Skip to main content
Top
Gepubliceerd in: Quality of Life Research 10/2009

01-12-2009

Does urinary incontinence affect quality of life of Greek women less severely? A cross-sectional study in two Mediterranean settings

Auteurs: Stella Anifantaki, Tuncay Muge Filiz, Athanasios Alegakis, Pinar Topsever, Adelais Markaki, Nursan Dede Cinar, Frangiskos Sofras, Christos Lionis

Gepubliceerd in: Quality of Life Research | Uitgave 10/2009

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objective

Numerous studies have identified a reduced health-related quality of life (QoL) in patients with urinary incontinence (UI). The aim of this study was to assess and compare QoL in women with UI in the island of Crete, Greece, and in Turkey.

Methods

Incontinent women from two community-based primary health care (PHC) groups (Greece and Turkey) and one outpatient clinic-based group were studied.

Results

A total of 231 (24.7%) women out of 932 women from the PHC group in Greece and Turkey reported UI whereas another 38 incontinent women visited the secondary care outpatient clinic. Mean Incontinence Quality of Life questionnaire (I-QoL) total score of women visiting PHC centers was 73.8 (SD = 23.5). There was significant difference among the three groups regarding I-QoL total and subscale scores, with women from the Greek community-based group having the highest score (mean = 81.8, SD = 20.7, P < 0.001). Impaired QoL was significantly associated with severity (P < 0.001), incontinence type (P = 0.026), seeking secondary care, and Turkey as sample setting (P < 0.001).

