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Urinary Incontinence in Women Aged 25-64 in Turkey: A Cross-Sectional Research

Year 2021, Volume: 15 Issue: 4, 853 - 861, 20.12.2021

Fatih Ozcan Cüneyd Özkürkçügil Nilay Etiler

https://doi.org/10.21763/tjfmpc.956210
Cited By: 1

Abstract

Objective: The study aimed to determine the prevalence of urinary incontinence (UI) in a representative sample of women living in Turkey at the national level and to investigate predisposing factors. Methods: A cross-sectional study was conducted nationwide on women aged 25-64. Women were selected from Family Physicians' lists using random sampling. For data collection, a valid Turkish questionnaire; the international incontinence questionnaire - short form (ICIQ-SF) was used. An ICIQ-SF questionnaire is a form of inquiry that assesses the presence and severity of urinary incontinence and predisposing factors were Results: A total of 1,179 participants took part. The median age was 43±10.8 years. “Do you always leak urine?" the prevalence of UI was 43.9% in the answer to the question. Furthermore, the UI prevalence was 47.4% (559/1179) according to the ICIQ-SF survey. The prevalence of UI did not differ between regions, but the difference between increased vaginal births (≥3), advanced age, and low educational status was significant (p<0.05). Conclusion: The high rate of UI among women in Turkey indicates an important women's health problem that can be prevented by some studies. We believe it is important that this is taken into account in national preventive women's health programs. We recommend that the ICIQ-SF query form be included in national preventive women's health programs by taking routine practice as a screening tool to detect urinary incontinence in adult women.

Keywords

Urinary incontinence ICIQ-SF population based study cross-sectional research

Thanks

ACKNOWLEDGEMENT We thank them respectable family physicians written names following for their assistance on data collection period of the study: Ayşegül Kabanlı, Ayşen Mert Bengi, Sibel Baktır Altuntaş, Kürşat Özkök, Ömer Erdoğan, Saide Eda Cebeci, Gülçin Özkan Onur, Serpil İnan, Hüseyin Güntürkün, Arda Nermin Sümer, Şenay Koçakoğlu, Sema Aypolat Kurtuluş, İlker Boler, Şevket Akar, Fikri Ozan Arslan, Mehmet Ünlüsoy, Murat Tolga, Hülya Görgün, Yıldıray Demirci, Olgun Göktaş, Nihan Zonüzi, Handan Karahan Saper, Senem Aslan, Pınar Bilgili, Ekin Saba, Orhan Tekin, Hakan Şen, Kasım Ünalan, Cem Bilgiç, Bilge Sönmez, Kerim Güner Tüzün, Şehnaz Hatipoğlu. *We declare that there is no conflict of interest related with this investigation. *The abstract of this study took place as oral presentation at the 5th National Congress Of Functional And Female Urology in Antalya, Turkey on October 5-8 2017.

