preben K (2003) Prevalence of urinary and fecal incontinence and symptoms of genital prolapse in women. Acta Obstet Gynecol Scand 82:280–286

    Article  PubMed  Google Scholar 

  4. Minassian VA, Drutz HP, Al-Badr A (2003) Urinary incontinence as a worldwide problem. Int J Gynaecol Obstet 82:327–338

    Article  PubMed  CAS  Google Scholar 

  5. Cheater FM, Castleden CM (2000) Epidemiology and classification of urinary incontinence. Clin Obstet Gynecol 14:183–205

    CAS  Google Scholar 

  6. Hannestad YS, Rortveit G, Sandvik H (2000) A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCORT study. J Clin Epidemiol 53:1150–1157

    Article  PubMed  CAS  Google Scholar 

  7. Yip SK, Chung TK (2003) Treatment-seeking behaviour in Hong Kong Chinese women with urinary symptoms. Int Urogynecol J Pelvic Floor Dysfunct 14:27–30

    Article  PubMed  Google Scholar 

  8. Chen GD, Lin TL, Hu SW, Chen YC, Lin LY (2003) Prevalence and correlation of urinary incontinence and overactive bladder in Taiwanese women. Neurourol Urodyn 22:109–117

    Article  PubMed  Google Scholar 

  9. Andrades M, Paul R, Ambreen A, Dodani S, Dhanani RH, Qidwai W (2004) Distribution of lower urinary tract symptoms (LUTS) in adult women. J Coll Physicians Surg Pak 14:132–135

    PubMed  Google Scholar 

  10. Luna MTC, Hirakawa T, Nakano H (2000) Urinary incontinence in women seen in the Obstetrics and Gynecology clinic. Int Urogynecol J 11:277–281

    Article  CAS  Google Scholar 

  11. Manonai J, Chittacharoen A, Sarit-apirak S, Udomsubpayakul U, Khanacharoen A, Theppisai U (2004) Lower urinary tract symptoms in Thai women attending the menopause clinic: prevalence and associated factors. J Med Assoc Thail 87:1265–1269

    Google Scholar 

  12. Lapitan MC, Chye PLH (2001) The epidemiology of overactive bladder among females in Asia: a questionnaire survey. Int Urogynecol J 12:226–231

    Article  CAS  Google Scholar 

  13. Chiaffarino F, Parazzini F, Lavezzari M, Giambanco V (2003) Impact of urinary incontinence and overactive bladder on quality of life. Eur Urol 43:535–538

    Article  PubMed  Google Scholar 

  14. Coyne KS, Zhou Z, Thompson C, Versi E (2003) The impact on health-related quality of life of stress, urge and mixed urinary incontinence. BJU Int 92:731–735

    Article  PubMed  CAS  Google Scholar 

  15. Grimby A, Milsom I, Molander U, Wiklund I, Ekelund P (1993) The influence of urinary incontinence on the quality of life of elderly women. Age Ageing 22:82–89

    Article  PubMed  CAS  Google Scholar 

  16. Kelleher C, Khullhar V, Cardozo L (1993) The impact of urinary incontinence on quality of life. Neurourol Urodyn 12:388–389

    Google Scholar 

  17. Yu HJ, Wong WY, Chen J, Chie WC (2003) Quality of life impact and treatment seeking of Chinese women with urinary incontinence. Qual Life Res 12:327–333

    Article  PubMed  Google Scholar 

  18. Wagner TH, Patrick DL, Bavendam ML, Martin ML, Buesching DP (1996) Quality of life of persons with urinary incontinence: development of a new measure. Urology 47:67–72

    Article  PubMed  CAS  Google Scholar 

  19. Patrick DL, Martin ML, Bushnell DM, Yalcin I, Wagner TH, Buesching DP (1999) Quality of life of women with urinary incontinence: further development of the Incontinence Quality of Life Instrument (I-QOL). Urology 53:71–76

    Article  PubMed  CAS  Google Scholar 

  20. Milsom I, Ekelund P, Molander U, Arvidsson L, Areskoug B (1993) The influence of age, parity, oral contraception, hysterectomy and menopause on the prevalence of urinary incontinence in women. J Urol 149:1459–1462

    PubMed  CAS  Google Scholar 

  21. Milsom I (2000) The prevalence of urinary incontinence. Acta Obstet Gynecol Scand 79:1056–1059

    Article  PubMed  CAS  Google Scholar 

  22. Grodstein F, Fretts R, Lifford K, Resnick N, Curhan G (2003) Association of age, race, and obstetric history with urinary symptoms among women in the Nurses' Health Study. Am J Obstet Gynecol 189:428–434

    Article  PubMed  Google Scholar 

  23. Resnick NM, Yalla SV (1987) Aging and its effect on the bladder. Semin Urol 5:82–86

    PubMed  CAS  Google Scholar 

  24. Blakeman PJ, Hilton P, Bulmer JN (1996) Mapping estrogen and progesterone receptors throughout the female lower urinary tract. Neurourol Urodyn 15:324–325

    Google Scholar 

  25. Smith P (1993) Estrogens and the urogenital tract. Acta Obstet Gynecol Scand Suppl 72:1–26

    Article  Google Scholar 

  26. Rortveit G, Kjersti A, Hannestad Y, Hunskaar S (2003) Urinary incontinence after vaginal delivery or caesarean section. N Engl J Med 348:900–907

    Article  PubMed  Google Scholar 

  27. Tapp A, Cardozo L, Versi E, Montgomery J, Studd J (1988) The effect of vaginal delivery on the urethral sphincter. Br J Obstet Gynaecol 95:142–146

    PubMed  CAS  Google Scholar 

  28. Meyer S, Schreyer A, de Grandi P, Hohfield P (1998) The effects of birth on urinary incontinence mechanisms and other pelvic-floor characteristics. Obstet Gynecol 92:613–618

    Article  PubMed  CAS  Google Scholar 

  29. Simeonova Z, Milsom I, Kullendorff AM, Molander U, Bengtsson C (1999) The prevalence of urinary incontinence and its influence on the quality of life in women from an urban Swedish population. Acta Obstet Gynecol Scand 78:546–551

    Article  PubMed  CAS  Google Scholar 

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The authors would like to thank the staff of Trad Hospital for conducting the interviews and Mrs. Miriam Maneevone for reviewing the manuscript.

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Correspondence to Jittima Manonai.

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Manonai, J., Poowapirom, A., Kittipiboon, S. et al. Female urinary incontinence: a cross-sectional study from a Thai rural area. Int Urogynecol J 17, 321–325 (2006).

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