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Urinary incontinence in women is not exclusively a medical problem: a population-based study on urinary incontinence and general living conditions
Örebro universitet, Hälsoakademin. 2 Obstetrics and Gynaecology, Örebro County Council, Örebro, Sweden.
Örebro universitet, Hälsoakademin. Urology, Örebro University Hospital, Örebro, Sweden; Centre for Assessment of Medical Technology, Örebro County Council, Örebro, Sweden.
Örebro universitet, Hälsoakademin. Urology, Örebro University Hospital, Örebro, Sweden.ORCID-id: 0000-0002-9062-8840
Department of Statistics, Stockholm University, Stockholm, Sweden.ORCID-id: 0000-0002-3888-4695
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2009 (Engelska)Ingår i: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, E-ISSN 1651-2065, Vol. 43, nr 3, s. 226-232Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVE: The aim of the study was to analyse differences in general health and general living conditions between women with and without urinary incontinence (UI).

MATERIAL AND METHODS: This cross-sectional population-based study was conducted in Orebro County, Sweden. A public health questionnaire, "Life and Health", was sent to a randomly selected sample of the population. The questionnaire consisted of 87 questions on broad aspects of general and psychiatric health. An additional questionnaire was enclosed for those respondents who reported experiencing UI. The data were analysed using binary logistic regression. The final study population constituted 4609 women, 1332 of whom had completed both questionnaires. The remaining 3277 had completed only the Life and Health questionnaire. Effect measures were odds ratios (ORs) with corresponding 95% confidence intervals (CIs).

RESULTS: Statistically significant associations were found between UI and the occurrence of musculoskeletal pain (OR 1.45, 95% CI 1.20-1.76), fatigue and sleeping disorders (OR 1.59, 95% CI 1.30-1.95), feelings of humiliation (OR 1.29, 95% CI 1.12-1.50), financial problems (OR 1.36, 95% CI 1.11-1.66), and reluctance to seek medical care (OR 1.43, 95% CI 1.21-1.68).

CONCLUSION: UI among women is commonly associated with a number of different psychosocial problems as well as an expressed feeling of vulnerability.

Ort, förlag, år, upplaga, sidor
London: Taylor & Francis , 2009. Vol. 43, nr 3, s. 226-232
Nyckelord [en]
Female, general health, living conditions, urinary incontinence
Nationell ämneskategori
Urologi och njurmedicin Reproduktionsmedicin och gynekologi Omvårdnad
Forskningsämne
Vårdvetenskap
Identifikatorer
URN: urn:nbn:se:oru:diva-11773DOI: 10.1080/00365590902808566PubMedID: 19308808Scopus ID: 2-s2.0-67649114475OAI: oai:DiVA.org:oru-11773DiVA, id: diva2:349733
Tillgänglig från: 2010-09-08 Skapad: 2010-09-08 Senast uppdaterad: 2017-10-18Bibliografiskt granskad
Ingår i avhandling
1. Interventions for urinary incontinence in women: survey and effects on population and patient level
Öppna denna publikation i ny flik eller fönster >>Interventions for urinary incontinence in women: survey and effects on population and patient level
2011 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Urinary Incontinence is a common health problem that can cause both severe medical and social problems, resulting in negative impact on different aspects of Quality of Life. In 2000, the Swedish Council on Health Technology Assessment (SBU) published a systematic review, “Treatment of Urinary Incontinence” where multiple knowledge gaps in the field of UI, all of considerable clinical importance, were pointed out.Several of these knowledge gaps have been the starting points for the projects in this thesis. The overall aim has been to study the impact of different interventions for urinary incontinence in women on the population level but also on the patient group level, for assessessing the significance of UI on general living conditions and to validate instruments to measure quality of life to be used as part of the evaluation of treatment effectiveness.

Paper I: A population-based study where UI amongst women was found to be commonly associated with different psychosocial problems and an expressed feeling of vulnerability.

Paper II: A population-based study where informative material on UI to the general public in order to increase knowledge and encourage self management was found promising for meeting increasing demands and optimizing healthcare resources.

Paper III: A randomized controlled trial where both electrical stimulation and drug therapy reduced the number of micturitions and improved QoL in women with urge or urge incontinence, but electrical stimulation was not found to be superior to drug therapy.

Paper IV: A prospective cohort study where the international questionnaires UDI-6 and IIQ-7 after translation and validation, showed good responsiveness and were easy to administer and to fill out. The UDI-6 scale did not accomplish the same solid result in the psychometrical analysis as the IIQ-7 scale but both scales showed good responsiveness and can thereby be recommended for clinical use.

Ort, förlag, år, upplaga, sidor
Örebro: Örebro university, 2011. s. 74
Serie
Örebro Studies in Medicine, ISSN 1652-4063 ; 51
Nyckelord
Urinary incontinence, female, general living conditions, self-management, electrical stimulation, quality of life questionnaire
Nationell ämneskategori
Medicin och hälsovetenskap Kirurgi
Forskningsämne
Kirurgi
Identifikatorer
urn:nbn:se:oru:diva-12631 (URN)978-91-7668-778-9 (ISBN)
Disputation
2011-02-11, Wilandersalen, Universitetssjukhuset, Örebro, 09:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2010-12-01 Skapad: 2010-12-01 Senast uppdaterad: 2017-10-17Bibliografiskt granskad

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Franzén, KarinJohansson, Jan-ErikAndersson, GunnelPettersson, NicklasNilsson, Kerstin

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Scandinavian Journal of Urology and Nephrology
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