International Urogynecology Journal

, Volume 17, Issue 4, pp 340–345 | Cite as

Prevalence of severe pelvic organ prolapse in relation to job description and socioeconomic status: a multicenter cross-sectional study

  • Patrick J. WoodmanEmail author
  • Steven E. Swift
  • Amy L. O’Boyle
  • Michael T. Valley
  • Deirdre R. Bland
  • Margie A. Kahn
  • Joseph I. Schaffer
Original Article


The aim of this study was to determine if certain occupations or socioeconomic levels are associated with pelvic organ prolapse. Investigators at six American sites performed pelvic organ prolapse quantification examinations on women presenting for routine gynecologic care. Between September 1999 and March 2002, 1,004 patients were examined. Severe pelvic organ prolapse was defined as the leading edge being 1 cm or more beyond the hymeneal ring. The data was analyzed with the Kruskal–Wallis analysis of variance, Bonferroni test, multiple logistic regression, and descriptive statistics. The prevalence of severe pelvic organ prolapse in our group was 4.3%. Women who were laborers/factory workers had significantly more severe prolapse than the other job categories (p<0.001). Women with annual income of $10,000 or less had significantly more severe pelvic organ prolapse than other income groups (p<0.001). These differences persisted even when controlling for age, race, number of deliveries, body mass index >30, and smoking status (all p<0.001). Laborers/factory worker jobs and an annual household income of $10,000 or less are associated with severe pelvic organ prolapse.


Pelvic organ prolapse POP-Q Income Socioeconomic status Occupation 



The authors would like to thank Dierdre McCullough, MD, at the San Antonio University of Health Sciences Educational Center, San Antonio, TX, and John A. Ward, PhD, at Brooke Army Medical Center, Department of Clinical Investigation for their assistance in the statistical analysis of this manuscript.

An unrestricted grant for statistical support was received from the General Clinical Research Center (GCRC) at the Medical University of South Carolina.


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Copyright information

© International Urogynecology Journal 2005

Authors and Affiliations

  • Patrick J. Woodman
    • 1
    • 8
    Email author
  • Steven E. Swift
    • 2
  • Amy L. O’Boyle
    • 3
  • Michael T. Valley
    • 4
  • Deirdre R. Bland
    • 5
  • Margie A. Kahn
    • 6
  • Joseph I. Schaffer
    • 7
  1. 1.Department of Obstetrics & Gynecology, Division of Urogynecology and Pelvic Reconstructive SurgeryMadigan Army Medical CenterTacomaUSA
  2. 2.Department of Obstetrics & Gynecology, Division of Benign GynecologyMedical University of South CarolinaCharlestonUSA
  3. 3.Department of Obstetrics & GynecologyNaval Medical Center PortsmouthPortsmouthUSA
  4. 4.Department of Obstetrics & GynecologyHealth System MinnesotaShakopeeUSA
  5. 5.Blue Ridge Medical AssociatesWinston-SalemUSA
  6. 6.Departments of Obstetrics & Gynecology and Urology, Division of UrologyUniversity of Texas Medical Branch–GalvestonGalvestonUSA
  7. 7.Department of Obstetrics & Gynecology, Division of Urogynecology and Reconstructive Pelvic SurgeryUniversity of Texas Southwestern Medical CenterDallasUSA
  8. 8.Urogynecology Associates Methodist HospitalIndiana University/Clarian HealthIndianapolisUSA

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