並列タイトル等バングラデシュにおける骨盤臓器脱と尿失禁を有する出産経験者の健康関連QOL
タイトル(掲載誌)International Urogynecology Journal
授与機関名Nagasaki University (長崎大学)
一般注記Introduction and hypothesis: We assessed the association of pelvic organ prolapse (POP) and urinary incontinence (UI), alone and in combination (POP-UI), and related factors with health-related quality of life (HRQOL) in parous women in Bangladesh. Methods: The study included 357 parous women: 107 with POP alone, 124 with POP-UI, and 126 with UI alone. Data were collected on sociodemographic characteristics, comorbidities, symptom duration, UI severity and type, POP stage, and the 12-item Short-Form Health Survey (SF-12). Results: The median scores of the SF-12 Physical and Mental Component Summary (PCS and MCS) were 29.1 and 35.7 for POP alone, 28.0 and 35.1 for POP-UI, and 33.9 and 42.0 for UI alone, and there were significant differences among the three groups (p?<?0.001). Participants with mixed UI had lower scores on both components than those with stress or urgency UI. UI severity was associated with lower MCS scores, but not with POP stage. Multiple regression analysis showed that the coexistence of POP and UI was associated with significantly worse PCS scores than UI or POP alone and worse MCS scores than UI alone. Age ? 46 years was associated with lower PCS scores, and not completing primary school was associated with lower MCS scores. Conclusion: POP and UI were associated with HRQOL, especially in those who had POP-UI, were older, and had a low educational level, mixed UI, and severe UI. Healthcare providers should understand the significance of these illnesses and address them to improve women’s HRQOL.
長崎大学学位論文 学位記番号:博(医歯薬)甲第1279号 学位授与年月日:令和2年9月2日
Author: Atsuko Imoto, Malabika Sarker, Rahima Akter, Akiko Matsuyama & Sumihisa Honda
Citation: International Urogynecology Journal, 32, pp.887-895; 2021
identifier:Nagasaki University (長崎大学), 博士(医学) (2020-09-02)
http://hdl.handle.net/10069/40350
DOIinfo:doi/10.1007/s00192-020-04410-5
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