The prevalence of urinary incontinence in pregnancy among a multi-ethnic population resident in Norway
Journal article, Peer reviewed
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http://hdl.handle.net/11250/171146Utgivelsesdato
2012-07-25Metadata
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Originalversjon
BJOG: an International Journal of Obstetrics and Gynaecology. 2012, 119(11), 1354-1360 10.1111/j.1471-0528.2012.03435.xSammendrag
OBJECTIVES: To investigate prevalence of urinary incontinence (UI) in a
multi-ethnic population of pregnant women, and to analyse for possible
associations of the known risk factors for UI in such a population. DESIGN:
Population-based cross-sectional study. SETTING: All pregnant women in three
administrative city districts attending the Child Health Clinics. POPULATION AND
SAMPLE: Out of 823 women identified in the [corrected] first trimester, 772 (94%)
[corrected] agreed to participate in the study at 28 weeks of gestation.
Inclusion criteria were: healthy women at 20 weeks of gestation or less and able
to communicate in Norwegian, Arabic, English, Sorani, Somali, Tamil, Turkish,
Urdu or Vietnamese. METHODS: Differences between ethnic groups were tested by
simple descriptive statistics. Associations were estimated by logistic regression
analysis and presented as crude (cOR) and adjusted (aOR) odds ratios. MAIN
OUTCOME MEASURES: Prevalence of UI as ascertained using the International
Consultation on Incontinence Questionnaire-urinary incontinence-short form.
RESULTS: Prevalence rates of UI at 28 weeks of gestation were 26% for women of
African origin, 36% for women of Middle Eastern origin, 40% for women of East
Asian origin, 43% for women of South Asian origin and 45% for women of
European/North American origin. The difference was significant between women of
African and European/North American origins (P = 0.011) and between women of
African and South Asian origins (P = 0.035). Age (aOR 1.05; 95% CI 1.01-1.09) and
parity (aOR 2.34; 95% CI 1.66-3.28) were positively associated with the
prevalence of UI in pregnancy. Women of African origin had significantly reduced
odds for UI (aOR 0.42; 95% CI 0.20-0.87). East Asian and African women reported
the highest perceived impact of UI in pregnancy. CONCLUSIONS: A high prevalence
of UI was found in a multi-ethnic pregnant population.
Beskrivelse
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