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Prevalence and Associated Factors of Urinary Incontinence among Chinese Adolescents in Henan Province: A Cross-Sectional Survey

Urinary incontinence is a common but understudied health problem in adolescents. This study aimed to investigate the prevalence of and associated factors for urinary incontinence in high-school-aged Chinese adolescents. A stratified two-stage cluster sampling procedure was adopted, yielding a sampli...

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Autores principales: Luo, Yan, Zou, Ping, Wang, Kai, Cui, Zhenti, Li, Xiaomei, Wang, Jing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504500/
https://www.ncbi.nlm.nih.gov/pubmed/32825745
http://dx.doi.org/10.3390/ijerph17176106
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author Luo, Yan
Zou, Ping
Wang, Kai
Cui, Zhenti
Li, Xiaomei
Wang, Jing
author_facet Luo, Yan
Zou, Ping
Wang, Kai
Cui, Zhenti
Li, Xiaomei
Wang, Jing
author_sort Luo, Yan
collection PubMed
description Urinary incontinence is a common but understudied health problem in adolescents. This study aimed to investigate the prevalence of and associated factors for urinary incontinence in high-school-aged Chinese adolescents. A stratified two-stage cluster sampling procedure was adopted, yielding a sampling frame of 15,055 participants from 46 high schools in Henan province, China. Self-reported questionnaires were used to collect data. The urinary incontinence variable was assessed using the International Consultation of Incontinence Questionnaire-Short Form. The prevalence of urinary incontinence was 6.6%, with a female predominance (7.2% versus 6.0% in males; p < 0.05), and it increased with age, from 5.8% at 14–15 years to 12.3% at 19–20 years old (p < 0.001). The most common subtype of urinary incontinence was urgency urinary incontinence (4.4%), followed by stress urinary incontinence (1.7%) and mixed urinary incontinence (0.5%). Female sex, higher grades, more frequent sexual behavior, physical disease, chronic constipation, mental health problems, and residence in nonurban areas were significantly associated with higher odds of having urinary incontinence (p < 0.05). Public health programs, such as health education and school-based screening, should be established for early detection and appropriate management of urinary incontinence. Furthermore, individualized interventions targeting associated factors should be developed through collective efforts by adolescents, families, schools, and policymakers.
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spelling pubmed-75045002020-09-24 Prevalence and Associated Factors of Urinary Incontinence among Chinese Adolescents in Henan Province: A Cross-Sectional Survey Luo, Yan Zou, Ping Wang, Kai Cui, Zhenti Li, Xiaomei Wang, Jing Int J Environ Res Public Health Article Urinary incontinence is a common but understudied health problem in adolescents. This study aimed to investigate the prevalence of and associated factors for urinary incontinence in high-school-aged Chinese adolescents. A stratified two-stage cluster sampling procedure was adopted, yielding a sampling frame of 15,055 participants from 46 high schools in Henan province, China. Self-reported questionnaires were used to collect data. The urinary incontinence variable was assessed using the International Consultation of Incontinence Questionnaire-Short Form. The prevalence of urinary incontinence was 6.6%, with a female predominance (7.2% versus 6.0% in males; p < 0.05), and it increased with age, from 5.8% at 14–15 years to 12.3% at 19–20 years old (p < 0.001). The most common subtype of urinary incontinence was urgency urinary incontinence (4.4%), followed by stress urinary incontinence (1.7%) and mixed urinary incontinence (0.5%). Female sex, higher grades, more frequent sexual behavior, physical disease, chronic constipation, mental health problems, and residence in nonurban areas were significantly associated with higher odds of having urinary incontinence (p < 0.05). Public health programs, such as health education and school-based screening, should be established for early detection and appropriate management of urinary incontinence. Furthermore, individualized interventions targeting associated factors should be developed through collective efforts by adolescents, families, schools, and policymakers. MDPI 2020-08-21 2020-09 /pmc/articles/PMC7504500/ /pubmed/32825745 http://dx.doi.org/10.3390/ijerph17176106 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Luo, Yan
Zou, Ping
Wang, Kai
Cui, Zhenti
Li, Xiaomei
Wang, Jing
Prevalence and Associated Factors of Urinary Incontinence among Chinese Adolescents in Henan Province: A Cross-Sectional Survey
title Prevalence and Associated Factors of Urinary Incontinence among Chinese Adolescents in Henan Province: A Cross-Sectional Survey
title_full Prevalence and Associated Factors of Urinary Incontinence among Chinese Adolescents in Henan Province: A Cross-Sectional Survey
title_fullStr Prevalence and Associated Factors of Urinary Incontinence among Chinese Adolescents in Henan Province: A Cross-Sectional Survey
title_full_unstemmed Prevalence and Associated Factors of Urinary Incontinence among Chinese Adolescents in Henan Province: A Cross-Sectional Survey
title_short Prevalence and Associated Factors of Urinary Incontinence among Chinese Adolescents in Henan Province: A Cross-Sectional Survey
title_sort prevalence and associated factors of urinary incontinence among chinese adolescents in henan province: a cross-sectional survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504500/
https://www.ncbi.nlm.nih.gov/pubmed/32825745
http://dx.doi.org/10.3390/ijerph17176106
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