南昌市东湖区成年女性尿失禁发病率及相关因素的研究

Prevalence and Risk Factors of Adult Female Urinary Incontinence in Donghu District of Nanchang City

目的探讨南昌市东湖区成年女性尿失禁的患病率和相关危险因素。方法 2010年3月至2011年3月对南昌市东湖区3个街道采用整群分层随机方法,抽取20岁及以上成年女性3 125人进行现场调查。结果共获得资料完整有效问卷2 986份,调查对象年龄范围20～90岁,平均年龄为(45.5±15.6)岁。南昌市东湖地区20岁以上尿失禁的患病率为27.7%(827/2 986),其中压力性尿失禁、急迫性尿失禁、混合性尿失禁和其他尿失禁的患病率分别为19.1%、2.6%、5.6%和0.4%。年龄、分娩方式、体质量指数、吸烟、便秘、产次和教育程度均为影响南昌市东湖地区成年女性尿失禁的危险因素。结论与国内其他地区相比,南昌市东湖区成年女性尿失禁患病率相对偏低,其中以压力性尿失禁为主。年龄、分娩方式、体质量指数、吸烟、便秘、产次和教育程度为影响南昌市东湖地区成年女性尿失禁的危险因素。

Objective To investigate the prevalence and risk factors of adult female urinary in- continence （UI） in Donghu district of Nanchang city. Methods A total of 3 125 women aged 20 years or older from three streets in Donghu district of Nanchang city were investigated between March 2010 and March 2011 by using stratified random sampling. Results A total of 2 986 women aged （45.5~15.6） years （range 20 to 90 years） finished the interview. The overall preva- lence of UI was 27.7%（827/2 986）. Among the 2986 women,19.1% had stress UI,2.6~/60 had urge UI,5.6~ had mixed UI,and 0.4~ had other UI. The risk factors for adult female UI in- cluded the age, delivery mode, body mass index, smoking, constipation, delivery times and educa- tion degree. Conclusion The prevalence of adult female UI in Donghu district of Nanchang city was lower than that in other areas of China. The stress UI is the major type of UI,and the age, delivery mode, body mass index, smoking, constipation, delivery times and education degree are the potential risk factors for adult female UI in Donghu district of Nanchang city.