THE PREVALENCE OF URINARY INCONTINENCE
Al Busaidi K1, Briffa NK1, Center JR2
1 School of Physiotherapy, Curtin University of Technology, Perth, Westrern Australia 2 Bone and Mineral Research Program, Garvan Institute of Medical Research, St Vincent\'s Hospital, University of New South Wales, Sydney, NSW, Australia
Background and Aims: The aim of this study was to investigate the prevalence and risk factors for UI in Omani women, as they are currently unknown. Methodology: 120 women aged „d18 years from randomly selected households in the Muscat region of Oman were invited to participate. 118 women (mean age 39.1) agreed. Data were collected ،§door-to-door،¦ using a valid and reliable questionnaire developed for the study. Data were analysed using logistic regression analysis. Result: 52.5% had urinary incontinence (UI); 28% stress UI, 11.9% and urge UI and 12.7% mixed UI. Factors significantly associated with UI in bivariate analyses were sneezing related to allergy ƒثOR 7.1; 95%CI 2.2-22.4ƒح, obesity (2.2; 1.05-4.7), lower urinary tract symptoms (2.3; 1.02-5.2), and chronic cough (3.8; 1.005-14.4). Age, menopausal status, parity, diabetes, circumcision, diuretic use, and coffee consumption were not associated with UI. In forward stepwise logistic regression analysis with all significant risk factors included as independent variable, only sneezing was a significant predictor of UI. Conclusion: There was a high prevalence of UI among Omani women in Muscat. The strong relationship between allergy with sneezing and urinary incontinence is a novel finding that has not previously been documented as a risk factor for UI in population based studies. The risk factors associated with UI were generally amenable to health education and treatment suggesting excellent potential for the burden of UI to be reduced in this group of women. Key Words: Epidemiology, Prevalence, Urinary incontinence, Omani women.
Support
1) Sultan Qaboos University (Oman) 2) Curtin University of Technology (Australia)
References
REFERENCES Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, Kerrebroeck P. V, Victor A and Wein A, 2003, The standardisation of terminology in lower urinary tract function: Report from the standardisation Sub–Committee of theInternationalContinence Society.Urology 61:37–49. Al Mossa S, Allin S, Jemiai N, al Lawati J AND Mossialos E, 2006, Diabetes and urbanization in the Omani population: an analysis of national survey data Population Health Metrics 4:5 Al riyami A. Afifi M. and Fathalla M. F. 2004. Gynecological and related morbidities among ever–married Omani women. African Journal of Reproductive Health. Vol.8 num 3, pp 188–197 Avellanet Merce, Meritxell Fiter, Cirera E and Margarida Coll 2003 Prevalence of urinaryincontinence in Andorra: impact on women’shealth. MBC Women’s health 3:5. Bates P,Bradley WE, Glen E, Griffiths D, Mechior H, Rowan D , et al. The standardization of terminology of lower urinary tract function. J Urol 1979;121:551–554. Burnham G, Lafta R, Shannon D, Roberts L 2006 Mortality after 2003 invasion of Iraq: a cross sectional cluster sample survey Lancet 368:1421–1428. Chiarelli P, Brown W and McElduff P 1999: Leaking urine: prevalence and associated factors in Austraian Neurourology and Urodynamics 18:567–577. Christopher R Chapple 2005 Primer: questionnaires versus urodynamics in the evaluation of lower urinary tract dysfuction one, both or none? Nature Clinical Practice Urology: 2 : 11 Deleu D, Mushtaq A. Khan M.D, Tariq A.H. and Al shihab 2002 Prevalence and Clinical Characteristics of Headache in a Rural Community in Oman. Headache: 42:963–973. Eason E, Labrecque M, Marcaux S and Mondor M 2004 Effect of carrying a pregnancy an method of delivery on urinary incontinence: a prospective cohort stydy. MBC pregnancy and childbirth, 4:4. Elchalal U, Ben–Ami B and Brzezinski A 