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BMC Urology
Published in: BMC Urology 1/2016

Open Access 01-12-2016 | Research article

Female urinary incontinence and wellbeing: results from a multi-national survey

Author: Andrew P. Smith

Published in: BMC Urology | Issue 1/2016

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Abstract

Background

Previous research has shown that the severity of symptoms of urinary incontinence impacts on quality of life and wellbeing.
The aim of this article is to investigate the relationship between female urinary incontinence and mental wellbeing. This involved analyses comparing those with UI and those without to determine whether any differences in wellbeing were modified by demographic factors, specific wellbeing domain, or exercise and frequency of sex. Following this, further analyses compared sub-groups of those with UI (based on the impact of the UI) to determine which characteristics were important in influencing wellbeing.

Methods

An internet survey of women with UI, aged between 45 and 60 years, has been previously reported and this article reports secondary analyses of that data.
A sample from 4 countries: the UK, France, Germany and the USA.
Two thousand four hundred three women completed the survey, 1203 with UI and 1200 who did not report UI.
The main outcome measures were the scores from the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS).

Results

The results showed that lower wellbeing is observed in UI. This effect is observed in all aspects of wellbeing and most sub-groups of UI sufferers. Lifestyle influences wellbeing and those with UI who exercise less frequently or have sex infrequently are especially likely to report lower wellbeing. Wellbeing decreases as a function of the indirect measures of severity of UI and reductions in HRQol. Again, these changes reflect all aspects of wellbeing measured by WEMWBS.

Conclusions

The results show that women with UI, aged 45–60 years, report lower wellbeing. This effect was not modified by demographic factors and was apparent in most of the domains measured by the WEMWBS. The reduced wellbeing was related to the impact of the UI on behaviour, embarrassment associated with it, and frequency of leakage.
Literature
1.
Irwin DE, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S, Coyne K, Kelleher C, Hampel C, Artibani W, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Euro Urol. 2006;50(6):1306–14. discussion 1314-1305.CrossRef
2.
Thom D. Variation in estimates of urinary incontinence prevalence in the community: effects of differences in definition, population characteristics, and study type. J Am Geriatr Soc. 1998;46(4):473–80.CrossRefPubMed
3.
Franzen K, Johansson JE, Andersson G, Pettersson N, Nilsson K. Urinary incontinence in women is not exclusively a medical problem: a population-based study on urinary incontinence and general living conditions. Scand J Urol Nephrol. 2009;43(3):226–32.CrossRefPubMed
4.
Fultz NH, Fisher GG, Jenkins KR. Does urinary incontinence affect middle-aged and older women’s time use and activity patterns? Obstet Gynecol. 2004;104(6):1327–34.CrossRefPubMed
5.
Coyne KS, Sexton CC, Irwin DE, Kopp ZS, Kelleher CJ, Milsom I. The impact of overactive bladder, incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: results from the EPIC study. BJU Int. 2008;101(11):1388–95.CrossRefPubMed
6.
Papanicolaou S, Hunskaar S, Lose G, Sykes D. Assessment of bothersomeness and impact on quality of life of urinary incontinence in women in France, Germany, Spain and the UK. BJU Int. 2005;96(6):831–8.CrossRefPubMed
7.
8.
Sinclair AJ, Ramsay IN. The psychosocial impact of urinary incontinence in women. Obstet Gynaecol. 2011;13(3):143–8.CrossRef
9.
Tang DH, Colayco DC, Khalaf KM, Piercy J, Patel V, Globe D, Ginsberg D. Impact of urinary incontinence on healthcare resource utilization, health-related quality of life and productivity in patients with overactive bladder. BJU Int. 2014;113:484–91.CrossRefPubMed
10.
Coyne KS, Wein A, Nicholson S, Kvasz M, Chen CI, Milsom I. Comorbidities and personal burden of urgency urinary incontinence: a systematic review. The Int J Clin Pract. 2013;67:1015–33.CrossRefPubMed
11.
Osman NI, Chapple CR. The burden of urgency urinary incontinence on health and wellbeing. The Int J Clin Pract. 2013;67:1072–4.CrossRefPubMed
12.
Coyne KS, Wein A, Nicholson S, Kvasz M, Chen CI, Milsom I. Economic burden of urgency urinary incontinence in the United States: a systematic review. J Manag Care Pharm. 2014;20:130–40.PubMed
13.
Abrams P, Smith AP, Cotterill N. The impact of urinary incontinence on quality of life in a real-world population of women aged 45–60 years: results from a survey in France, Germany, the UK and the USA. Br J Urol Int. 2014. doi:10.​1111/​bju.​12852.
14.
Tennant R, Hiller L, Fishwick R, Platt S, Joseph S, Weich S, Parkinson J, Secker J, Stewart-Brown S. The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): development and UK validation. Health Qual Life Outcomes. 2007;5:63.CrossRefPubMedPubMedCentral
15.
Avery J, Braunack-Mayer A, Stocks N, Taylor A, Duggan P. Psychological perspectives in urinary incontinence: a metasynthesis. OA Women’s Health. 2013;1:9.
16.
Avery J, Stocks N, Duggan P, Braunack-Mayer A, Taylor A, Goldney R, MacLennan A. Identifying the quality of life effects of urinary incontinence with depression in an Australian population. BMC Urol. 2013;13. doi:10.​1186/​1471-2490-13-11.
17.
Avery JC, Braunack-Mayer AJ, Duggan PM, Taylor AW, Stocks NP. ‘It’s our lot’: how resilience influences the experience of depression in women with urinary incontinence. Health Sociol Rev. 2015;24:94–108.CrossRef
18.
Botlero R, Bell RJ, Urquhart DM, Davis SR. Urinary incontinence is associated with lower psychological general well-being in community-dwelling women. Menopause. 2010;17:332–7.CrossRefPubMed
19.
O’Halloran T, Bell RJ, Robinson PJ, Davis SR. Urinary incontinence in young nulligravid women. Ann Intern Med. 2012;157:87–93.CrossRefPubMed
20.
Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004;23(4):322–30.CrossRefPubMed
21.
Metadata
Title
Female urinary incontinence and wellbeing: results from a multi-national survey
Author
Andrew P. Smith
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Urology / Issue 1/2016
Electronic ISSN: 1471-2490
DOI
https://doi.org/10.1186/s12894-016-0140-z

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