References

  • 1. Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT. Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(5):301-19.
  • 2. Kocak I, Okyay P, Dundar M, Erol H, Beser E. Female urinary incontinence in the west of Turkey: prevalence, risk factors and impact on quality of life. Eur Urol 2005;48(4):634-41.
  • 3. Dursun P, Dogan NU, Kolusari A, Dogan S, Ugur MG, Komurcu O, et al. Differences in geographical distribution and risk factors for urinary incontinence in Turkey: analysis of 6,473 women. Urol Int. 2014;92(2):209-14.
  • 4. Address Based Population Registration System Results. Ankara: TurkStat, 2018. [Cited 2018 Nov. 1] Available from:https://biruni.tuik.gov.tr/DIESS/SiniflamaSurumListeAction.do?turId=7&turAdi=%205.%20Geographical%20Classifications&guncel=Y
  • 5. Urbaniak, G, C., Plous, S. Research Randomizer (Ver.4.0) [Computer software] [Cited 2018 Nov. 1] Available from: http://www.randomizer.org.
  • 6. Cetinel B, Ozkan B, Can G. The validation study of ICIQ-SF Turkish version. Turk J Urol 2004;30(3):332-8.
  • 7. Klovning A, Avery K, Sandvik H, Hunskaar S. Comparison of two questionnaires for assesing the severity of urinary incontinence: The ICIQ-UI SF versus the incontinence severity index. Neurourol Urodyn 2009;28(5):411-5.
  • 8. Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. Int J Gynecol Obstet 2003;82(3):327-38.
  • 9. Cerruto MA, D'Elia C, Aloisi A, Fabrello M, Artibani W. Prevalence, incidence and obstetric factors' impact on female urinary incontinence in Europe: a systematic review. Urol Int 2013;90(1):1-9.
  • 10. Irwin DE, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of EPIC Study. Eur Urol 2006;50(6):1306-15.
  • 11. Minassian VA, Stewart WF, Wood GC. Urinary incontinence in women. Obstet Gynecol 2008;111(2 Pt 1):324-31.
  • 12. Ebbesen MH, Hunskaar S, Rortveit G, Hannestad YS. Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT). An important epidemiological study of the natural history of incontinence in women. BMC Urol 2013;13: 27.
  • 13. Zhang L, Zhu L, Xu T, Lang J, Li Z, Gong J, et al. A population-based survey of the prevalence, potential risk factors, and symptom-specific bother of lower urinary tract symptoms in adult Chinese women. Eur Urol 2015;68(1):97-112.
  • 14. Taylor DW, Weir M, Cahill JJ, Rizk DEE. The self-reported prevalence and knowledge of urinary incontinence and barries to Health Care-seeking in a community sample of Canadian Women. Am J M Sc 2013;3(5):97-102.
  • 15. Milliard R. The prevalence of urinary incontinence in Australia. Aust Continence J. 1998;4:92-9.
  • 16. Turan C, Zorlu CG, Ekin M, Hancerliogullari N, Saracoglu F. Urinary incontinence in women of reproductive age. Gynecol Obstet Invest 1996;41(2): 132-4.
  • 17. Özdemir K, Şahin S , Özerdoğan N , Ünsal A. Evaluation of urinary incontinence and quality of life in married women aged between 20 and 49 years (Sakarya, Turkey). Turk J Med Sci 2018;48(1):100-9.
  • 18. Demir Ö, Sen V, Irer B, Bozkurt O, Esen A. Prevalence and Possible Risk Factors for Urinary Incontinence: A Cohort Study in the City of Izmir. Urol Int 2017;99(1):84-90.
  • 19. Güvenç G, Kocaöz S, Kök G. Quality of life in climacteric Turkish women with urinary incontinence. Int. J Nurs Pract 2016;22(6):649-59.
  • 20. Cayan S, Yaman O, Orhan I, Usta M, Başar M, Resim S, et al. Prevalence of sexual dysfunction and urinary incontinence and associated risk factors in Turkish women. Eur J Obstet Gynecol 2016;203:303-8.
  • 21. Akkus Y, Pinar G. Evaluation of the prevalence, type, severity, and risk factors of urinary incontinence and its impact on quality of life among women in Turkey. Int Urogynecol J 2016;27(6):887-93.
  • 22. Gözükara F, Koruk I, Kara B. Urinary incontinence among women registered with a family health center in the Southeastern Anatolia Region and the factors affecting its prevalence. Turk J Med Sci 2015;45(4):931-9.
  • 23. Kaşıkçı M, Kılıç D, Avşar G, Şirin M. Prevalence of urinary incontinence in older Turkish women, risk factors, and effect on activities of daily living. Arch Gerontol Geriatr 2015;61(2):217-23.
  • 24. Baykus N, Yenal K. Prevalence of urinary incontinence in women aged 18 and over and affecting factors J Women Aging 2020;32(5):578-90.
  • 25. Özcan F, Özkürkçügil C, Etiler N. Frequency of urinary incontinence in women admitted to a family health center. Turkish Journal Of Family Medicine 2016;20(1): 15-20
  • 26. Zumrutbas AE, Bozkurt AI, Tas E, Acar C I, Alkis O, Coban K, et al. Prevalence of lower urinary tract symptoms, overactive bladder and urinary incontinence in western Turkey: Results of a population-based survey. Int J Urol 2014;21(10):1027-33.
  • 27. Onur R, Deveci SE, Rahman S, Sevindik F, Acik Y. Prevalence and risk factors of female urinary incontinence in eastern Turkey. Int J Urol 2009;16(6):566-69.
  • 28. Bedretdinova D, Fritel X, Panjo H, Ringa V. Prevalence of Female Urinary incontinence in the General Population According to Different Definitions and Study Designs. Eur Urol 2016;69(2):256-64.
  • 29. Swanson JG, Kaczorowski J, Skelly J, Finkelstein M. Urinary incontinence: common problem among women over 45. Can Fam Physician 2005;51(1): 84-85.
  • 30. Herschorn S, Gajewski J, Schulz J, Corcos J. A population-based study of urinary symptoms and incontinence: The Canadian Urinary Bladder Survey. BJU Int 2008;101(1):52-8.
  • 31. Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey. Hacettepe University Institute of Population Studies, T.R. Presidency of Turkey Directorate of Strategy and Budget and TÜBİTAK, Ankara, Turkey.2019. p.61.
  • 32. Karmakar D, Mostafa A, Abdel-Fattah M. A new validated score for detecting patient-reported success on postoperative ICIQ-SF: a novel two-stage analysis from two large RCT cohortss. Int Urogynecol J 2017;28(1):95-100.

