就労女性の尿失禁の実態と腹圧性尿失禁の危険因子に関する分析

Prevalence of urinary incontinence and risk factors of stress urinary incontinence in young and middle-aged working women

Creators Azuma Reiko

Creators Fujisawa Reiko

Creators Masamura Keiko

Creators Ichihara Kiyoshi

Creators Nakao Hisako

Creators Okuda Masayuki

Creators Kunitsugu Ichiro

Creators Hobara Tatsuya

The prevalence of urinary incontinence and risk factors of stress urinary incontinence were studied in 710 working women between 21 and 59 year old. Six hundred (89%) of them responded to a 10-item questionnaire regarding urinary incontinence (UI). Ul was found in 178 (29.7%). The prevalence was consistent with those in previous reports. Of the 178 UI, 158 (88.7%) were stress urinary incontinence (SUI). Four risk factors, age, childbirth, obesity, and gynecological/urological diseases, were statistically analyzed in 158 women with SUI. Mantel-Haenszel odds ratio (MH-OR) of obesity adjusted for age was 0.97 (95% Confidence interval CI: 0.58-1.60). Furthermore, in the obese group, the incidence of SUI adjusted for childbirth was apparently lower (MH-OR: 0.18, 95%CI: 0.11-0.30, p<0.001). In contrast, in the non-obesity group, the prevalence of SUI rather increased by childbirth (MH-OR: 19.3, 95%CI: 11.4-32.8). It was higher in multipara than in primipara. However, within the grand multipara, the number of childbirth was not associated with increased risk. As opposed to previous reports based on uni-variate analyses, obesity, if adjusted for age, is not directly related to SUI. Furthermore, history of childbirth, which proved to be an apparent risk for SUI in non-obese women, seems to lower such risk in obese women.

本文データは山口大学医学会の許諾に基づきCiNiiから複製したものである()

[ISSN]0513-1731

[NCID]AN00243156

[isVersionOf] [NAID]http://ci.nii.ac.jp/naid/110002773858/