Conclusion

Urinary incontinence is a frequent problem for women visiting PHC centers, affecting negatively their quality of life. Besides incontinence severity, Turkey as place of residence emerged as another essential predictor of impaired quality of life, suggesting that other social and cultural factors may also play an important role.
Literatuur
1.
go back to reference Bortolotti, A., Bernardini, B., Colli, E., Di Benedetto, P., Giocoli Nacci, G., Landoni, M., et al. (2000). Prevalence and risk factors for urinary incontinence in Italy. European Urology, 37(1), 30–35.CrossRefPubMed Bortolotti, A., Bernardini, B., Colli, E., Di Benedetto, P., Giocoli Nacci, G., Landoni, M., et al. (2000). Prevalence and risk factors for urinary incontinence in Italy. European Urology, 37(1), 30–35.CrossRefPubMed
2.
go back to reference Choo, M. S., Ku, J. H., Oh, S. J., Lee, K. S., Paick, J. S., Seo, J. T., et al. (2007). Prevalence of urinary incontinence in Korean women: An epidemiologic survey. International Urogynecology Journal and Pelvic Floor Dysfunction, 18(11), 1309–1315.CrossRefPubMed Choo, M. S., Ku, J. H., Oh, S. J., Lee, K. S., Paick, J. S., Seo, J. T., et al. (2007). Prevalence of urinary incontinence in Korean women: An epidemiologic survey. International Urogynecology Journal and Pelvic Floor Dysfunction, 18(11), 1309–1315.CrossRefPubMed
3.
go back to reference Filiz, T. M., Uludag, C., Cinar, N., Gorpelioglu, S., & Topsever, P. (2006). Risk factors for urinary incontinence in Turkish women. A cross-sectional study. Saudi Medical Journal, 27(11), 1688–1692.PubMed Filiz, T. M., Uludag, C., Cinar, N., Gorpelioglu, S., & Topsever, P. (2006). Risk factors for urinary incontinence in Turkish women. A cross-sectional study. Saudi Medical Journal, 27(11), 1688–1692.PubMed
4.
go back to reference Fultz, N. H., & Herzog, A. R. (2000). Prevalence of urinary incontinence in middle-aged and older women: A survey-based methodological experiment. Journal of Aging and Health, 12(4), 459–469.CrossRefPubMed Fultz, N. H., & Herzog, A. R. (2000). Prevalence of urinary incontinence in middle-aged and older women: A survey-based methodological experiment. Journal of Aging and Health, 12(4), 459–469.CrossRefPubMed
5.
go back to reference Hannestad, Y. S., Rortveit, G., Sandvik, H., & Hunskaar, S. (2000). A community-based epidemiological survey of female urinary incontinence: The Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. Journal of Clinical Epidemiology, 53(11), 1150–1157.CrossRefPubMed Hannestad, Y. S., Rortveit, G., Sandvik, H., & Hunskaar, S. (2000). A community-based epidemiological survey of female urinary incontinence: The Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. Journal of Clinical Epidemiology, 53(11), 1150–1157.CrossRefPubMed
6.
go back to reference Hunskaar, S., Lose, G., Sykes, D., & Voss, S. (2004). The prevalence of urinary incontinence in women in four European countries. BJU International, 93(3), 324–330.CrossRefPubMed Hunskaar, S., Lose, G., Sykes, D., & Voss, S. (2004). The prevalence of urinary incontinence in women in four European countries. BJU International, 93(3), 324–330.CrossRefPubMed
7.
go back to reference Ozerdogan, N., Beji, N. K., & Yalcin, O. (2004). Urinary incontinence: Its prevalence, risk factors and effects on the quality of life of women living in a region of Turkey. Gynecologic and Obstetric Investigation, 58(3), 145–150.CrossRefPubMed Ozerdogan, N., Beji, N. K., & Yalcin, O. (2004). Urinary incontinence: Its prevalence, risk factors and effects on the quality of life of women living in a region of Turkey. Gynecologic and Obstetric Investigation, 58(3), 145–150.CrossRefPubMed
8.
go back to reference Irwin, D. E., Milsom, I., Kopp, Z., Abrams, P., & Cardozo, L. (2006). Impact of overactive bladder symptoms on employment, social interactions and emotional well-being in six European countries. BJU International, 97(1), 96–100.CrossRefPubMed Irwin, D. E., Milsom, I., Kopp, Z., Abrams, P., & Cardozo, L. (2006). Impact of overactive bladder symptoms on employment, social interactions and emotional well-being in six European countries. BJU International, 97(1), 96–100.CrossRefPubMed
