Evidence map›Paper›PMID 31781824›Full record

ArticleInternational urogynecology journal2020

Risk factors and prevalence of urinary incontinence in mid-life Singaporean women: the Integrated Women's Health Program.

Kai Lyn Ng, K W Roy Ng, Win Pa Pa Thu, Michael S Kramer, Susan Logan, Eu-Leong Yong

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Article in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Long-term efficacy of the pelvic floor muscle rehabilitation for women with stress urinary incontinence.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  3. Article
  4. Urinary Incontinence and Sleep Quality in Older Women with Type 2 Diabetes: A Cross-Sectional Study.International journal of environmental research and public health · 2022
    Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Kai Lyn NgDepartment of Obstetrics and Gynecology, National University Hospital, National University of Singapore, Singapore, 119228, Singapore.
K W Roy NgDepartment of Obstetrics and Gynecology, National University Hospital, National University of Singapore, Singapore, 119228, Singapore.
Win Pa Pa ThuDepartment of Obstetrics and Gynecology, National University Hospital, National University of Singapore, Singapore, 119228, Singapore.
Michael S KramerDepartments of Epidemiology, Biostatistics & Occupational Health and of Pediatrics, McGill University Faculty of Medicine, Montreal, Quebec, H3G 1Y6, Canada.
Susan LoganDepartment of Obstetrics and Gynecology, National University Hospital, National University of Singapore, Singapore, 119228, Singapore.
Eu-Leong YongDepartment of Obstetrics and Gynecology, National University Hospital, National University of Singapore, Singapore, 119228, Singapore. obgyel@nus.edu.sg.ORCID 0000-0001-6511-770X
National University of Singapore · SGMcGill University · CA

Funding

National Medical Research Council Singapore CSASI16May007
6 · The paper itself

Abstract

introduction and hypothesisThe objective was to identify the prevalence and risk factors for urinary incontinence (UI) in healthy midlife Singaporean women.

methodsHealthy women, aged 45-69 years, were assessed for UI and sociodemographic characteristics, including ethnicity, menopausal status, parity, and body mass index (BMI). UI subtypes corresponding to stress (SUI) alone, urge (UUI) alone, mixed (MUI), and leakage (drops only) incontinence were classified using the Urinary Distress Inventory 6 (UDI-6). Risk factors were examined using Chi-squared tests, followed by sequential multivariate logistic regression to estimate adjusted odds ratios (aOR and 95% confidence intervals).

resultsA total of 1,119 women (mean age 56.2 ± 5.2) completed the UDI-6. 52.3% reported any UI; MUI and SUI were the most common, each affecting 20% of women. Post-menopausal women had a lower risk (aOR 0.5 [0.3-0.9]) of SUI, but a higher risk (aOR 4.4 [1.0-19.9]) of UUI compared with premenopausal women. Higher education was negatively associated (aOR 0.3 [0.2-0.7]) with UUI, but positively associated with MUI (aOR 2.3 [1.3-4.0]). Parity (1-2 children) increased the risk of SUI (aOR 1.8 [1.0-3.1]), but reduced the risk of UUI (aOR 0.4 [0.2-0.9]). Obesity was associated with increased risk for MUI (aOR 2.2 [1.4-3.4]) and leakage (aOR 2.0 [1.0-4.1]). Malays and Indians had a higher risk of MUI, having (aOR 2.1 (1.2-3.7) and 1.7 (1.1-2.7) respectively compared with Chinese, a difference mediated by higher BMI.

conclusionUrinary incontinence is a major morbidity prevalent in healthy midlife Asian women. Post-menopausal status, education level, parity, BMI (and its link with ethnicity) are independent risk factors in this population, and should be incorporated into counseling and targeted interventions.

Indexed as

Urinary IncontinenceUrinary Incontinence, StressChildFemaleHumansMiddle AgedPregnancyPrevalenceRisk FactorsSurveys and QuestionnairesUrinary Incontinence, UrgeWomen's HealthAsian womenMidlifePrevalenceRisk factorsUrinary distress inventory 6 (UDI-6)Urinary incontinence

Identifiers

PMID31781824
OpenAlexW2991413337

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.