北京市成年女性粪失禁患病率调查

Prevalence of fecal incontinence among adult women in Beijing district

目的 调查北京市成年女性粪失禁（FI）的患病率,分析FI患病的影响因素.方法 采用分层多阶段系统抽样的方法,应用自填式问卷,对北京市6个区（县）20岁及以上成年女性进行问卷调查.结果 本研究符合条件的调查对象共3058例,年龄在20～79岁之间,平均（48±16）岁.北京市成年女性FI患病率为1.28%（39/3058）,FI患病率随年龄增加而升高（P＜0.01）.多因素非条件logistic回归分析显示,5个因素进入回归方程,分别为：年龄≥40岁（OR值为3.3,95%CI：1.7～6.8）、患尿失禁（OR值为3.0,95%CI：1.5～6.1）、自然分娩（OR值为2.4,95%CI：1.2～4.9）、家庭人均月收入≤2000元（OR值为3.3,95%CI：1.6～6.5）、经常感到疲劳（OR值为3.0,95%CI：1.5～5.8）.结论 北京市成年女性FI患病率不高,但影响因素复杂,应该进一步开展相关研究.

Objective To investigate the prevalence of fecal incontinence （FI） among adult women in Beijing area, and to analysis risk factors associated with FI. Methods A stratified multiple-cluster systemic method was used to recruit women ≥ 20 years old in 6 districts of Beijing. A self-administrated questionnaire was used to collect information about Fl and possible risk factors. Results There were three thousand and 58 women participated in the survey, the average age was （48 ± 16 ） years （range 20 -79 years）. The prevalence of FI was 1.28% （ 39/3058 ）, which was related to age. There were five factors entered the logistic regress model, which were included age ≥40 years old （ OR = 3.3, 95% CI： 1.7 -6. 8）, urinary incontinence （ OR = 3.0, 95% CI： 1.5 - 6. 1 ）, vaginal delivery （ OR = 2.4, 95% CI：1.2 -4. 9）, household per capita income ≤2000 RMB per month （ OR = 3. 3, 95 % CI： 1.6 - 6. 5 ）, and feeling fatigue （ OR = 3.0, 95% CI： 1.5 - 5.8）. Conclusion Prevalence of FI is low among adult women in Beijing area, while risk factors associated with Fl are complicated and further studies are necessary to be conducted.