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Risk factors for urinary incontinence in Taiwanese women aged 60 or over

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Abstract

To determine risk factors of urinary incontinence (UI) in Taiwanese women aged 60 or over, face-to-face interviews with 1,517 women, selected by a multistage random method, were completed. The prevalence of UI in this age group was 29.8%. Factors and their prevalence associated with UI were age [odds ratio (OR)=1.04 per year], diabetes mellitus (39.8%, p = 0.002), hypertension (39.5%, p = 0.001), abdominal gynecological surgery (41.4%, p = 0.001), hysterectomy (42.4%, p = 0.003), history of drug allergy (41.3%, p = 0.001), smoking (45.5%, p = 0.010), hormone replacement therapy (41.5%, p = 0.026), and high body mass index (OR = 1.05 per unit). Alcohol consumption and marriage did not increase the risk of UI. UI is a common and costly problem in elderly women. It diminishes the quality of life of the affected women. Of the associated factors that are preventable, modifiable, or controllable, smoking, prior hysterectomy, and obesity may have the greatest impact on the prevalence of UI.

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References

  1. Jolleys JV (1988) Reported prevalence of urinary incontinence in women in a general practice. Br Med J Clin Res Ed 296:1300–1302

    Article  PubMed  CAS  Google Scholar 

  2. National Institutes of Health Consensus Development Conference Statement (1988) Natl Inst Health Consens Dev Conf Consens Statement 7:1–11

    Google Scholar 

  3. Hsieh CH, Su TH, Chang ST (2005) Prevalence of and attitude toward urinary incontinence in Taiwanese women. Int J Gynecol Obstet 88:152–153

    Article  CAS  Google Scholar 

  4. Ostergard DR (1996) Appendix. In: Ostergard DR, Bent AE (eds) Urogynecology and urodynamics, 4th edn. Theory and practice. Williams & Wilkins, Baltimore, pp 668–669

    Google Scholar 

  5. Peyrat L, Haillot O, Bruyere F, Boutin JM, Bertrand P, Lanson Y (2002) Prevalence and risk factors of urinary incontinence in young women. Prog Urol 12:52–59

    PubMed  Google Scholar 

  6. Goldberg RP, Kwon C, Gandhi S, Atkuru LV, Sorensen M, Sand PK (2003) Urinary incontinence among mothers of multiples: the protective effect of cesarean delivery. Am J Obstet Gynecol 188:1447–1453

    Article  PubMed  Google Scholar 

  7. Bump RC, McClish DK (1992) Cigarette smoking and urinary incontinence in women. Am J Obstet Gynecol 167:1213–1218

    PubMed  CAS  Google Scholar 

  8. Brown JS, Seeley DG, Fong J, Black DM, Ensrud KE, Grady D (1996) Urinary incontinence in older women. Obstet Gynecol 87:715–721

    Article  PubMed  CAS  Google Scholar 

  9. Buchsbaum GM, Chin M, Glantz C, Guzick D (2002) Prevalence of urinary incontinence and associated risk factors in a cohort of runs. Obstet Gynecol 100:226–229

    Article  PubMed  Google Scholar 

  10. 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 

  11. Parazzini F, Chiaffarino F, Lavezzari M, Giambanco V; VIVA Study Group (2003) Risk factors for stress, urge or mixed urinary incontinence in Italy. Br J Obstet Gynaecol 110:927–933

    Google Scholar 

  12. Miller YD, Brown WJ, Russel A, Chiarelli P (2003) Urinary incontinence across the lifespan. Neurourol Urodyn 22:550–557

    Article  PubMed  Google Scholar 

  13. Chmel R, Novackova M, Pastor Z, Vlk R, Horcicka L, Pluta M et al (2005) Abdominal hysterectomy-risk factor in development of urinary incontinence? Results of a questionnaire study. Ceska Gynekol 70:53–56

    PubMed  CAS  Google Scholar 

  14. van der Vaart CH, van der Bom JG, de Leeuw JR, Roovers JP, Heintz AP (2002) The contribution of hysterectomy to the occurrence of urge and stress urinary incontinence symptoms. Br J Obstet Gynaecol 109:149–154

    Google Scholar 

  15. Thom DH, van den Eeden SK, Brown JS (1997) Evaluation of parturition and other reproductive variables as risk factors for urinary incontinence in later life. Obstet Gynecol 90:983–989

    Article  PubMed  CAS  Google Scholar 

  16. Jackson RA, Vittinghoff E, Kanaya AM et al (2004) Urinary incontinence in elderly women: findings from the Health, Aging, and Body Composition Study. Obstet Gynecol 104:301–307

    PubMed  CAS  Google Scholar 

  17. Chaliha C, Digesu A, Hutchings A, Soligo M, Khullar V (2004) Caesarean section is protective against stress urinary incontinence: an analysis of women with multiple deliveries. Br J Obstet Gynaecol 111:754–755

    Google Scholar 

  18. Chou PL, Chen FP, Teng LF (2005) Factors associated with urinary stress incontinence in primiparas. Taiwan J Obstet Gynecol 44:42–47

    Article  Google Scholar 

  19. Women’s Health Initiative Steering Committee (2005) Effects of estrogen with and without progestin on urinary incontinence. JAMA 293:935–948

    Article  Google Scholar 

Download references

Acknowledgments

The authors thank the personnel of the NIFP, Department of Health, Executive Yuan, for their contribution to the study. We are also grateful to Miss L.H. Chiang, research assistant in the study, for her interest and contribution.

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Correspondence to Tsung-Hsien Su.

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Hsieh, CH., Hsu, CS., Su, TH. et al. Risk factors for urinary incontinence in Taiwanese women aged 60 or over. Int Urogynecol J 18, 1325–1329 (2007). https://doi.org/10.1007/s00192-007-0314-z

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  • DOI: https://doi.org/10.1007/s00192-007-0314-z

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