Türkiye’de 25-64 yaş kadınlarda idrar kaçırma : kesitsel bir araştırma

Year 2021, Volume: 15 Issue: 4, 853 - 861, 20.12.2021

Fatih Ozcan Cüneyd Özkürkçügil Nilay Etiler

https://doi.org/10.21763/tjfmpc.956210
Cited By: 1

Abstract

Amaç: Çalışmanın amacı, Türkiye’de yaşayan kadınların ulusal düzeyde temsili örnekleminde, üriner inkontinans (Üİ) prevalansını saptamak ve predispozan faktörleri araştırmaktı. Yöntem: Yaşları 25-64 olan kadınlar üzerinde ülke çapında kesitsel bir çalışma yapıldı. Kadınlar, aile hekimliği listelerinden rastgele örnekleme kullanılarak seçildi. Veri toplama için geçerliliği onaylanmış Türkçe bir anket; Uluslararası İnkontinans Anketi - kısa formu (ICIQ-SF) kullanıldı. ICIQ-SF anketi, idrar kaçırmanın varlığını ve ciddiyetini değerlendiren bir sorgu formu olup predispozan faktörler incelendi. Bulgular: Toplam 1179 katılımcı yer aldı. Yaş ortalaması 43±10,8 yıldı. “Her zaman idrar kaçırıyor musunuz?” sorusuna karşılık verilen cevapta Üİ prevalansı %43,9 bulundu. Ayrıca, ICIQ-SF anketine göre UI prevalansı %47,4 (559/1179) idi. Üİ prevalansı bölgeler arasında farklılık göstermedi ancak artan vajinal doğum sayısı (≥3), ileri yaş ve düşük eğitim düzeyi arasındaki fark anlamlı idi (p<0.05). Sonuç: Türkiye'de kadınlar arasında Üİ oranının yüksek oluşu, bazı çalışmalarla önlenebilecek önemli bir kadın sağlığı sorununa işaret etmektedir. Bu durumun ulusal koruyucu kadın sağlığı programlarında dikkate alınmasının önemli olduğuna inanıyoruz. ICIQ-SF sorgu formunun erişkin kadınlarda idrar kaçırma sorununun saptanması için bir tarama aracı olarak rutin uygulamaya alınarak ulusal koruyucu kadın sağlığı programlarında yer almasını öneriyoruz.