9.
go back to reference Monz, B., Pons, M. E., Hampel, C., Hunskaar, S., Quail, D., Samsioe, G., et al. (2005). Patient-reported impact of urinary incontinence—Results from treatment seeking women in 14 European countries. Maturitas, 52(Suppl 2), S24–S34.CrossRefPubMed Monz, B., Pons, M. E., Hampel, C., Hunskaar, S., Quail, D., Samsioe, G., et al. (2005). Patient-reported impact of urinary incontinence—Results from treatment seeking women in 14 European countries. Maturitas, 52(Suppl 2), S24–S34.CrossRefPubMed
10.
go back to reference Lionis, C., Vlachonikolis, L., Bathianaki, M., Daskalopoulos, G., Anifantaki, S., & Cranidis, A. (2000). Urinary incontinence, the hidden health problem of Cretan women: Report from a primary care survey in Greece. Women and Health, 31(4), 59–66. Lionis, C., Vlachonikolis, L., Bathianaki, M., Daskalopoulos, G., Anifantaki, S., & Cranidis, A. (2000). Urinary incontinence, the hidden health problem of Cretan women: Report from a primary care survey in Greece. Women and Health, 31(4), 59–66.
11.
go back to reference Bushnell, D. M., Martin, M. L., Summers, K. H., Svihra, J., Lionis, C., & Patrick, D. L. (2005). Quality of life of women with urinary incontinence: Cross-cultural performance of 15 language versions of the I-QoL. Quality of Life Research, 14(8), 1901–1913.CrossRefPubMed Bushnell, D. M., Martin, M. L., Summers, K. H., Svihra, J., Lionis, C., & Patrick, D. L. (2005). Quality of life of women with urinary incontinence: Cross-cultural performance of 15 language versions of the I-QoL. Quality of Life Research, 14(8), 1901–1913.CrossRefPubMed
12.
go back to reference Monz, B., et al. (2007). Patient characteristics associated with quality of life in European women seeking treatment for urinary incontinence: Results from PURE. European Urology, 51, 1073–1082.CrossRefPubMed Monz, B., et al. (2007). Patient characteristics associated with quality of life in European women seeking treatment for urinary incontinence: Results from PURE. European Urology, 51, 1073–1082.CrossRefPubMed
13.
go back to reference Oh, S. J., Ku, J. H., Hong, S. K., Kim, S. W., Paick, J. S., & Son, H. (2005). Factors influencing self-perceived disease severity in women with stress urinary incontinence combined with or without urge incontinence. Neurourology and Urodynamics, 24(4), 341–347.CrossRefPubMed Oh, S. J., Ku, J. H., Hong, S. K., Kim, S. W., Paick, J. S., & Son, H. (2005). Factors influencing self-perceived disease severity in women with stress urinary incontinence combined with or without urge incontinence. Neurourology and Urodynamics, 24(4), 341–347.CrossRefPubMed
14.
go back to reference Achat, H., Kawachi, I., Levine, S., Berkey, C., Coakley, E., & Colditz, G. (1998). Social networks, stress and health-related quality of life. Quality of Life Research, 7(8), 735–750.CrossRefPubMed Achat, H., Kawachi, I., Levine, S., Berkey, C., Coakley, E., & Colditz, G. (1998). Social networks, stress and health-related quality of life. Quality of Life Research, 7(8), 735–750.CrossRefPubMed
15.
go back to reference Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U., et al. (2002). The standardisation of terminology of lower urinary tract function: Report from the Standardisation Sub-committee of the International Continence Society. American Journal of Obstetrics and Gynecology, 187(1), 116–126.CrossRefPubMed Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U., et al. (2002). The standardisation of terminology of lower urinary tract function: Report from the Standardisation Sub-committee of the International Continence Society. American Journal of Obstetrics and Gynecology, 187(1), 116–126.CrossRefPubMed
16.
go back to reference Sandvik, H., Hunskaar, S., Seim, A., Hermstad, R., Vanvik, A., & Bratt, H. (1993). Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. Journal of Epidemiology and Community Health, 47(6), 497–499.CrossRefPubMed Sandvik, H., Hunskaar, S., Seim, A., Hermstad, R., Vanvik, A., & Bratt, H. (1993). Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. Journal of Epidemiology and Community Health, 47(6), 497–499.CrossRefPubMed
