To estimate the prevalence and identify associated factors to urinary incontinence (UI) in climacteric women.
In a cross-sectional study with a stratified random sample, 1,200 women aged between 35 and 72 years were studied, enrolled in the Family Health Strategy in the city of Pindamonhangaba, São Paulo. Urinary incontinence was investigated using the International Consultation of Incontinence Questionnaire - Short Form, while associated factors were assessed based on a self-reported questionnaire with socio-demographic, obstetric and gynecological history, morbidities and drug use. The prevalence of urinary incontinence was estimated with a 95% confidence interval (95CI) and the associated factors were identified through multiple logistic regression model performed using Stata software, version 11.0.
Women had a mean age of 51.9 years, most were in menopause (59.4%), married (87.5%), Catholic (48.9%), and declared themselves black or brown (47.2%). The mean age of menopause of women with UI was 47.3 years. The prevalence of UI was 20.4% (95CI: 17.8-23.1%). The factors associated with UI were urinary loss during pregnancy (p=0.000) and after delivery (p=0.000), genital prolapse (p=0.000), stress (p=0.001), depression (p=0.002), and obesity (p=0.006).
The prevalence of UI was lower but similar to that found in most similar studies. Factors associated with the genesis of UI were urinary loss during pregnancy and after delivery, genital prolapse and obesity.
Revista da Associação Médica Brasileira (1992). 0000 [Epub]
Máyra Cecilia Dellú, Ana Carolina Basso Schmitt, Maria Regina Alves Cardoso, Wendry Maria Paixão Pereira, Elaine Cristina Alves Pereira, Érika da Silva Flauzino Vasconcelos, José Mendes Aldrighi
PhD - Lecturer of the Department of Physiotherapy, Universidade de Taubaté (Unitau), Taubaté, SP, Brazil., PhD - Lecturer of the Department of Physical Therapy, Speech Therapy, and Occupational Therapy, Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil., PhD - Lecturer of the Department of Epidemiology, Faculdade de Saúde Pública, Universidade de São Paulo (FSP/USP), São Paulo, SP, Brazil., PhD - Lecturer at Fundação Universitária Vida Cristã, Pindamonhangaba, SP, Brazil., MSc - Lecturer at Fundação Universitária Vida Cristã, Pindamonhangaba, SP, Brazil., PhD - Lecturer of the Department of Mother and Child Health, FSP/USP, São Paulo, SP, Brazil.