北京地区成年女性急迫性尿失禁现况调查

目的 调查北京地区成年妇女急迫性尿失禁（UUI）的患病率及影响因素。方法本研究通过分层多阶段系统抽样方法，在北京市6个区县48个村（居委会）对20岁以上成年女性进行入户问卷调查。问卷内容包括调查对象人口统计学信息、分娩情况、患病情况和UUI相关临床资料。应用SPSS16．0软件进行数据分析。结果3058名成年女性完成本项调查，UUI患病率为1．7％（52／3058）。单因素分析，UUI和非UUI女性在年龄、文化程度、家庭收入、妊娠次数、流产次数、分娩史、患慢性病、患妇科疾病、手术史、盆腔手术史、排便腹痛、排便腹胀等方面差异有统计学意义（均P〈0．05）。多因素logistic回归分析，妊娠次数（OR=1．29，95％CI=1．06～1．58）、患慢性病（OR=2．53，95％CI=1．38～4．62）、排便腹痛（OR=2．32，95％C1=1．10—4．91）是UUI危险因素。结论UUI影响因素复杂，有必要针对其危险因素针对性地开展UUI的预防和社区干预工作。

A cross-sectional study on urgency urinary incontinence among adult women in Beijing

Objective To investigate prevalence and risk factors of urgency urinary incontinence (UUI) among adult women in Beijing.Methods Multiple-stage stratified sampling was used to recruit women equal to and more than 20 years old from 48 communities ( villages and neighborhoods ) in six districts of Beijing,by household interview with a standardized questionnaire to collect information of demographic characteristics,delivery history,health conditions and UUI related clinical data.Data analysis was performed by SPSS software version 16.0.Results Totally,3058 adult women completed the survey,with an overall prevalence of UUI of 1.7 % (52/3058).Distribution of age,cultural background,family income,number of pregnancy,number of abortion,delivery history,history of chronic diseases,general surgery,pelvic surgery,abdominal pain and abdominal distension were found significantly different between UUI participants and non-UUI ones with univariate analysis ( all P ＜ 0.05 ).Results of multivariate logistic regress analysis showed that number of pregnancy ( OR = 1.29,95% CI = 1.06-1.58 ),history of chronic diseases ( OR = 2.53,95% CI = 1.38-4.62 ) and history of abdominal pain ( OR = 2.32,95%CI= 1.10 -4.91 ) all significantly associated with UUI.Conclusions UUI associates with complicated factors and its prevention and intervention at communities is necessary targeting at related factors.