17.
go back to reference Sandvik, H., Espuna, M., & Hunskaar, S. (2006). Validity of the incontinence severity index: Comparison with pad-weighing tests. International Urogynecology Journal and Pelvic Floor Dysfunction, 17(5), 520–524.CrossRefPubMed Sandvik, H., Espuna, M., & Hunskaar, S. (2006). Validity of the incontinence severity index: Comparison with pad-weighing tests. International Urogynecology Journal and Pelvic Floor Dysfunction, 17(5), 520–524.CrossRefPubMed
18.
go back to reference Patrick, D. L., Martin, M. L., Bushnell, D. M., Yalcin, I., Wagner, T. H., & Buesching, D. P. (1999). Quality of life of women with urinary incontinence: Further development of the incontinence quality of life instrument (I-QoL). Urology, 53(1), 71–76.CrossRefPubMed Patrick, D. L., Martin, M. L., Bushnell, D. M., Yalcin, I., Wagner, T. H., & Buesching, D. P. (1999). Quality of life of women with urinary incontinence: Further development of the incontinence quality of life instrument (I-QoL). Urology, 53(1), 71–76.CrossRefPubMed
19.
go back to reference Gasquet, I., Tcherny-Lessenot, S., Gaudebout, P., Bosio Le Goux, B., Klein, P., & Haab, F. (2006). Influence of the severity of stress urinary incontinence on quality of life, health care seeking, and treatment: A national cross-sectional survey. European Urology, 50(4), 818–825.CrossRefPubMed Gasquet, I., Tcherny-Lessenot, S., Gaudebout, P., Bosio Le Goux, B., Klein, P., & Haab, F. (2006). Influence of the severity of stress urinary incontinence on quality of life, health care seeking, and treatment: A national cross-sectional survey. European Urology, 50(4), 818–825.CrossRefPubMed
20.
go back to reference Saadoun, K., Ringa, V., Fritel, X., Varnoux, N., Zins, M., & Breart, G. (2006). Negative impact of urinary incontinence on quality of life, a cross-sectional study among women aged 49–61 years enrolled in the GAZEL cohort. Neurourology and Urodynamics, 25(7), 696–702.CrossRefPubMed Saadoun, K., Ringa, V., Fritel, X., Varnoux, N., Zins, M., & Breart, G. (2006). Negative impact of urinary incontinence on quality of life, a cross-sectional study among women aged 49–61 years enrolled in the GAZEL cohort. Neurourology and Urodynamics, 25(7), 696–702.CrossRefPubMed
21.
go back to reference L., H. (2006). Social networks and self-rated health: A cross-cultural examination among older Israelis. Journal of Aging and Health, 18(3), 335–358.CrossRef L., H. (2006). Social networks and self-rated health: A cross-cultural examination among older Israelis. Journal of Aging and Health, 18(3), 335–358.CrossRef
22.
go back to reference Melchior, M. B. L., Niedhammer, I., Chea, M., & Goldberg, M. (2003). Social relations and self-reported health: A prospective analysis of the French Gazel cohort. Social Science and Medicine, 56(8), 1817–1830.CrossRefPubMed Melchior, M. B. L., Niedhammer, I., Chea, M., & Goldberg, M. (2003). Social relations and self-reported health: A prospective analysis of the French Gazel cohort. Social Science and Medicine, 56(8), 1817–1830.CrossRefPubMed
23.
go back to reference Suchman, E. (1966). Health orientation and medical care. American Journal of Public Health, 56, 97–105.CrossRefPubMed Suchman, E. (1966). Health orientation and medical care. American Journal of Public Health, 56, 97–105.CrossRefPubMed
24.
go back to reference Saleh, N., Bener, A., Khenyab, N., Al-Mansori, Z., & Al Muraikhi, A. (2005). Prevalence, awareness and determinants of health care-seeking behaviour for urinary incontinence in Qatari women: A neglected problem? Maturitas, 50(1), 58–65.CrossRefPubMed Saleh, N., Bener, A., Khenyab, N., Al-Mansori, Z., & Al Muraikhi, A. (2005). Prevalence, awareness and determinants of health care-seeking behaviour for urinary incontinence in Qatari women: A neglected problem? Maturitas, 50(1), 58–65.CrossRefPubMed
25.
