The Prevalence and Risk Factors of Stress Urinary Incontinence Among Women in Saudi Arabia: A Systematic Review and Meta-Analysis.

IF 2.4 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Healthcare Pub Date : 2024-12-04 DOI:10.3390/healthcare12232440
Mohammed Abdullah Saad Alhamoud, Fatimah Ali Julaih, Hadi Dhafer Hadi Al-Aqil, Naif Abdullah S Almalki, Faisal Abdullah G Alharthi, Ahmed Abdullah Alghamdi, Sulaiman Ali K Alshehri, Ahmad Saeed Alqhtani, Mohammed Abdulrahman Alasiri, Abdullah Sulaiman Alaqil, Bandar Naffaa Alhumaidi, Ariana Saraiva, Conrado Carrascosa, António Raposo
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引用次数: 0

Abstract

Background: Stress urinary incontinence (SUI) is a prevalent condition among women in Saudi Arabia, characterized by involuntary urine leakage during physical activities that increase abdominal pressure, such as coughing or sneezing. This systematic review and meta-analysis aimed to evaluate the prevalence of SUI and identify its key risk factors.

Methods: A comprehensive search of PubMed, Scopus, and Web of Science was conducted for studies published up to July 2024, following PRISMA 2020 guidelines.

Results: Ten observational studies involving 18,245 participants met the inclusion criteria, and study quality was assessed using the Newcastle-Ottawa Scale. A random-effects model was employed for meta-analysis, with subgroup and sensitivity analyses performed to address heterogeneity. The pooled prevalence of SUI was 26% (95% CI: 14-41%, I2 = 99%, p < 0.001), with rates ranging from 3.3% to 50%. Subgroup analysis showed a prevalence of 17% (95% CI: 1-42%, I2 = 99%, p < 0.001) in the general population and 33% (95% CI: 19-48%, I2 = 99%, p < 0.001) in specific groups, such as postpartum women and those with low back pain. Significant risk factors included age, obesity, high parity, and chronic conditions like diabetes. Despite high heterogeneity, sensitivity analyses confirmed the robustness of these findings.

Conclusions: The findings underscore the need for public health strategies focused on weight management, pelvic floor rehabilitation, and increased awareness about SUI. Effective preventive measures could significantly reduce the burden of SUI and improve the quality of life for women in Saudi Arabia.

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沙特阿拉伯女性压力性尿失禁的患病率和风险因素:系统回顾与元分析》。
背景:压力性尿失禁(SUI)是沙特阿拉伯妇女的一种常见病,其特点是在咳嗽或打喷嚏等增加腹压的体力活动中出现不自主漏尿。本系统综述和荟萃分析旨在评估 SUI 的患病率并确定其主要风险因素:方法:按照 PRISMA 2020 指南,对 PubMed、Scopus 和 Web of Science 上截至 2024 年 7 月发表的研究进行了全面检索:共有 10 项观察性研究符合纳入标准,涉及 18245 名参与者,研究质量采用纽卡斯尔-渥太华量表进行评估。采用随机效应模型进行荟萃分析,并针对异质性进行了亚组分析和敏感性分析。汇总的 SUI 患病率为 26%(95% CI:14-41%,I2 = 99%,p < 0.001),患病率从 3.3% 到 50% 不等。亚组分析显示,一般人群的发病率为 17%(95% CI:1-42%,I2 = 99%,p < 0.001),特定人群的发病率为 33%(95% CI:19-48%,I2 = 99%,p < 0.001),如产后妇女和腰背痛患者。重要的风险因素包括年龄、肥胖、高妊娠率和糖尿病等慢性疾病。尽管异质性很高,但敏感性分析证实了这些研究结果的可靠性:研究结果表明,有必要制定以体重管理、盆底康复和提高对 SUI 认识为重点的公共卫生战略。有效的预防措施可大大减轻 SUI 的负担,提高沙特阿拉伯妇女的生活质量。
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来源期刊
Healthcare
Healthcare Medicine-Health Policy
CiteScore
3.50
自引率
7.10%
发文量
0
审稿时长
47 days
期刊介绍: Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.
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