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Measuring urinary incontinence in a population of women in northern Mexico: prevalence and severity

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Abstract

Introduction and hypothesis

This study was designed to estimate the prevalence of urinary incontinence and its associated risk factors among women in northern Mexico. The type and severity of incontinence were also assessed.

Methods

This cross-sectional population-based study assessed self-reported urinary incontinence in a random sample of 1,307 women aged 25–54 years. Logistic regression was used to estimate the association of urinary incontinence with sociodemographic and reproductive characteristics and other medical conditions.

Results

Overall, 18.4% of participants reported having involuntary loss of urine at some time within the last 12 months (95% CI, 16.4–20.7%). Among women reporting urinary incontinence, stress incontinence was the most common form (56.8%), followed by mixed (31.1%) and urge incontinence (10.0%). Approximately half of the women with urinary incontinence symptoms reported a severity index of moderate (25.8%) to severe (26.2%), with 30% stating that their leakage was extremely bothersome. Forty percent of incontinent women reported use of some sort of protection, although only 28% had ever talked to a physician about their symptoms. In adjusted analyses, high body mass index (BMI) ≥25 kg/m2, chronic urinary tract infections, and a history of a hysterectomy or uterine leiomyomata were associated with increased odds of reporting incontinence symptoms. Increased odds of reporting severe urinary incontinence was associated with chronic urinary tract infections, current smoking and high BMI.

Conclusion

Our results suggest that there might be a need to develop a culturally sensitive screening questionnaire in order to identify and counsel women with mild incontinence symptoms in the primary care setting.

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Funding

This article is based on research supported by grant D43 TW01276 from the National Institutes of Health/Fogarty International Center and grant 1000–1241 from the Ford Foundation.

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. School of Transborder Studies, Transborder Community Development and Health Unit, Arizona State University, Tempe, AZ, USA

    Hilda García-Pérez

  2. School of Public Health, University of Michigan, Ann Arbor, MI, USA

    Siobán D. Harlow

  3. School of Nursing, University of Michigan, Ann Arbor, MI, USA

    Carolyn M. Sampselle

  4. El Colegio de Sonora, Hermosillo, Sonora, México

    Catalina Denman

Authors
  1. Hilda García-Pérez
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  2. Siobán D. Harlow
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  3. Carolyn M. Sampselle
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  4. Catalina Denman
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Corresponding author

Correspondence to Hilda García-Pérez.

Additional information

Drs Hilda García-Pérez and Siobán D. Harlow are responsible for the design and data analysis reported in this article, as well as most of the writing. Drs Sampselle and Denman reviewed and provided feedback during the preparation of the final paper

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García-Pérez, H., Harlow, S.D., Sampselle, C.M. et al. Measuring urinary incontinence in a population of women in northern Mexico: prevalence and severity. Int Urogynecol J 24, 847–854 (2013). https://doi.org/10.1007/s00192-012-1949-y

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  • DOI: https://doi.org/10.1007/s00192-012-1949-y

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