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| 發表人 | 討論主題 | 發表時間 | 討論數 |
| 李瑋涓 | 女性尿失禁對精神健康疾病的影響 | 2022/4/7 上午 10:29:08 | 0 |
| 原 文 | 題 目 | The impact of female urinary incontinence on mental health disease - a populationbased study |
| 作 者 | Manso M., Ramos P., Botelho F., Santos-Silva A., Bulhões C., Cruz F., Pacheco-Figueiredo L. | |
| 出 處 | European Urology, Volume 79, Supplement 1, 2021, Page S134 | |
| 出版日期 | 8 July 2021 | |
| 評 論 |
在人口老化的社會中，女性尿失禁是一個重要的健康議題。尿失禁對健康造成的負擔有很多面向，其中精神健康疾患其實是很常見的共病，但針對此議題以族群為主的相關研究卻很少。
因此本篇文章分析尿失禁婦女與幾種精神疾病的關係，希望能夠引起大家對尿失禁的重視。 此篇文章主要族群是一萬多名葡萄牙成年女性，將其區分成「無尿失禁」及「有尿失禁症狀超過一年」兩組，比較當中患有精神疾病或菸酒成癮行為的人數有沒有差異。 研究結果有以下幾項：
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| abstract |
Introduction & Objectives: Female urinary incontinence (UI) is a common disorder and an important health concern with aging population. Different components of health burden have been described, being the mental health disorders a frequent disabling comorbidity, although evidence at a population level is still scarce. Therefore, we analyzed women with self-reported urinary incontinence regarding socio-demographic data and several dimensions of mental health.
Materials & Methods: We analyzed data from a population-based survey with a representative sample of Portuguese women aged ≥18 years (n=10038). Women with self-reported symptoms of urinary incontinence in the previous 12 months were considered as having UI. We performed an age-, education-, and BMI-adjusted comparison of the prevalence of depression diagnosis, use of mental health consultations, different dimensions of mental health disease and addictive behaviours (smoking and alcohol consumption) between UI women and non-UI women. Weighted prevalences with 95% confidence intervals (95%CI), as well as adjusted prevalence ratios (PR), were computed using Poisson regression. This study was approved by ethics committee. Results: The nationwide prevalence of female UI was 9.9% (95%CI: 9.1-10.8%), increasing with age, with a prevalence of 40.8% for 75-to 85-year-old women. Women with UI had an adjusted higher prevalence of depression diagnosis [PR=1.66 (1.43-1.92)] and use of mental health consultations [PR= 1.41 (1.03-1.93)]. A perceived health-status reported as bad [PR=1.65 (1.46-1.88)], difficulty in concentrating [PR=1.58 (1.38-1.82)] and a feeling of worthlessness or guilt during the last 2 weeks [PR=1.49 (1.33-1.67)] were the mental health dimensions with higher differences between the two groups. There were no relevant differences concerning addictive behaviours. Conclusions: The mental health consequences of female urinary incontinence are a major component of the burden of this disease. The clinicians should be aware of this association in order to have a high level of suspicion to mental health disturbances when assessing women with UI. |
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