1999. Female circumcision: the peril remains. BJU Intrnational 83, (1) 103–108. Gin– Den Chen, Tzu–Li Lin, Suh–Woan Hu, Yi– Ching Chen, and Long–Yau Lin 2003 prevalenceand correlation of Urinary Incontinence and overactive Bladder in Taiwanese Women. Neurourology and Urodynamics 22: 109–117. Gunthorpe W, Brown w, and Redman S 2000 The Development and Evaluation of an incontinence Screening Questionnaire for Female Primary care. Urology and Urodynamyc 19: 59–607. Hacker N and Moore G 1992 Essentials of Obstetrics and Gynecology, pp 400. Sec Ed, W.B.Saunders company. Hägglund D, Olsson H and Leppert J 1999 Urinary incontinence: an unexpected large problem among young females. Result from population–based study. Oxford University Press. Vol . 16, no 5 pp 506–509. Hunskaar, S (2006) State of the art lecture, International Continence Society, Annual Scientific meeting, Christchuch NewZealand: http://webcast.prous.com/ics2006_NZ/program.asp?SID=7 Hunskaar, S, Lose G, Sykes and Voss S, 2004 The prevalence of urinary incontinence in women in four European countries. BJU International 93, 324–330. Hunskaar, S, Burgoi, K , Clark, A, Lapitan, M.C. Nelson R Sillen, U and Thom D 2005 ‘Epidemiology of Urinary (UI) and Faecal (FI) Incontinence and Pelvic Organ Prolapse (POP),’in Abrams, L Cardozo, S Khoury and A Wein(eds), Incontinence Volume 1 Basics & Evaluation, Health Publication, pp 265–280. Hunskaar, S, Abrams, P, Khoury, S, and Wein, A 1999 Prevalence study on Urinary Incontinence in Asia www.urotaday.org/prod/contents/UI/ui_prevalence.asp? Ishico O, Hirai K, Sumi T, Nishimura S, Ogita S. 2000. The urinary incontinence score in the diagnosis of female urinary incontinence. Int J Gyneacol Obstet 68:131–13 Lapitan M.C. and Chye P.L.H. 2001 The Epidemiology of Overractive Bladder among Females in Asia: A Questionnaire Survey. Int Urogynecol 12:226–23 Marshall K,Totterdal D, McCinnel V, Walsh D.M. and Whelan M, 1996 Urinary Incontinence and Constipation during pregnancyand after childbirth. Physiotherapy Journal 82–2–98–10 Minassian,VA , Drutz,H.P. and Al Badr A 2003. Urinary incontinence as a worldwide problem. International Journal of Gynecology and Obtretrics 82:327–338 Ministry of National Economy 2003 Final result of the census. www.Omancensus.net Peyrat L, Hailot O, Bruyere F, Boutin J.M., Bertand P and Lanson Y 2002 Prevalence and risk factors of urinary incontinence in young an middle– aged women. BJU International 89, 61–66 Polden Margaret and Jill Mantle 1990 P hysiotherapy in obstetrics and gynaecology.pp 365. Butterworthand Heimann. Portney L G andWatkins M P 2000,(2nd ed) Foundations of Clinical Research : Applications to practice. Prentice Hall Health, Upper Saddle River, New Jersey 07456 Richard J, 1987 Pp 13–16 Overcome Incontinence: A practical guide to better bladder control. Harper Collins Manufacturing Glasgow. Rizk D.E.E, Shaheen H, Thomas L, Dunn E. and Hassan M.Y.(1999)The Prevalence and determinants of health care– seeking behavior for urinary in continence in United Arab Emirates Women.Int Urogynecol J 20: 160–165. Roberts L, Riyadh L, Grafield R, Khudhairi J, Burnham G (2004) Mortality before and after the 2003 invasion of Iraq:lancet vol 364: 1857–1864. Sapsford R, Bullock–Saxton J and Marwkwell S (1998) Waman’s Health: A Textbook for Physiothepists, pp 289. W.B Saunders. Slomo V, Boris K, Sasson N, Samuels G, Gidon S and Eliezer K 2001 Urinary incontinence in women: Prevalence, Characteristics and Effect on Quality of life. A primary care clinic study.IMAJ vol;3: 663–666. Sultanate of Oman Ministry of Health (2000): National Health Survey study of life style risk factors. Muscat: Ministry of Health 2000 Thom D. H. 2006. Differences in Prevalence of Urinary Incontinence by Race/Ethnicity: J Urol. 2006; 175 vol. 1, pp 259–264. www.unisa.edu.au/health/research/concentrations.asp