The prevalence and risk factors of different degrees of stress urinary incontinence in Chinese women: A community-based cross-sectional study.
Qianqian Li, Yanwei Huang, Qingyan Wang and 2 others
PMID 37052184WHAT IT FOUND
In 1178 Chinese women, smoking and leaking urine during pregnancy were the strongest independent risk factors for stress urinary incontinence severity.
Poor sleep, obesity, and specific toileting habits also predicted worse symptoms, suggesting targeted education on bladder emptying and weight control.
Key findings
01Smoking and urinary leaks during pregnancy were the most important independent risk factors associated with the progression of stress urinary incontinence severity.
02Age, BMI, position preference for urination, urinary tract infections, gynaecological inflammation, and poor sleep quality were identified as independent risk factors for the severity of stress urinary incontinence.
03The prevalence of stress urinary incontinence in the study population was 22.2%, with the majority of cases being mild.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study design is cross-sectional, so it cannot establish causal relationships between the identified factors and SUI severity. Data relied entirely on self-reporting, which introduces the risk of recall bias and underreporting. Participants were recruited from a single city in China, which may limit the generalisability of the findings to other populations. The number of smokers in the study was small, which may have led to an overestimation of the effect of smoking on SUI severity.
Declared interests
The study was supported by the Chinese Postdoctoral Science Foundation. The authors declared no conflicts of interest.
The easy way to misread this
Do not interpret the association between smoking and SUI severity as definitive causation, as the number of smokers in the study was small and the cross-sectional design cannot prove that smoking caused the incontinence.