Prevalence, Associated Factors, and Impact on Quality of Life of Female Urinary Incontinence in a Thai Rural Area

Main Article Content

Benjamat Khuawan
Jittima Manonai
Somsak Suthutvoravut
Vajira Singhakajen

Abstract

Objective: To assess the prevalence of urinary incontinence (UI), its associated factors, and its impact on the quality of life (QOL) of women.


Methods: This cross-sectional study was conducted by interviewing 385 women who lived in a Thai rural area in Wangsila Village, Wangnamyen District, Srakaew Province. The questions comprises of demographic data, history of childbirth and medical diseases. Urinary incontinence symptoms within 1 month prior to the interview were asked using simple question. Quality of life was assessed using the Incontinence Quality of Life queationnaire.


Results: Seventy-eight women (20.3%) had urinary incontinence. Among them, 5 (1.3%) had stress urinary incontinence, 14 (3.6%) had urge incontinence and 59 (15.3%) had both types. The significant associated factor was parity with age as a confounder. The impact on QOL as assessed by I-QOL questionnaires was that all of the following three domains were affected: limiting activities, the psychological aspect, and social embarrassment. From a 100 percent score of quality of life, UI decreased the score of three domains of QOL: limiting activities, the psychological aspect, and social embarrassment (93.3%, 92.0%, and 86.8%, respectively)


Conclusions: The prevalence of UI among Thai woman in the rural area was 20.3%. Most had both stress and urge incontinence. The significant associated factor was parity with age as a confouder. UI had a negative impact on three domains of QOL of Thai women in the rural area. 

Article Details

How to Cite
Khuawan, B., Manonai, J., Suthutvoravut, S., & Singhakajen, V. (2013). Prevalence, Associated Factors, and Impact on Quality of Life of Female Urinary Incontinence in a Thai Rural Area. Ramathibodi Medical Journal, 36(4), 269–275. Retrieved from https://he02.tci-thaijo.org/index.php/ramajournal/article/view/117647
Section
Original Articles

References

Haylen BT, Freeman RM, Swift SE, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Neurourol Urodyn. 2011;30(1):2-12. doi:10.1002/nau.21036.

Manonai J, Chittacharoen A, Sarit-apirak S, Udomsubpayakul U, Khanacharoen A, Theppisai U. Lower urinary tract symptoms in Thai women attending the menopause clinic: prevalence and associated factors. J Med Assoc Thai. 2004;87(11):1265-1269.

Wattanayingcharoenchai R, Manonai J, Vannatim N, Saritapirak S, Imsomboon C, Chittacharoen A. Impact of stress urinary incontinence and overactive bladder on quality of life in Thai women attending the urogynecology clinic. J Med Assoc Thai. 2007;90(1):26-31.

Kwon BE, Kim GY, Son YJ, Roh YS, You MA. Quality of life of women with urinary incontinence: a systematic literature review. Int Neurourol J. 2010;14(3):133-138. doi:10.5213/inj.2010.14.3.133.

Manonai J, Poowapirom A, Kittipiboon S, Patrachai S, Udomsubpayakul U, Chittacharoen A. Female urinary incontinence: a cross-sectional study from a Thai rural area. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17(4):321-325.

Thammakoon T, Gouwown K, Boriyoung T, Mongkol S. Urinary Incontinence in Phitsanulok Urban Community. Buddhachinaraj Med J. 2008;25:19-26.

Patrick DL, Martin ML, Bushnell DM, Yalcin I, Wagner TH, Buesching DP. Quality of life of women with urinary incontinence: further development of the incontinence quality of life instrument (I-QOL). Urology. 1999;53(1):71-76.

Chaisaeng S, Santingamkun A, Opanuraks J, Ratchanon S, Bunyaratavej C. IQOL: translation & reliability for use with urinary incontinence patients in Thailand. J Med Assoc Thai. 2006;89 Suppl 3:S33-S39.

Naing L, Winn T, Rusli BN. Practical issues in calculating the sample size for prevalence studies. Arch Orofac Sci. 2006;1:9-14.

Filiz TM, Uludag C, Cinar N, Gorpelioglu S, Topsever P. Risk factors for urinary incontinence in Turkish women. A cross-sectional study. Saudi Med J. 2006;27(11):1688-1692.

Peyrat L, Haillot O, Bruyere F, Boutin JM, Bertrand P, Lanson Y. Prevalence and risk factors of urinary incontinence in young and middle-aged women. BJU Int. 2002;89(1):61-66.

Melville JL, Katon W, Delaney K, Newton K. Urinary incontinence in US women: a population-based study. Arch Intern Med. 2005;165(5):537-542.

Zhu L, Lang J, Liu C, Han S, Huang J, Li X. The epidemiological study of women with urinary incontinence and risk factors for stress urinary incontinence in China. Menopause. 2009;16(4):831-836. doi:10.1097/gme.0b013e3181967b5d.

Ham E, Choi H, Seo JT, Kim HG, Palmer MH, Kim I. Risk factors for female urinary incontinence among middle-aged Korean women. J Womens Health (Larchmt). 2009;18(11):1801-1806. doi:10.1089/jwh.2008.1039.

Parazzini F, Chiaffarino F, Lavezzari M, Giambanco V; VIVA Study Group. Risk factors for stress, urge or mixed urinary incontinence in Italy. BJOG. 2003;110(10):927-933.

Tsai YC, Liu CH. Urinary incontinence among Taiwanese women: an outpatient study of prevalence, comorbidity, risk factors, and quality of life. Int Urol Nephrol. 2009;41(4):795-803. doi:10.1007/s11255-009-9523-3.