在黑人妇女健康研究中失禁的流行率
Ukpebo Omosigho1, Zhiguo Zhao2, Charles Dupont2
1Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN, USA. uomosigh@gmail.com.
International urogynecology journal
|January 23, 2026
概括
尿道 (UI),便 (FI) 和双重 (DI) 失禁影响了美国超过500万名黑人女性. 黑人女性的UI,FI和DI的患病率高于以前报告的.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 妇女健康 妇女健康
背景情况:
- 以前的流行病学研究估计了美国女性的失禁率,但缺乏针对黑人女性的具体数据.
- 黑人妇女健康研究 (BWHS) 提供了一个独特的队列来检查这个人口群中的 incontinence.
研究的目的:
- 为了估计尿道 (UI),便 (FI) 和双重 (DI) 失禁在自认黑人女性的大量队列中的患病率.
- 通过2020年美国人口普查数据,将这些流行结果推断到美国黑人妇女的更广泛的人口.
主要方法:
- 在BWHS队列中,UI,FI和DI的患病率使用2011年的问卷数据进行了评估.
- 以年龄为特定的患病率被标准化,使用2020年美国人口普查的权重来推断结果到美国黑人女性.
- 分析使用R版本4.3.3进行.
主要成果:
- 大约50.6%的参与者报告至少每年一次经历UI.
- 在绝经后的妇女中,有14%报告任何FI,10%报告DI.
- 外推估计显示,在美国,超过560万35岁以上的黑人女性患有UI,784,529患有FI,608,710患有DI.
结论:
- 在社区生活的黑人妇女中,UI,FI和DI的患病率估计高于以前报告的.
- 这些发现表明公共卫生负担很大,美国有超过500万名黑人妇女受到这些疾病的影响.
- 进一步的研究和有针对性的干预措施是有必要的,以解决这个人群中的 incontinence.
相关概念视频
Urinary Bladder
4.7K
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
4.7K
Prevalence and Incidence
2.3K
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
2.3K
Physiology of the Genitourinary System III: Urine Concentration and Dilution
1.5K
The kidneys concentrate or dilute urine to maintain water and electrolyte balance. Nephrons, particularly the loop of Henle, play a crucial role in this process through the countercurrent multiplication system. This system establishes a high osmolarity in the renal medulla, which is essential for water reabsorption. In the loop of Henle’s descending limb, water is reabsorbed into the surrounding medulla due to its permeability to water. In contrast, the ascending limb actively transports...
1.5K
Nursing Assessment of the Genitourinary System I: Health History
826
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
826
Nursing Assessment of the Genitourinary System II: Inspection and Palpation
1.5K
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
1.5K
Urinary Tract Infection IV: Nursing Management
702
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
702


