Overactive Bladder and Urinary Incontinence in Adult Women: Prevalence and Effects on Daily Life and Sexual Activity

성인 여성의 과민성방광 증후군과 요실금의 실태조사

  • Kim, Jeung-Im (Dept. of Women's Health Nursing, School of Nursing, Soonchunhyang University) ;
  • Kim, Young-Ho (Dept. of Urology, Soonchunhyang University Hospital) ;
  • Ahn, Hyun-Cheol (Dept. of Preventive Medicine, Soonchunhyang University Hospital)
  • 김증임 (순천향대학교 의과대학 간호학과) ;
  • 김영호 (순천향대학교 부천병원 비뇨기과) ;
  • 안현철 (순천향대학교 부천병원 예방의학과)
  • Published : 2002.12.20

Abstract

The purpose of this study was to investigate the prevalence, relative factor and the effects that overactive bladder or urinary incontinence have on women's lives. Data was gathered through an internet survey. The subjects included 3,372 women ranging from 20 years old to 49 years of age. The questionnaire included general characteristics (age, parity, family history, and history of UTI), overactive bladder symptoms (urgency, frequency, nocturia, urgent incontinence), urinary incontinence, discomfort in ADL and sexual activity. The data was analyzed by the SPSS/PC+ program using frequency, $x^2$ test, and multivariate logistic regression. The results were as follows; 1. The prevalence was 12.7 % in overactive bladder and 21.0% in urinary incontinence. 2. 19.2% of the subject have urge incontinence, 5% of them have coped with the use of a pad. 3. The significant factors to overactive bladder were age($x^2$=6.6, p<0.05), history of urinary tract infection ($x^2$=50.8, p<0.01) and family history ($x^2$=26.1, p<0.01). The significant factors to urinary incontinence were age ($x^2$=6.2, p<0.05), occupation ($x^2$=11.0, p<0.05), history of urinary tract infection($x^2$=20.2, p<0.01), parity ($x^2$=8.6, p<0.01), and family history ($x^2$=4.9, p<0.05). 4. Overactive bladder impacts on individual daily life was 5.0 times, urinary incontinence was 2.9 times higher than in non-symptoms. Also, overactive bladder impacts on their sexual activity disturbance was 4.3 times, urinary incontinence has 3.9 times higher than in non-symptoms. In conclusion, overactive bladder symptoms and urinary incontinence were health problems that disturbed women's lives. Also the most problem among overactive bladder may be urgency in Korean. Intervention based on these results needs to be provided for these women.

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