北京地区成年女性尿失禁患病率及就诊率调查

The prevalence and cognition of urinary incontinence among female adults in Beijing

目的调查北京地区城乡成年女性尿失禁(UI)的患病率、就诊率及对医疗卫生服务的需求情况。方法采用分层多阶段整群系统抽样的方法,应用女性下尿路症状问卷(ICIQ-FLUTS)调查北京市6个区县24个调查点的20～79岁女性3058人。结果北京地区女性UI患病率为22.1%(675/3058)。居民对自身患病的知晓率为37.6%(254/675)。城区女性(63.5%)知晓率高于郊区女性(11.8%)(P<0.05)。患UI的254例患者就诊率为19.7%(50/254)。以ICIQ-FLUTS为诊断标准,患者的就诊率为7.4%(50/675),治疗率为3.0%(20/675)。结论北京地区成年女性尿失禁患病率比较高,而知晓率和就诊率较低。

Objective To investigate the prevalence rate of urinary incontinence （UI） among female adults in Beijing,and to investigate related medical care-seeking behaviors and demand among UI patients. Method A stratified multiple-cluster randomed method was used to select female adults above 20 years old from 24 communities in Beijing. Three thousand and fifty-eight participants were investigated using the ICIQ-FLUTS recommend by the International Consultation on Incontinence. Result The prevalence rate of UI was 22.1%（675/3 058）,and 37.6%（254/675）of participants with UI knew their health conditions. More urban female adults （63.5%） knew their health conditions than rural females （37.6%）. The proportion of medical care-seeking among diagnosed UI patients was 19.7% （50/254）,while 7.4%（50/675） among UI patients were identified by ICIQ-FLUTS. Only 20 UI （3.0%,20/675） cases received medical treatment among UI case,and the proportion was 3.0%（20/675）. Conclusion The prevalence rate of UI is high among female adults in Beijing,while few UI patients know their health conditions or seek medical care.