go back to reference Sange, C., Thomas, L., Lyons, C., & Hill, S. (2008). Urinary incontinence in Muslim women. Nursing Times, 104(25), 49–52.PubMed Sange, C., Thomas, L., Lyons, C., & Hill, S. (2008). Urinary incontinence in Muslim women. Nursing Times, 104(25), 49–52.PubMed
26.
go back to reference Rizk, D. E., Shaheen, H., Thomas, L., Dunn, E., & Hassan, M. Y. (1999). The prevalence and determinants of health care-seeking behavior for urinary incontinence in United Arab Emirates women. International Urogynecology Journal and Pelvic Floor Dysfunction, 10(3), 160–165.CrossRefPubMed Rizk, D. E., Shaheen, H., Thomas, L., Dunn, E., & Hassan, M. Y. (1999). The prevalence and determinants of health care-seeking behavior for urinary incontinence in United Arab Emirates women. International Urogynecology Journal and Pelvic Floor Dysfunction, 10(3), 160–165.CrossRefPubMed
27.
go back to reference van den Muijsenbergh, M. E., & Largo Janssen, T. A. (2006). Urinary incontinence in Moroccan and Turkish women: A qualitative study on impact and preferences for treatment. British Journal of General Practice, 56(533), 945–949.PubMed van den Muijsenbergh, M. E., & Largo Janssen, T. A. (2006). Urinary incontinence in Moroccan and Turkish women: A qualitative study on impact and preferences for treatment. British Journal of General Practice, 56(533), 945–949.PubMed
28.
go back to reference European foundation for the improvement of living and working conditions: Second European Quality of life survey (EQLS) (2009). European foundation for the improvement of living and working conditions: Second European Quality of life survey (EQLS) (2009).
29.
go back to reference Garcia, E. L. (2005). Social network and health-related quality of life in older adults: A population-based study in Spain. Quality of Life Research, 14, 511–520.CrossRefPubMed Garcia, E. L. (2005). Social network and health-related quality of life in older adults: A population-based study in Spain. Quality of Life Research, 14, 511–520.CrossRefPubMed
30.
go back to reference Papanicolaou, S., Hunskaar, S., Lose, G., & Sykes, D. (2005). Assessment of bothersomeness and impact on quality of life of urinary incontinence in women in France, Germany, Spain and the UK. BJU International, 96(6), 831–838.CrossRefPubMed Papanicolaou, S., Hunskaar, S., Lose, G., & Sykes, D. (2005). Assessment of bothersomeness and impact on quality of life of urinary incontinence in women in France, Germany, Spain and the UK. BJU International, 96(6), 831–838.CrossRefPubMed
31.
go back to reference Bretones Alcaraz, J. J., y Pino, M. D., Garcia Vilchez, M. A., Fajardo Cabrerizo, M. L., Saez Garcia, J. M., & Ortega Lopez, I. (1997). Urinary incontinence in adult women: A descriptive study of a rural population. Aten Primaria, 20(1), 45–48.PubMed Bretones Alcaraz, J. J., y Pino, M. D., Garcia Vilchez, M. A., Fajardo Cabrerizo, M. L., Saez Garcia, J. M., & Ortega Lopez, I. (1997). Urinary incontinence in adult women: A descriptive study of a rural population. Aten Primaria, 20(1), 45–48.PubMed
32.
go back to reference Lagace, E. A., Hansen, W., & Hickner, J. M. (1993). Prevalence and severity of urinary incontinence in ambulatory adults: An UPRNet study. Journal of Family Practice, 36(6), 610–614.PubMed Lagace, E. A., Hansen, W., & Hickner, J. M. (1993). Prevalence and severity of urinary incontinence in ambulatory adults: An UPRNet study. Journal of Family Practice, 36(6), 610–614.PubMed
33.
go back to reference Shaw, C., Gupta, R. D., Bushnell, D. M., Assassa, R. P., Abrams, P., Wagg, A., et al. (2006). The extent and severity of urinary incontinence amongst women in UK GP waiting rooms. Family Practice, 23(5), 497–506.CrossRefPubMed Shaw, C., Gupta, R. D., Bushnell, D. M., Assassa, R. P., Abrams, P., Wagg, A., et al. (2006). The extent and severity of urinary incontinence amongst women in UK GP waiting rooms. Family Practice, 23(5), 497–506.CrossRefPubMed
34.
