Prevalence of urinary incontinence and associated factors in climacteric women of a primary health care unit
DOI:
https://doi.org/10.5020/18061230.2015.p606Keywords:
Urinary Incontinence, Prevalence, Climacteric.Abstract
Objective: To estimate the prevalence of urinary incontinence (UI) and investigate the associated factors. Methods: This is a quantitative, cross-sectional and analytical study with 233 women going through climacteric, in the age range of 40-65 years, seen in a Primary Health Care Unit (PHU) developed in the period from December 2014 to June 2015. Sociodemographic and clinical (obstetrical and gynecological) data, comorbidities and urinary profile were assessed. The software SPSS 19.0 and the chi-square test were employed to evaluate the association between the variables. The significance level of 5% was adopted. Results: Complaint about UI was present in 41.2% (n=96) of women. Higher prevalence was observed in the age group of 40-45 years with 36.5% (n=35) (p <0.05), brown-skinned with 21,9% (n=21) (p=0.002) and low level of education (up to complete Junior High) with 39.6% (n=38) (p=0.627). As for the self-reported comorbidities, 38.5% (n=37) of the incontinent women presented systemic arterial hypertension (p=0.96), 17.7% (n=17) had diabetes (p=0.982), and 28.1% (n=27), constipation (p=0.101). Regarding the clinical characteristics, 41.7% (n=35) had only vaginal delivery (p=0.087) and 53.1% (n=51) were going through menopause (p=0.113). The stress urinary incontinence (SUI) was found in 85.4% (n=82) of the women. Conclusion: A high prevalence of urinary incontinence in climacteric women was found, emphasizing higher frequency among the younger, brown-skinned women.Downloads
References
Maron L, Leal A, Bandeira D, Macedo PS, Garcia SS, Silva EB. A assistência às mulheres no climatério: um estudo bibliográfico. Revista Contexto & Saúde. 2011;10(20):545-50.
Mishra GD, Cardozo L, Kuh D. Menopausal transition and the risk of urinary incontinence: results from a British propective cohort. BJU Int. 2010;106(8):1170-5.
Thyssen HH, Clevin L, Olesen S, Lose G. Urinary incontinence in elite female athletes and dancers. Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(1):15-7.
Torrealba FCM, Oliveira LDR. Incontinência urinária na população feminina de idosas. Ensaios e Ciência. 2010;14(1):159-175.
Haylen BT, Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2010;21(1):5-26.
Kruger AP, Luz SCT, Virtuoso JF. Home exercises for pelvic floor in continente womem one year after physical therapy treatment for urinary incontinence: an observational study. Braz J Phys Ther. 2011;15(5):351-6.
Higa R, Lopes MHBM, Reis MJ. Fatores de risco para incontinência urinária na mulher. Rev Esc Enferm USP. 2008;1(42):187-92.
Imamura M, Abrams P, Bain C, Buckley B, Cardozo L, Cody, et al. Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence. Health Technol Assess. 2010;14(40):1-118.
Sievert KD, Amend B, Toomey PA, Robinson D, Milsom I, Koelbl H, et al. Can we prevent incontinence? ICI-RS 2011. Neurourol Urodyn. 2012;31(3):390-9.
Sacomori C, Negri NB, Cardoso FL. Incontinência urinária em mulheres que buscam exame preventivo de câncer de colo uterino: fatores sociodemográficos e comportamentais. Cad Saúde Pública. 2013;29(6):1251-9.
Tamanini JTN, Dambros M, D’Ancona CAL, Palma PCR, Netto Jr NR. Validação para o português do “International Consultation on Incontinence Questionnaire – Short Form” (ISIQ-SF). Rev Saúde Pública. 2004;38(3):438-44.
Oliveira E, Takano CC, Sartori JP, Araújo MP, Pimentel SHC, Sartori MGF, et al. Trato urinário, assoalho pélvico e ciclo gravídico-puerperal. Femina. 2007;35(2):89-94.
Figueiredo EM, Lara JO, Cruz MC, Quintão DMG, Monteiro MVC. Perfil sociodemográfico e clínico de usuárias de Serviço de Fisioterapia Uroginecológica da rede pública. Rev Bras Fisioter.2008;12(2):136-42.
Berlezi EM, Dal Bem A, Antonello C, Leite MT, Bertolo EM. Incontinência urinária em mulheres no período pós-menopausa: um problema de saúde pública. Rev Bras Geriatr Gerontol. 2009;12(2):159-73.
Leroy LS, Lopes MHBM, Shimo AKK. A incontinência urinária em mulheres e os aspectos raciais: uma revisão de literatura. Texto & Contexto Enferm. 2012;21(3):692-701.
Fenner DE, Trowbridge ER, Patel DL, Fultz NH, Miller JM, Howard D, et al. Establishing the prevalence of incontinence study: racial differences in women´s patterns of urinary incontinences. J Urol. 2008;179(4):1455-60.
Jardim ADI, Mazzo A, Girão FB, Sonobe HM, Souza MC. Hipertensão arterial e incontinência urinária no idoso: revisão integrativa da literatura. Rev Cuid. 2011;5(1):38-43.
Cavalcante KVM, Silva MIGC, Bernardo ASF, Souza DE, Lima TCGC, Magalhães AG. Prevalência e fatores associados à incontinência urinária em mulheres idosas. Rev Bras Promoç Saúde. 2014;27(2):216-23.
Danforth KN, Townsend MK, Curhan GC, Resnick NM, Grodstein F. Type 2 diabetes mellitus and risk of stress, urge, and mixed urinary incontinence. J Urol. 2009;181(1):193-7.
Oliveira E, Zuliani LMM, Ishicava J, Silva SV, Albuquerque SSR, Souza AMB, et al. Avaliação dos fatores relacionados à ocorrência da incontinência urinária feminina. Rev Assoc Med Bras. 2010;56(6):688-90.
Locks MOH. Incontinência urinária na mulher idosa hospitalizada: desafios para assistência de enfermagem [tese]. Santa Catarina: Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem; 2013.
Gomes GV, Silva GD. Incontinência urinária de esforça em mulheres pertencentes ao Programa de Saúde da Família de Dourados-MS. Rev Assoc Med Bras. 2010;56(6):649-54.
Lee AH, Hirayama F. Alcohol consumption and female urinary incontinence; a community-based study in Japan. Int J Urol. 2012;19(2):143-8.
