Urinary Incontinence Among Climateric Brazilian Women: Household Survey

Objective. To investigate the prevalence of stress urinary incontinence and its associated factors in perimenopause women using a population-based household survey. Methods. A descriptive, exploratory cross-sectional population-based study with secondary analysis of a population-based household survey on perimenopause and menopause was conducted among women living in the city of Campinas, Brazil. Through a sampling process, 456 women between 45 and 60 years old were selected. Complaints of urinary incontinence and related risk factors, such as age, socioeconomic status, education level, race, parity, smoking habits, body mass index, previous gynecological surgeries, menopausal status, and hormonal replacement therapy were explored. Data were collected through home interviews using an adapted version of the structured pre-tested questionnaire elaborated by the International Health Foundation, International Menopause Society and the American Menopause Society. Statistical analysis were performed using prevalence rates (CI 95%). Results. Thirty-five percent of the interviewees referred stress urinary incontinence. None of the sociodemographic factors studied was associated to the risk of urinary incontinence. In addition, parity did not significantly change the risk of urinary incontinence. Other factors, such as previous gynecological surgeries, body mass index, and smoking habits, were not associated with the prevalence of stress urinary incontinence. Also, menopausal status and hormonal replacement therapy did not change the risk of stress urinary incontinence. Conclusion. Though there was a high prevalence of stress urinary incontinence among perimenopause women, there was not found any associations with sociodemographic and reproductive factors.355428435Bortolotti, A., Bernardini, B., Colli, E., Di Benedetto, P., Giocoli Nacci, G., Landoni, M., Prevalence and risk factors for urinary incontinence in Italy (2000) Eur Urol, 37, pp. 30-35Brown, J.S., Grady, D., Ouslander, J.G., Herzog, A.R., Varner, R.E., Posner, S.F., Prevalence of urinary incontinence and associated risk factors in postmenopausal women (1999) Obstet Gynecol, 94, pp. 66-70. , Hert & Estrogen/Progestin Replacement Study (HERS) Research GroupBurgio, K.L., Mathews, K.A., Engel, B.T., Prevalence, incidence and correlates of urinary incontinence in healthy, middle-aged women (1991) J Urol, 146, pp. 1255-1259Comportamento sexual da população brasileira e percepção sobre o HIV/AIDS: Relatório final de pesquisa (1999), pp. 34-37. , Centro Brasileiro de Análise e Planejamento (CEBRAP), Ministério da Saúde-SPS-CNDST/HIV/AIDS. 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[urinary Incontinence Among Climateric Brazilian Women: Household Survey].

To investigate the prevalence of stress urinary incontinence and its associated factors in perimenopause women using a population-based household survey. A descriptive, exploratory cross-sectional population-based study with secondary analysis of a population-based household survey on perimenopause and menopause was conducted among women living in the city of Campinas, Brazil. Through a sampling process, 456 women between 45 and 60 years old were selected. Complaints of urinary incontinence and related risk factors, such as age, socioeconomic status, education level, race, parity, smoking habits, body mass index, previous gynecological surgeries, menopausal status, and hormonal replacement therapy were explored. Data were collected through home interviews using an adapted version of the structured pre-tested questionnaire elaborated by the International Health Foundation, International Menopause Society and the American Menopause Society. Statistical analysis were performed using prevalence rates (CI 95%). Thirty-five percent of the interviewees referred stress urinary incontinence. None of the sociodemographic factors studied was associated to the risk of urinary incontinence. In addition, parity did not significantly change the risk of urinary incontinence. Other factors, such as previous gynecological surgeries, body mass index, and smoking habits, were not associated with the prevalence of stress urinary incontinence. Also, menopausal status and hormonal replacement therapy did not change the risk of stress urinary incontinence. Though there was a high prevalence of stress urinary incontinence among perimenopause women, there was not found any associations with sociodemographic and reproductive factors.35428-3

The Risk Of Urinary Incontinence Of Parous Women Who Delivered Only By Cesarean Section.

To evaluate the association of route of delivery with prevalence of urinary incontinence. Women with menopause who consulted at the Department of Gynecology and Obstetrics, Universidade Estadual de Campinas, were interviewed and examined to detect urinary incontinence. Obstetrics history and other possible factors that could influence incontinence were also recorded. Urinary incontinence was diagnosed in 98 women (cases) while 91 were free of this problem. The risk of urinary incontinence was approximately five times higher among women with one or more pregnancies than among nulligravida, and 3.5 times higher among women who had had only cesarean sections than among nullipara. Women cannot prevent urinary incontinence by delivering exclusively by cesarean section.7241-