Prevalence and health seeking behaviour of urinary incontinence among postmenopausal women attending outpatient clinic Hospital Universiti Sains Malaysia

Introduction: Urinary incontinence (UI) is common in adult women, but under diagnosed and under treated. Menopause leads to urogenital atrophy due to decline in estrogen which causes UI. Postmenopausal women often delay in seeking treatment. There were also limited studies conducted of UI among...

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Main Author:	Mokti, Shakiroh Abdul
Format:	Thesis
Language:	English
Published:	2017
Subjects:	RC870-923 Diseases of the genitourinary system Urology
Online Access:	http://eprints.usm.my/44716/1/Dr.%20Shakiroh%20Abdul%20Mokti-24%20pages.pdf
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spelling	my-usm-ep.447162020-10-22T03:03:15Z Prevalence and health seeking behaviour of urinary incontinence among postmenopausal women attending outpatient clinic Hospital Universiti Sains Malaysia 2017 Mokti, Shakiroh Abdul RC870-923 Diseases of the genitourinary system. Urology Introduction: Urinary incontinence (UI) is common in adult women, but under diagnosed and under treated. Menopause leads to urogenital atrophy due to decline in estrogen which causes UI. Postmenopausal women often delay in seeking treatment. There were also limited studies conducted of UI among postmenopausal women. Objectives: The objective of this study is to determine the prevalence of urinary incontinence and the health-seeking behaviour of postmenopausal women and their associated factors. Methodology: A cross sectional study was carried out involving 348 postmenopausal women between 47 till 82 years old attended outpatient clinic from February 2015 to April 2015 through convenience sampling method. Every participant was given a validated self-administered Questionnaire Survey formulated by a panel of experts from the Asia-Pacific Continence Advisory Board (APCAB), which had Cronbach’s alpha of 0.64. It consisted of three parts assessing sociodemographic data, urinary incontinence and health-seeking behaviour. Results: The mean age of respondents was 67.4 (±5.8) years old. The majority of them had menopause for more than 5 years (70.4%) and attained at leastsecondary education (61.7%). The prevalence of urinary incontinence was 58.9% with 24.9% having moderate and 7.8% severe UI. The most common type of UI was stress incontinence (83.4%). Only higher family income was significantly associated with UI (adjusted odds ratio [OR] 0.32, 95% confidence interval [CI]: 0.12, 0.85). Only 13.17% of patients with UI sought treatment. Factors significantly associated with health seeking behaviour were age of menopause (adjusted odds ratio [OR] 0.88, 95% confidence interval [CI]: 0.79, 0.97) and severe UI (adjusted odds ratio [OR] 9.50, 95% confidence interval [CI]: 1.84, 49.08). Conclusion: The prevalence of UI among postmenopausal women attending Outpatient clinic was unexpectedly high, yet only a few sought treatment. This should promote both health care providers and women to a larger alertness of the situation. 2017 Thesis http://eprints.usm.my/44716/ http://eprints.usm.my/44716/1/Dr.%20Shakiroh%20Abdul%20Mokti-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC870-923 Diseases of the genitourinary system Urology
spellingShingle	RC870-923 Diseases of the genitourinary system Urology Mokti, Shakiroh Abdul Prevalence and health seeking behaviour of urinary incontinence among postmenopausal women attending outpatient clinic Hospital Universiti Sains Malaysia
description	Introduction: Urinary incontinence (UI) is common in adult women, but under diagnosed and under treated. Menopause leads to urogenital atrophy due to decline in estrogen which causes UI. Postmenopausal women often delay in seeking treatment. There were also limited studies conducted of UI among postmenopausal women. Objectives: The objective of this study is to determine the prevalence of urinary incontinence and the health-seeking behaviour of postmenopausal women and their associated factors. Methodology: A cross sectional study was carried out involving 348 postmenopausal women between 47 till 82 years old attended outpatient clinic from February 2015 to April 2015 through convenience sampling method. Every participant was given a validated self-administered Questionnaire Survey formulated by a panel of experts from the Asia-Pacific Continence Advisory Board (APCAB), which had Cronbach’s alpha of 0.64. It consisted of three parts assessing sociodemographic data, urinary incontinence and health-seeking behaviour. Results: The mean age of respondents was 67.4 (±5.8) years old. The majority of them had menopause for more than 5 years (70.4%) and attained at leastsecondary education (61.7%). The prevalence of urinary incontinence was 58.9% with 24.9% having moderate and 7.8% severe UI. The most common type of UI was stress incontinence (83.4%). Only higher family income was significantly associated with UI (adjusted odds ratio [OR] 0.32, 95% confidence interval [CI]: 0.12, 0.85). Only 13.17% of patients with UI sought treatment. Factors significantly associated with health seeking behaviour were age of menopause (adjusted odds ratio [OR] 0.88, 95% confidence interval [CI]: 0.79, 0.97) and severe UI (adjusted odds ratio [OR] 9.50, 95% confidence interval [CI]: 1.84, 49.08). Conclusion: The prevalence of UI among postmenopausal women attending Outpatient clinic was unexpectedly high, yet only a few sought treatment. This should promote both health care providers and women to a larger alertness of the situation.
format	Thesis
qualification_level	Master's degree
author	Mokti, Shakiroh Abdul
author_facet	Mokti, Shakiroh Abdul
author_sort	Mokti, Shakiroh Abdul
title	Prevalence and health seeking behaviour of urinary incontinence among postmenopausal women attending outpatient clinic Hospital Universiti Sains Malaysia
title_short	Prevalence and health seeking behaviour of urinary incontinence among postmenopausal women attending outpatient clinic Hospital Universiti Sains Malaysia
title_full	Prevalence and health seeking behaviour of urinary incontinence among postmenopausal women attending outpatient clinic Hospital Universiti Sains Malaysia
title_fullStr	Prevalence and health seeking behaviour of urinary incontinence among postmenopausal women attending outpatient clinic Hospital Universiti Sains Malaysia
title_full_unstemmed	Prevalence and health seeking behaviour of urinary incontinence among postmenopausal women attending outpatient clinic Hospital Universiti Sains Malaysia
title_sort	prevalence and health seeking behaviour of urinary incontinence among postmenopausal women attending outpatient clinic hospital universiti sains malaysia
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2017
url	http://eprints.usm.my/44716/1/Dr.%20Shakiroh%20Abdul%20Mokti-24%20pages.pdf
_version_	1747821393162010624

Prevalence and health seeking behaviour of urinary incontinence among postmenopausal women attending outpatient clinic Hospital Universiti Sains Malaysia

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