Keywords

İdrar kaçırma ICIQ-SF kesitsel araştırma nüfus tabanlı araştırma

References

  • 1. Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT. Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(5):301-19.
  • 2. Kocak I, Okyay P, Dundar M, Erol H, Beser E. Female urinary incontinence in the west of Turkey: prevalence, risk factors and impact on quality of life. Eur Urol 2005;48(4):634-41.
  • 3. Dursun P, Dogan NU, Kolusari A, Dogan S, Ugur MG, Komurcu O, et al. Differences in geographical distribution and risk factors for urinary incontinence in Turkey: analysis of 6,473 women. Urol Int. 2014;92(2):209-14.
  • 4. Address Based Population Registration System Results. Ankara: TurkStat, 2018. [Cited 2018 Nov. 1] Available from:https://biruni.tuik.gov.tr/DIESS/SiniflamaSurumListeAction.do?turId=7&turAdi=%205.%20Geographical%20Classifications&guncel=Y
  • 5. Urbaniak, G, C., Plous, S. Research Randomizer (Ver.4.0) [Computer software] [Cited 2018 Nov. 1] Available from: http://www.randomizer.org.
  • 6. Cetinel B, Ozkan B, Can G. The validation study of ICIQ-SF Turkish version. Turk J Urol 2004;30(3):332-8.
  • 7. Klovning A, Avery K, Sandvik H, Hunskaar S. Comparison of two questionnaires for assesing the severity of urinary incontinence: The ICIQ-UI SF versus the incontinence severity index. Neurourol Urodyn 2009;28(5):411-5.
  • 8. Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. Int J Gynecol Obstet 2003;82(3):327-38.
  • 9. Cerruto MA, D'Elia C, Aloisi A, Fabrello M, Artibani W. Prevalence, incidence and obstetric factors' impact on female urinary incontinence in Europe: a systematic review. Urol Int 2013;90(1):1-9.
  • 10. Irwin DE, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of EPIC Study. Eur Urol 2006;50(6):1306-15.
  • 11. Minassian VA, Stewart WF, Wood GC. Urinary incontinence in women. Obstet Gynecol 2008;111(2 Pt 1):324-31.
  • 12. Ebbesen MH, Hunskaar S, Rortveit G, Hannestad YS. Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT). An important epidemiological study of the natural history of incontinence in women. BMC Urol 2013;13: 27.
  • 13. Zhang L, Zhu L, Xu T, Lang J, Li Z, Gong J, et al. A population-based survey of the prevalence, potential risk factors, and symptom-specific bother of lower urinary tract symptoms in adult Chinese women. Eur Urol 2015;68(1):97-112.
  • 14. Taylor DW, Weir M, Cahill JJ, Rizk DEE. The self-reported prevalence and knowledge of urinary incontinence and barries to Health Care-seeking in a community sample of Canadian Women. Am J M Sc 2013;3(5):97-102.
  • 15. Milliard R. The prevalence of urinary incontinence in Australia. Aust Continence J. 1998;4:92-9.
  • 16. Turan C, Zorlu CG, Ekin M, Hancerliogullari N, Saracoglu F. Urinary incontinence in women of reproductive age. Gynecol Obstet Invest 1996;41(2): 132-4.
  • 17. Özdemir K, Şahin S , Özerdoğan N , Ünsal A. Evaluation of urinary incontinence and quality of life in married women aged between 20 and 49 years (Sakarya, Turkey). Turk J Med Sci 2018;48(1):100-9.
  • 18. Demir Ö, Sen V, Irer B, Bozkurt O, Esen A. Prevalence and Possible Risk Factors for Urinary Incontinence: A Cohort Study in the City of Izmir. Urol Int 2017;99(1):84-90.
  • 19. Güvenç G, Kocaöz S, Kök G. Quality of life in climacteric Turkish women with urinary incontinence. Int. J Nurs Pract 2016;22(6):649-59.
