The Prevalence, Subtypes and Obstetric Risk Factors of Urinary Incontinence in Reproductive Age Women Referred to Community Health Care Centers of Dezful, Iran- 2015.
Roghaye Komeilifar, Nahid Javadifar, Poorandokht Afshari and 2 others
PMID 28698886WHAT IT FOUND
Over half of reproductive-age women attending community health centers in Iran reported urinary incontinence, yet only 0.85% sought help.
Mixed incontinence was the most common subtype. Vaginal delivery and irregular menstruation were significant risk factors, while regular menstruation was protective.
Key findings
01The overall prevalence of urinary incontinence was 57.7% among the participants.
02Mixed urinary incontinence was the most common subtype (44.9%), followed by stress (38.2%) and urge (16.9%) incontinence.
03Vaginal delivery and older age were associated with the risk of developing UI, while regular menstruation was a protective factor.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for RNs
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What it does not show
The study used easy access sampling at health centers, which may not represent the general community population, potentially biasing prevalence estimates. Diagnosis was based on self-report via the ICIQ-SF questionnaire without clinical or urodynamic confirmation. The majority of participants were married, which may limit generalizability to unmarried women. The study was conducted in a specific region of Iran, and cultural or healthcare access factors may influence reporting and prevalence differently in other settings.
Declared interests
The authors declared no conflicts of interest. The study was approved by the ethics committee of Ahvaz Jundishapur University of Medical Sciences.
The easy way to misread this
Do not assume that the high prevalence of mixed incontinence found here applies to all populations. The sample was drawn from community health centers in Iran using easy access sampling, and self-reported symptoms were not clinically verified, which may overestimate or misclassify the condition compared to clinical populations.