go back to reference Simeonova, Z., & Bengtsson, C. (1990). Prevalence of urinary incontinence among women at a Swedish primary health care centre. Scandinavian Journal of Primary Health Care, 8(4), 203–206.CrossRefPubMed Simeonova, Z., & Bengtsson, C. (1990). Prevalence of urinary incontinence among women at a Swedish primary health care centre. Scandinavian Journal of Primary Health Care, 8(4), 203–206.CrossRefPubMed
35.
go back to reference Vinker, S., Kaplan, B., Nakar, S., Samuels, G., Shapira, G., & Kitai, E. (2001). Urinary incontinence in women: Prevalence, characteristics and effect on quality of life. A primary care clinic study. The Israel Medical Association Journal, 3(9), 663–666.PubMed Vinker, S., Kaplan, B., Nakar, S., Samuels, G., Shapira, G., & Kitai, E. (2001). Urinary incontinence in women: Prevalence, characteristics and effect on quality of life. A primary care clinic study. The Israel Medical Association Journal, 3(9), 663–666.PubMed
36.
go back to reference Danforth, K. N., Townsend, M. K., Lifford, K., Curhan, G. C., Resnick, N. M., & Grodstein, F. (2006). Risk factors for urinary incontinence among middle-aged women. American Journal of Obstetrics and Gynecology, 194(2), 339–345.CrossRefPubMed Danforth, K. N., Townsend, M. K., Lifford, K., Curhan, G. C., Resnick, N. M., & Grodstein, F. (2006). Risk factors for urinary incontinence among middle-aged women. American Journal of Obstetrics and Gynecology, 194(2), 339–345.CrossRefPubMed
37.
go back to reference Kocak, I., Okyay, P., Dundar, M., Erol, H., & Beser, E. (2005). Female urinary incontinence in the west of Turkey: Prevalence, risk factors and impact on quality of life. European Urology, 48(4), 634–641.CrossRefPubMed Kocak, I., Okyay, P., Dundar, M., Erol, H., & Beser, E. (2005). Female urinary incontinence in the west of Turkey: Prevalence, risk factors and impact on quality of life. European Urology, 48(4), 634–641.CrossRefPubMed
38.
go back to reference Hunskaar, S., Burgio, K., Diokno, A., Herzog, A. R., Hjalmas, K., & Lapitan, M. C. (2003). Epidemiology and natural history of urinary incontinence in women. Urology, 62(4 Suppl 1), 16–23.CrossRefPubMed Hunskaar, S., Burgio, K., Diokno, A., Herzog, A. R., Hjalmas, K., & Lapitan, M. C. (2003). Epidemiology and natural history of urinary incontinence in women. Urology, 62(4 Suppl 1), 16–23.CrossRefPubMed
39.
go back to reference Minassian, V. A., Drutz, H. P., & Al-Badr, A. (2003). Urinary incontinence as a worldwide problem. International Journal of Gynaecology and Obstetrics, 82(3), 327–338.CrossRefPubMed Minassian, V. A., Drutz, H. P., & Al-Badr, A. (2003). Urinary incontinence as a worldwide problem. International Journal of Gynaecology and Obstetrics, 82(3), 327–338.CrossRefPubMed
40.
go back to reference Swanson, J. G., Kaczorowski, J., Skelly, J., & Finkelstein, M. (2005). Urinary incontinence: Common problem among women over 45. Canadian Family Physician, 51, 84–85.PubMed Swanson, J. G., Kaczorowski, J., Skelly, J., & Finkelstein, M. (2005). Urinary incontinence: Common problem among women over 45. Canadian Family Physician, 51, 84–85.PubMed
41.
go back to reference Tozun, M., Ayranci, U., & Unsal, A. (2009). Prevalence of urinary incontinence among women and its impact on quality of life in a semirural area of western Turkey. Gynecologic and Obstetric Investigation, 67(4), 241–249.CrossRefPubMed Tozun, M., Ayranci, U., & Unsal, A. (2009). Prevalence of urinary incontinence among women and its impact on quality of life in a semirural area of western Turkey. Gynecologic and Obstetric Investigation, 67(4), 241–249.CrossRefPubMed
Metagegevens
Titel
Does urinary incontinence affect quality of life of Greek women less severely? A cross-sectional study in two Mediterranean settings
Auteurs
Stella Anifantaki
Tuncay Muge Filiz
Athanasios Alegakis
Pinar Topsever
Adelais Markaki
Nursan Dede Cinar
Frangiskos Sofras
Christos Lionis
Publicatiedatum
01-12-2009
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 10/2009
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-009-9545-4

Andere artikelen Uitgave 10/2009

Quality of Life Research 10/2009 Naar de uitgave