北京市成年女性粪失禁患病率调查

目的 调查北京市成年女性粪失禁(FI)的患病率,分析FI患病的影响因素.方法 采用分层多阶段系统抽样的方法,应用自填式问卷,对北京市6个区(县)20岁及以上成年女性进行问卷调查.结果 本研究符合条件的调查对象共3058例,年龄在20～79岁之间,平均(48±16)岁.北京市成年女性FI患病率为1.28%(39/3058),FI患病率随年龄增加而升高(P＜0.01).多因素非条件logistic回归分析显示,5个因素进入回归方程,分别为:年龄≥40岁(OR值为3.3,95%CI:1.7～6.8)、患尿失禁(OR值为3.0,95%CI:1.5～6.1)、自然分娩(OR值为2.4,95%CI:1.2～4.9)、家庭人均月收入≤2000元(OR值为3.3,95%CI:1.6～6.5)、经常感到疲劳(OR值为3.0,95%CI:1.5～5.8).结论 北京市成年女性FI患病率不高,但影响因素复杂,应该进一步开展相关研究.

Prevalence of fecal incontinence among adult women in Beijing district

Objective To investigate the prevalence of fecal incontinence (FI) among adult women in Beijing area, and to analysis risk factors associated with FI. Methods A stratified multiple-cluster systemic method was used to recruit women ≥ 20 years old in 6 districts of Beijing. A self-administrated questionnaire was used to collect information about Fl and possible risk factors. Results There were three thousand and 58 women participated in the survey, the average age was (48 ± 16 ) years (range 20 -79 years). The prevalence of FI was 1.28% ( 39/3058 ), which was related to age. There were five factors entered the logistic regress model, which were included age ≥40 years old ( OR = 3.3, 95% CI: 1.7 -6. 8), urinary incontinence ( OR = 3.0, 95% CI: 1.5 - 6. 1 ), vaginal delivery ( OR = 2.4, 95% CI:1.2 -4. 9), household per capita income ≤2000 RMB per month ( OR = 3. 3, 95 % CI: 1.6 - 6. 5 ), and feeling fatigue ( OR = 3.0, 95% CI: 1.5 - 5.8). Conclusion Prevalence of FI is low among adult women in Beijing area, while risk factors associated with Fl are complicated and further studies are necessary to be conducted.