지역사회 50세 이상 여성의 요실금에 대한 역학조사 = The Epodemioligic Study of the Urinary Incontinence in Community-dwelling Women over 50 Years Old

국문 초록 (Abstract)

저자들은 한국 여성의 요실금의 유병률을 추정하기위해 2003년 5월부터 8월사이 전북 진안군 마령면 50세 이상의 여성 612명을 대상으로 하여 설문조사 및 무료검진을 시행하였다. 이상의 지역사회를 대상으로한 본 요실금 역학조사 결과 우리나라도 상당한 요실금환자가 있다는 것을 알수있었다. 이를 바탕으로 요실금에 대한 보건당국의 계몽, 교육, 홍보 및 치료 등의 적절한 대응조치가 필요하리라 생각된다.

다국어 초록 (Multilingual Abstract)

Purpose: The goals of this study were to estimate the prevalence and relationship between urinary incontinence quality of life in community-dwelling women over 50 years old. Materials and Methods: The study was conducted in a typical farming village of Ma-lung in the southern region of Korea. The community population had 612 women over 50 years old Ma-lung. The interviews using questionnaires regarding general characteristics, obstetric history, disease-related factors, and urinary symptoms including incontinence were undertaken. In addition, physical examination were performed. Results: Of 612 female residents over 50 years old, 311 women were participated in our study. The response rate was 50.8%. The prevalence of urinary incontinence was 60.5%(188/311) of the responders. The prevalence of urinary incontinence for each decade was 60.0%, 70.2%, 56.3% and 45.3% over 50 and up to 89 years of age, respectively. The prevalence of urinary incontinence was 68.1%(111/163) in low or normal weight female (body mass index <25), and 84.8%(28/33) in overweight or obese group (body mass index >_25). The prevalence of stress incontinence was higher in overweight or obese(68.1%) than low or normal weight group(84.8%)(p<0.05). Though number of delivery did not affect the prevalence of urinary incontinence, a good correlation was found between stress urinary incontinence and number of delivery. Conclusions: The prevalence of female urinary incontinence in this study was relatively higher compared to other studies. Most of incontinent women did not recognize the incontinence as a pathological state and consequently, did not visit doctor. Such behavior suggests that they need more information and education toward urinary incontinence. Also, health care providers should pay more close attention for patient who are suffering from urinary incontinence.