Top

International Urogynecology Journal

Published in:

01-04-2016 | Original Article

Effects of a new community-based reproductive health intervention on knowledge of and attitudes and behaviors toward stress urinary incontinence among young women in Shanghai: a cluster-randomized controlled trial

Authors: Ning Zhang, Yuan He, Jue Wang, Ying Zhang, Jingxin Ding, Ke-qin Hua

Published in: International Urogynecology Journal | Issue 4/2016

Abstract

Introduction and hypothesis

This study aimed to evaluate the prevalence of stress urinary incontinence (SUI) and to introduce a new community-based reproductive health intervention. We then evaluated the effectiveness of this intervention.

Methods

In this cluster-randomized trial, 2100 participants aged 18–40 years were divided randomly into an intervention group (IG, 1400 women) and a control group (CG, 700 women). The CG received traditional community intervention, cmprising limited reproductive information and education; the IG received the new community-based reproductive health intervention model, comprising self-designed handbooks, health lectures, and free medical consultations, in addition to the traditional community intervention. All participants were surveyed face to face using a self-designed questionnaire before and after the 6-month intervention.

Results

In Shanghai, the prevalence rate of SUI was 14.3 %. No difference was observed between groups regarding mean knowledge, attitudes, and practices (KAPs) about SUI and the total score at baseline (P > 0.05). The IG scored significantly higher than the CG on the KAP questions at follow-up, and a significant improvement was observed in the IG after the intervention. Total scores increased with age, educational level, income, and time spent working in Shanghai per year but decreased with gravidity and the number of abortions. Native respondents scored higher than did migrants.

Conclusions

The prevalence of SUI is high in Shanghai, and the new community-based reproductive health intervention model is both effective and easily implemented. This intervention should focus on women with a low income, women with low education levels, young women, migrant women, and women who have had multiple abortions or pregnancies.

Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK et al (2010) An international urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 29:4–20PubMed

Perera J, Kirthinanda DS, Wijeratne S, Wickramarachchi TK (2014) Descriptive cross sectional study on prevalence, perceptions, predisposing factors and health seeking behaviour of women with stress urinary incontinence. BMC Womens Health 14:78CrossRefPubMedPubMedCentral

Zhu L, Lang J, Liu C, Han S, Huang J, Li X (2009) The epidemiological study of women with urinary incontinence and risk factors for stress urinary incontinence in China. Menopause 16:831–836CrossRefPubMed

Liu B, Wang L, Huang SS, Wu Q, Wu DL (2014) Prevalence and risk factors of urinary incontinence among Chinese women in Shanghai. Int J Clin Exp Med 7:686–696PubMedPubMedCentral

Thom D (1998) Variation in estimates of urinary incontinence prevalence in the community: effects of differences in definition, population characteristics, and study type. J Am Geriatr Soc 46:473–480CrossRefPubMed

Hsieh CH, Chang WC, Lin TY, Su TH, Li YT, Kuo TC, Lee MC, Lee MS, Chang ST (2011) Long-term effect of hysterectomy on urinary incontinence in Taiwan. Taiwan J Obstet Gynecol 50:326–330CrossRefPubMed

Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P (2004) ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 23:322–330CrossRefPubMed

Zhu L (2013) In: Xie X, Gou WL (eds.) Obstetrics and Gynecology, People’s Medical Publishing House, China 290–292

Vandoninck V, Bemelmans BLH, Mazzetta C, Robertson C, Keech M, Boyle P, Kiemeney LA (2004) The prevalence of urinary incontinence in community-dwelling married women: a matter of definition. BJU Int 94:1291–1295CrossRefPubMed

10.

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

11.

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

12.

Hampel C, Wienhold D, Benken N, Eggersmann C, Thuroff JW (1997) Definition of overactive bladder and epidemiology of urinary incontinence. Urology 50(4–14):15–17

13.

Carter MW, Tregear ML, Moskosky SB (2015) Community education for family planning in the U.S. Am J Prev Med 49:S107–S115CrossRefPubMed

14.

Botlero R, Davis SR, Urquhart DM, Shortreed S, Bell RJ (2009) Age-specific prevalence of, and factors associated with, different types of urinary incontinence in community-dwelling Australian women assessed with a validated questionnaire. Maturitas 62:134–139CrossRefPubMed

15.

Correia GN, Pereira VS, Hirakawa HS, Driusso P (2014) Effects of surface and intravaginal electrical stimulation in the treatment of women with stress urinary incontinence: randomized controlled trial. Eur J Obstet Gyn R B 173:113–118CrossRef

16.

Dumoulin C, Hay-Smith J, Habee-Seguin GM, Mercier J (2015) Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a short version Cochrane systematic review with meta-analysis. Neurourol Urodyn 34:300–308CrossRefPubMed

17.

Lee IS, Choi ES (2006) Pelvic floor muscle exercise by biofeedback and electrical stimulation to reinforce the pelvic floor muscle after normal delivery. Taehan Kanho Hakhoe Chi 36:1374–1380PubMed

18.

Morkved S, Bo K (2000) Effect of postpartum pelvic floor muscle training in prevention and treatment of urinary incontinence: a one-year follow up. BJOG 107:1022–1028CrossRefPubMed

19.

Dolan LM, Hosker GL, Mallett VT, Allen RE, Smith AR (2003) Stress incontinence and pelvic floor neurophysiology 15 years after the first delivery. BJOG 110:1107–1114CrossRefPubMed

20.

Valeton CT, Do Amaral VF (2011) Evaluation of urinary incontinence in pregnancy and postpartum in Curitiba Mothers Program: a prospective study. Int Urogynecol J 22:813–818CrossRefPubMed

21.

Hantoushzadeh S, Javadian P, Shariat M, Salmanian B, Ghazizadeh S, Aghssa M (2011) Stress urinary incontinence: pre-pregnancy history and effects of mode of delivery on its postpartum persistency. Int Urogynecol J 22:651–655CrossRefPubMed

22.

Roe B, Flanagan L, Jack B, Barrett J, Chung A, Shaw CWK (2011) Systematic review of the management of incontinence and promotion of continence in older people in care homes: descriptive studies with urinary incontinence as primary focus. J Adv Nurs 67:228–250CrossRefPubMedPubMedCentral

Title: Effects of a new community-based reproductive health intervention on knowledge of and attitudes and behaviors toward stress urinary incontinence among young women in Shanghai: a cluster-randomized controlled trial
Authors: Ning Zhang
Yuan He
Jue Wang
Ying Zhang
Jingxin Ding
Ke-qin Hua
Publication date: 01-04-2016
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 4/2016
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-015-2851-1

At a glance: The STEP trials

Springer Medicine

Effects of a new community-based reproductive health intervention on knowledge of and attitudes and behaviors toward stress urinary incontinence among young women in Shanghai: a cluster-randomized controlled trial

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 4/2016

Managing novel orally administered anticoagulants in patients undergoing urogynaecological surgery

Technique of extraperitoneal uterosacral ligament suspension for apical suspension

Patient reported outcome measures after incontinence and prolapse surgery: are the pictures painted by the ICIQ and PGI-I accurate?

Management of pyometra after LeFort colpocleisis resistant to drainage

Carl Gustav Nilsson 1944–2015

Relieving menstrual obstruction: surgical correction of vaginal agenesis