新疆马兰地区成年女性尿失禁的流行病学调查

目的调查新疆马兰多民族地区女性尿失禁的患病率及相关的影响因素,为本地区各民族女性尿失禁的防治提供依据。方法采用随机整群抽样的方法,抽取马兰地区及周边农村成年女性1 276名,进行现场问卷调查,数据录入和分析使用SPSS 13.0统计软件完成。结果新疆马兰地区成年女性尿失禁的总患病率为33.7%。汉族、回族、维吾尔族和蒙古族女性患病率分别为37.6%、44.3%、16.4%和14.9%,不同民族尿失禁患病率差异有统计学意义（P〈0.05）。单因素分析及多因素Logistic回归分析显示,分娩、新生儿体重、第二产程延长、产后休息时间、年龄、民族、高血压便秘、尿路感染、慢性盆腔痛、口服避孕药是新疆马兰地区女性尿失禁发病的影响因素。结论新疆马兰地区女性尿失禁患病率较高,针对其危险因素采取的人群干预和治疗亟待开展.

Epidemiological survey of adult female urinary incontinence in Malan area of Xinjiang

Objective To investigate the prevalence of female urinary incontinence in Malan multi-ethnic region of Xinjiang Uyghur autonomous region and the related influencing factors,in order to provide basis for the prevention and control of female urinary incontinence in this area.Methods A total of 1 276 adult female were sampled from Malan area and surrounding villages using the randomized cluster sampling method and onsite questionnaire survey were given to all samples.Data entry and analysis were performed using the statistical software SPSS 13.0.Results The overall prevalence of adult female urinary incontinence in Malan multi-ethnic region was 33.7%.The prevalence of Han,Hui,Uygur and Mongolian female were 37.6%,44.3%,16.4% and 14.9% respectively,with significantly different prevalence between different nations(P < 0.05).Univariate analysis and multivariate logistic regression analysis showed that delivery,birth weight,prolonged second stage of labor,postpartum rest time,age,ethnicity,hypertension,constipation,urinary tract infection,chronic pelvic pain,oral contraceptives were factors affecting incidence of female urinary incontinence in Malan area of Xinjiang Uyghur autonomous region.Conclusion The prevalence of female urinary incontinence is high in Malan area of Xinjiang Uyghur autonomous region.Population intervention and treatment specific for its risk factors need urgent implementation.