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Prevalence and clinical correlates for depression in women with urinary incontinence: a cross-sectional study

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Abstract

Introduction and hypothesis

The coexistence of urinary incontinence (UI) and depression has been intensively examined in women. This study aimed to investigate the prevalence and some clinical correlates of depression in women with UI.

Methods

The National Health and Nutrition Examination Survey (NHANE) 2005-2018 was used in this cross-sectional study, and a total of 7250 UI patients were included. Patientss were defined as having UI if they answered "yes" to the UI screening question. Depression symptoms were measured by Personal Health Questionnaire (PHQ-9).

Results

The age-standardized prevalence of depression in women with UI was 13.7 (95% CI: 12.5-14.9). Multiple logistic regression showed that being younger (age <60 years), widowed, divorced or separated and having lower income, lower education level, more severe incontinence and mixed UI were associated with an increased likelihood of depression.

Conclusions

This population-based study suggested that the prevalence of depression in women with UI was high. The main clinical correlates for depression were younger age (<60 years), lower education level, lower income, being widowed, divorced or separated, and having more severe incontinence and mixed UI.

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Acknowledgments

All co-authors acknowledge the US National Center for Health Statistics (NCHS) for the efforts to create the NHANES data.

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Authors and Affiliations

  1. Department of Medical Psychology, The Air Force Hospital of Northern Theater PLA, 46 Xiaoheyan Road, Shenyang, 110000, Liaoning, China

    Qun Zhang, Ziping Liu, Weicheng Yu, Shaogang Wang & Xiaoqian Li

  2. Department of Radiology, The First People‘s Hospital of Xianyang, 10 Biyuan Road, Xianyang, 712000, Shaanxi, China

    Qian Wang

Authors
  1. Qun Zhang
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  2. Qian Wang
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  3. Ziping Liu
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  4. Weicheng Yu
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  5. Shaogang Wang
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  6. Xiaoqian Li
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Contributions

Qun Zhang: manuscript writing, study design, data analysis, interpretation of results. Qian Wang: study design, statistical analysis and revision of the manuscript. Ziping Liu: study design and revision of the manuscript. Weicheng Yu: revision of the manuscript. Shaogang Wang: revision of the manuscript. Xiaoqian Li: study design, revision of the manuscript, project development

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Correspondence to Xiaoqian Li.

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Zhang, Q., Wang, Q., Liu, Z. et al. Prevalence and clinical correlates for depression in women with urinary incontinence: a cross-sectional study. Int Urogynecol J 33, 1303–1309 (2022). https://doi.org/10.1007/s00192-022-05169-7

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  • DOI: https://doi.org/10.1007/s00192-022-05169-7

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