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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 University, School of Health and Medical Sciences. 2 Obstetrics and Gynaecology, Örebro County Council, Örebro, Sweden.
Örebro University, School of Health and Medical Sciences. Urology, Örebro University Hospital, Örebro, Sweden; Centre for Assessment of Medical Technology, Örebro County Council, Örebro, Sweden.
Örebro University, School of Health and Medical Sciences. 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 (English)In: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, E-ISSN 1651-2065, Vol. 43, no 3, p. 226-232Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
London: Taylor & Francis , 2009. Vol. 43, no 3, p. 226-232
Keyword [en]
Female, general health, living conditions, urinary incontinence
National Category
Urology and Nephrology Obstetrics, Gynecology and Reproductive Medicine Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-11773DOI: 10.1080/00365590902808566PubMedID: 19308808Scopus ID: 2-s2.0-67649114475OAI: oai:DiVA.org:oru-11773DiVA: diva2:349733
Available from: 2010-09-08 Created: 2010-09-08 Last updated: 2017-10-18Bibliographically approved
In thesis
1. Interventions for urinary incontinence in women: survey and effects on population and patient level
Open this publication in new window or tab >>Interventions for urinary incontinence in women: survey and effects on population and patient level
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
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.

Place, publisher, year, edition, pages
Örebro: Örebro university, 2011. p. 74
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 51
Keyword
Urinary incontinence, female, general living conditions, self-management, electrical stimulation, quality of life questionnaire
National Category
Medical and Health Sciences Surgery
Research subject
Surgery
Identifiers
urn:nbn:se:oru:diva-12631 (URN)978-91-7668-778-9 (ISBN)
Public defence
2011-02-11, Wilandersalen, Universitetssjukhuset, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2010-12-01 Created: 2010-12-01 Last updated: 2017-10-17Bibliographically approved

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

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Scandinavian Journal of Urology and Nephrology
Urology and NephrologyObstetrics, Gynecology and Reproductive MedicineNursing

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