Prevalence and determinants of non-fistulous urinary incontinence among Ghanaian women seeking gynaecologic care at a teaching hospital
The study assessed the prevalence and determinants of non-fistulous urinary incontinence among gynaecologic care seekers as well as its interference with everyday life activities of affected women. A cross-sectional study involving 400 women was conducted in a tertiary facility in Ghana. Urinary inc...
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| Veröffentlicht in: | PloS one 2020-08, Vol.15 (8), p.e0237518-e0237518 |
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| creator | Ofori, Anthony Amanfo Osarfo, Joseph Agbeno, Evans Kofi Azanu, Wisdom Klutse Opare-Addo, Henry Sakyi |
| description | The study assessed the prevalence and determinants of non-fistulous urinary incontinence among gynaecologic care seekers as well as its interference with everyday life activities of affected women. A cross-sectional study involving 400 women was conducted in a tertiary facility in Ghana. Urinary incontinence was assessed using the International Consultation on Incontinence Questionnaire-short form (ICIQ-SF) which has not been validated locally. The questionnaire was administered mostly in the Asante Twi language with translation done at the time of the interview. The data was analysed for proportions and associations between selected variables. The prevalence of urinary incontinence was 12%, the common types being urgency (33.3%), stress (22.9%), and mixed (20.8%). Age [greater than or equal to]60 years compared to 18-39 years (OR 3.66 95%CI 1.48-9.00 P = 0.005), and a history of chronic cough (OR 3.80 95% CI 1.36-10.58 P = 0.01) were associated with urinary incontinence. Women with education beyond the basic level were 72% less likely to experience urinary incontinence (OR 0.28 95%CI 0.08-0.96 P = 0.04). Urinary incontinence interferes with everyday life activities of most affected women. Non-fistulous urinary incontinence is relatively common among gynaecologic care seekers yet very few women were referred with such a diagnosis. Advocacy measures aimed at urging affected women to report the condition and educating the general population on potential causes, prevention and treatment are needed. |
| doi_str_mv | 10.1371/journal.pone.0237518 |
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A cross-sectional study involving 400 women was conducted in a tertiary facility in Ghana. Urinary incontinence was assessed using the International Consultation on Incontinence Questionnaire-short form (ICIQ-SF) which has not been validated locally. The questionnaire was administered mostly in the Asante Twi language with translation done at the time of the interview. The data was analysed for proportions and associations between selected variables. The prevalence of urinary incontinence was 12%, the common types being urgency (33.3%), stress (22.9%), and mixed (20.8%). Age [greater than or equal to]60 years compared to 18-39 years (OR 3.66 95%CI 1.48-9.00 P = 0.005), and a history of chronic cough (OR 3.80 95% CI 1.36-10.58 P = 0.01) were associated with urinary incontinence. Women with education beyond the basic level were 72% less likely to experience urinary incontinence (OR 0.28 95%CI 0.08-0.96 P = 0.04). Urinary incontinence interferes with everyday life activities of most affected women. Non-fistulous urinary incontinence is relatively common among gynaecologic care seekers yet very few women were referred with such a diagnosis. Advocacy measures aimed at urging affected women to report the condition and educating the general population on potential causes, prevention and treatment are needed.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0237518</identifier><identifier>PMID: 32810136</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Age ; Biology and Life Sciences ; Bladder ; Care and treatment ; Constipation ; Cough ; Determinants ; Gynecology ; Medicine and Health Sciences ; Obstetrics ; People and Places ; Population ; Quality of life ; Questionnaires ; Risk factors ; Statistics ; Studies ; Teaching hospitals ; Urinary incontinence ; Urine ; Women patients ; Womens health</subject><ispartof>PloS one, 2020-08, Vol.15 (8), p.e0237518-e0237518</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Ofori et al. 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A cross-sectional study involving 400 women was conducted in a tertiary facility in Ghana. Urinary incontinence was assessed using the International Consultation on Incontinence Questionnaire-short form (ICIQ-SF) which has not been validated locally. The questionnaire was administered mostly in the Asante Twi language with translation done at the time of the interview. The data was analysed for proportions and associations between selected variables. The prevalence of urinary incontinence was 12%, the common types being urgency (33.3%), stress (22.9%), and mixed (20.8%). Age [greater than or equal to]60 years compared to 18-39 years (OR 3.66 95%CI 1.48-9.00 P = 0.005), and a history of chronic cough (OR 3.80 95% CI 1.36-10.58 P = 0.01) were associated with urinary incontinence. Women with education beyond the basic level were 72% less likely to experience urinary incontinence (OR 0.28 95%CI 0.08-0.96 P = 0.04). 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Advocacy measures aimed at urging affected women to report the condition and educating the general population on potential causes, prevention and treatment are needed.</description><subject>Age</subject><subject>Biology and Life Sciences</subject><subject>Bladder</subject><subject>Care and treatment</subject><subject>Constipation</subject><subject>Cough</subject><subject>Determinants</subject><subject>Gynecology</subject><subject>Medicine and Health Sciences</subject><subject>Obstetrics</subject><subject>People and Places</subject><subject>Population</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Risk factors</subject><subject>Statistics</subject><subject>Studies</subject><subject>Teaching hospitals</subject><subject>Urinary incontinence</subject><subject>Urine</subject><subject>Women patients</subject><subject>Womens 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A cross-sectional study involving 400 women was conducted in a tertiary facility in Ghana. Urinary incontinence was assessed using the International Consultation on Incontinence Questionnaire-short form (ICIQ-SF) which has not been validated locally. The questionnaire was administered mostly in the Asante Twi language with translation done at the time of the interview. The data was analysed for proportions and associations between selected variables. The prevalence of urinary incontinence was 12%, the common types being urgency (33.3%), stress (22.9%), and mixed (20.8%). Age [greater than or equal to]60 years compared to 18-39 years (OR 3.66 95%CI 1.48-9.00 P = 0.005), and a history of chronic cough (OR 3.80 95% CI 1.36-10.58 P = 0.01) were associated with urinary incontinence. Women with education beyond the basic level were 72% less likely to experience urinary incontinence (OR 0.28 95%CI 0.08-0.96 P = 0.04). Urinary incontinence interferes with everyday life activities of most affected women. Non-fistulous urinary incontinence is relatively common among gynaecologic care seekers yet very few women were referred with such a diagnosis. Advocacy measures aimed at urging affected women to report the condition and educating the general population on potential causes, prevention and treatment are needed.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>32810136</pmid><doi>10.1371/journal.pone.0237518</doi><tpages>e0237518</tpages><orcidid>https://orcid.org/0000-0002-5366-3997</orcidid><orcidid>https://orcid.org/0000-0003-1403-8141</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Age Biology and Life Sciences Bladder Care and treatment Constipation Cough Determinants Gynecology Medicine and Health Sciences Obstetrics People and Places Population Quality of life Questionnaires Risk factors Statistics Studies Teaching hospitals Urinary incontinence Urine Women patients Womens health |
| title | Prevalence and determinants of non-fistulous urinary incontinence among Ghanaian women seeking gynaecologic care at a teaching hospital |
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