  • 20. Cayan S, Yaman O, Orhan I, Usta M, Başar M, Resim S, et al. Prevalence of sexual dysfunction and urinary incontinence and associated risk factors in Turkish women. Eur J Obstet Gynecol 2016;203:303-8.
  • 21. Akkus Y, Pinar G. Evaluation of the prevalence, type, severity, and risk factors of urinary incontinence and its impact on quality of life among women in Turkey. Int Urogynecol J 2016;27(6):887-93.
  • 22. Gözükara F, Koruk I, Kara B. Urinary incontinence among women registered with a family health center in the Southeastern Anatolia Region and the factors affecting its prevalence. Turk J Med Sci 2015;45(4):931-9.
  • 23. Kaşıkçı M, Kılıç D, Avşar G, Şirin M. Prevalence of urinary incontinence in older Turkish women, risk factors, and effect on activities of daily living. Arch Gerontol Geriatr 2015;61(2):217-23.
  • 24. Baykus N, Yenal K. Prevalence of urinary incontinence in women aged 18 and over and affecting factors J Women Aging 2020;32(5):578-90.
  • 25. Özcan F, Özkürkçügil C, Etiler N. Frequency of urinary incontinence in women admitted to a family health center. Turkish Journal Of Family Medicine 2016;20(1): 15-20
  • 26. Zumrutbas AE, Bozkurt AI, Tas E, Acar C I, Alkis O, Coban K, et al. Prevalence of lower urinary tract symptoms, overactive bladder and urinary incontinence in western Turkey: Results of a population-based survey. Int J Urol 2014;21(10):1027-33.
  • 27. Onur R, Deveci SE, Rahman S, Sevindik F, Acik Y. Prevalence and risk factors of female urinary incontinence in eastern Turkey. Int J Urol 2009;16(6):566-69.
  • 28. Bedretdinova D, Fritel X, Panjo H, Ringa V. Prevalence of Female Urinary incontinence in the General Population According to Different Definitions and Study Designs. Eur Urol 2016;69(2):256-64.
  • 29. Swanson JG, Kaczorowski J, Skelly J, Finkelstein M. Urinary incontinence: common problem among women over 45. Can Fam Physician 2005;51(1): 84-85.
  • 30. Herschorn S, Gajewski J, Schulz J, Corcos J. A population-based study of urinary symptoms and incontinence: The Canadian Urinary Bladder Survey. BJU Int 2008;101(1):52-8.
  • 31. Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey. Hacettepe University Institute of Population Studies, T.R. Presidency of Turkey Directorate of Strategy and Budget and TÜBİTAK, Ankara, Turkey.2019. p.61.
  • 32. Karmakar D, Mostafa A, Abdel-Fattah M. A new validated score for detecting patient-reported success on postoperative ICIQ-SF: a novel two-stage analysis from two large RCT cohortss. Int Urogynecol J 2017;28(1):95-100.
There are 32 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Orijinal Articles
Authors

Fatih Ozcan 0000-0001-9380-5227

Cüneyd Özkürkçügil This is me 0000-0002-1021-1392

Nilay Etiler 0000-0001-5711-3733

Publication Date December 20, 2021
Submission Date June 22, 2021
Published in Issue Year 2021 Volume: 15 Issue: 4

Cite

Vancouver Ozcan F, Özkürkçügil C, Etiler N. Urinary Incontinence in Women Aged 25-64 in Turkey: A Cross-Sectional Research. TJFMPC. 2021;15(4):853-61.

Cited By

Addressing urinary incontinence by gender: a nationwide population-based study in Turkiye
BMC Urology
https://doi.org/10.1186/s12894-023-01388-2
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English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.