The Epidemiological Investigation Of Married Woman With Urinary Incontinence In Rural Areas In Laiwu City

Objective:The epidemiological investigation by questionnaire survey of married women laiwu local area found that the conditions of incontinence of rural married women,and analysis the influence factors of its pathogenesis is discussed in this paper, for the development of suitable for urinary incontinence inthe region provide theoretical basis for intervention measures.1.Survey of married women in laiwu city UI the prevalence of different types.2.Survey of married women in laiwu city UI constituent ratios of the different types of features.3.Analysis of SUI risk factors of the disease.4.According to the results of investigation and research for the prevention and control measures of the region, in order to effectively reduce the incidence of UI in this region.5.Urinary incontinence to provide epidemiological data for married women. MethodOctober 2013 to June 2012, zhuhai was 13 city town village of 70 local rural married women under the age of 18, 90 as the investigation object. Questionnaire survey is mainly based on Bristol female urinary tract symptoms questionnaire(BFLUTS) under the adaptation, Including general data questionnaire, menstruation and birth history, history of disease and personal history, the leakage situation, physical examination, examination of department of gynaecology and auxiliary examination. In the preliminary investigation, personnel training after a formal investigation. All the data to a database of information truthfully recorded Epidata3.0, one entry, one check it. All statistical analysis using SPSS13. Statistical package processing. The measurement data using mean + /- standard deviation, said count data by chi-square test, Single factor analysis and multiple factor analysis using Logistics regression analysis, to determine the odds ratio(OR) and 95% confidence interval(CI). Result1.In the survey population, a total of 1142 people with different types of urinary incontinence, accounting for 43.92%. Including 571 stress urinary incontinence, 21.96%(571/2600), and urge incontinence, 199 people, accounted for 7.65%(199/2600), mixed urinary incontinence of 372 people, accounted for 14.31%(372/2600). In form than in the disease, the number of the onset of stress urinary incontinence accounted for 50.00% of the total number of urinary incontinence, The onset of urge incontinence number accounts for 17.43% of the total number of urinary incontinence, The onset of mixed urinary incontinence number accounts for 32.57% of the total number of urinary incontinence.2.Rise along with the age and increased incidence of urinary incontinence, 50 ~ and 60 ~ group was just over 70 years ~ ~ 8 0 years old group, have examined the statistical significant difference(P < 0.05). In all age groups, ~ 29, 30 ~, 40 ~ and ~ 50 group composition of different types of urinary incontinence than from high to low is basic SUI > UUI > MUI, examined the statistical significant difference(P < 0.05). But at the end of the 60 years of age group, the composition of different types of urinary incontinence than from high to low is basically the MUI > SUI > UUI, examined the statistical significant difference(P< 0.05). Before the age of 60, SUI is the main type of urinary incontinence, the dominant form than in urinary incontinence, the statistical test was extremely significant difference(P< 0.01), and this advantage has no obvious relation with the age growth, after statistics inspection there was no significant difference(P> 0.05). But after 60 years of age, MUI and composition of UUI ratio increased substantially, especially MUI rise obviously, and the composition ratio increases with age, have examined the statistical significant difference(P< 0.05).3.Enterprises and farmers is the highest incidence of urinary incontinence in various professional groups(57.69%, 51.46% respectively), examined the statistical significant difference(P< 0.05), lack of exercise and farmers may be related to the enterprises and institutions personnel labor intensity is big. Constituent ratio of different types of urinary incontinence of different professions from high to low is basic SUI > UUI > s, and the incidence of SUI was obviously higher than that of UUI, MUI, examined the statistical significant difference(P< 0.05). Farmers of stress urinary incontinence than most(61.79%), enterprise or business unit personnel of mixed urinary incontinence than most(51.67%), examined the statistical significant difference(P< 0.05).4.Urinary incontinence prevalence has no obvious different with different cultural degree, after statistics inspection there was no significant difference(P> 0.05). Different culture degree of different types of UI than no obvious different, after statistics inspection there was no significant difference(P > 0.05).5.The incidence of urinary incontinence obviously increased with the increase of the number of childbirth, examined the statistical significant difference(P< 0.05). Delivery after three times or more, a significant increase in incidence of urinary incontinence, the statistical test was extremely significant difference(P < 0.01). The incidence of SUI, UUI increases with the increase of the number of childbirth, examined the statistical significant difference(P< 0.05). But the incidence of MUI has no obvious increasing trend with the increase of number of delivery, after statistics inspection there was no significant difference(P > 0.05). SUI form than have obvious increasing trend along with the age, have examined the statistical significant difference(P< 0.05). Composition of SUI than no obvious increasing trend along with the age, by the statistical test there was no significant difference(P> 0.05). ’s structure than the trend of a marked decline with age, have examined the statistical significant difference(P< 0.05).6.①With the increase of fetal weight, has increased the incidence of urinary incontinence, examined the statistical significant difference(P< 0.05). ② with the increase of fetal weight, SUI, UUI, MUI has increasing trend, examined the statistical significant difference(P< 0.05).③after the fetal weight 4 kg or more, the proportion of various types of urinary incontinence were significantly increased, examined the statistical significant difference(P< 0.05).④ the various types of incontinence composition ratio has a tendency to increase with the increase of fetal weight, examined the statistical significant difference(P< 0.05).; ⑤ the composition of SUI than with fetal weight group is the largest, examined the statistical significant difference(P < 0.05).7.Stress urinary incontinence possible risk factors were: age, occupation, delivery times, menopause, constipation, chronic cough history, history of pelvic surgery, waist circumference, body mass index. The multi-factor Logistic regression analysis delivery 3 times or more, menopause, constipation, history of pelvic surgery, five factors including body mass index of 28.0 or are a risk factor for stress urinary incontinence.8. Urge incontinence possible risk factors were: delivery times, menopause, constipation, body mass index, diabetes, WHR. The multi-factor Logistic regression analysis it is concluded that the final delivery 3 times or more, constipation, three factors including body mass index of 28.0 or are a risk factor for urge incontinence.9.Mixed urinary incontinence possible risk factors were: age, occupation, delivery times, menopause, constipation, chronic cough history, history of pelvic surgery, waist circumference, body mass index. The multi-factor Logistic regression analysis it is concluded that the final age 50 or constipation, menopause and other three factors are the risk factors of urge incontinence. Conclusions1.Incidence of urinary incontinence main types for stress urinary incontinence, the main risk factors for delivery 3 times or more, menopause, constipation, history of pelvic surgery, body mass index of 28.0 or more. Followed by mixed urinary incontinence and urge incontinence, and its risk factors are age 50, constipation, menopause or higher; Three times and delivery, constipation, body mass index of 28.0 or above.2.Through a variety of intervention measures, formulate prevention measures for the region, to reduce the incidence of urinary incontinence in this region.