【作者】
朱纪明；
庞海玉；
王培成；
陈彦桦；
黎晖晖；
刘青；
王鲁文；
金杭美；
龚丽艳；
谢静燕；
赖婷；
李爱阳；
刘禄斌；
严梦莎；
周立飞；
栾艳秋；
王琳；
李小丽；
罗喜平；
付英杰；
牛菊敏；
赵温；
刘启明；
赵仁峰；
娄文佳；
Abraham N.Morse；
尹嘉惠；
党乐；
杨华；
李立明；
吕筠；
朱兰；
【Author】
Jiming Zhu;Haiyu Pang;Peicheng Wang;Yanhua Chen;Huihui Li;Qing Liu;Luwen Wang;Hangmei Jin;Liyan Gong;Jingyan Xie;Ting Lai;Aiyang Li;Lubin Liu;Mengsha Yan;Lifei Zhou;Yanqiu Luan;Lin Wang;Xiaoli Li;Xiping Luo;Yingjie Fu;Jumin Niu;Wen Zhao;Qiming Liu;Renfeng Zhao;Wenjia Lou;Abraham N.Morse;Jiahui Yin;Le Dang;Hua Yang;Liming Li;Jun Lv;Lan Zhu;Vanke School of Public Health,Institute for Healthy China,Tsinghua University;Institute of Clinical Medicine,National Infrastructures for Translational Medicine,State Key Laboratory of Common Mechanism Research for Major Diseases,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College;School of Economics and Wang Yanan Institute for Studies in Economics,Xiamen University;Department of Gynecology,Gansu Provincial Maternity and Child-Care Hospital,Gansu Provincial Central Hospital;Department of Gynecology,The Third Affiliated Hospital of Zhengzhou University;Department of Gynecology,Women’s Hospital,School of Medicine,Zhejiang University;Department of Pelvic Floor Rehabilitation,Hubei Maternity and Childcare Hospital,Women and Children’s Hospital of Hubei Province;Department of Gynecology,Nanjing First Hospital,Nanjing Medical University;Department of Gynecology,Guiyang Maternal and Child Health Care Hospital;Beijing Miyun District Hospital;Department of Obstetrics and Gynecology,Women and Children’s Hospital of Chongqing Medical University;Department of Gynecology,Shijiazhuang Maternal and Child Health Hospital;Maternal and Child Health Hospital of Beijing Dongcheng District;Department of Gynecology,People’s Hospital of Xinjiang Uygur Autonomous Region;Department of Gynecology,Shanxi Maternal and Child Health Hospital;Department of Gynecology,Guangdong Province Women and Children Hospital;Ministry of Women’s Health,Harbin Maternal and Child Health Care and Family Planning Service Center;Department of Gynecology,Shenyang Women’s and Children’s Hospital;Haidian District Maternal and Child Health Care Hospital;Department of Gynecology and Obstetrics,Maternal and Child Health Hospital of Yanqing District;Department of Gynecology and Obstetrics,Guangxi Academy of Medical Sciences,The People’s Hospital of Guangxi Zhuang Autonomous Region;Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences;Department of OBGYN,Tufts University School of Medicine;Department of Public Health,School of Population Medicine and Public Health,Chinese Academy of Medical Sciences&Peking Union Medical College;Department of Gynecology and Obstetrics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,National Clinical Research Center for Obstetric&Gynecologic Diseases;School of Public Health,Peking University Health Science Center,Peking University Center for Public Health and Epidemic Preparedness&Response,Key Laboratory of Epidemiology of Major Diseases (Peking University),Ministry of Education;School of Public Health,Peking University Health Science Center,Peking University Center for Public Health and Epidemic Preparedness&Response,Key Laboratory of Epidemiology of Major Diseases (Peking University),Ministry of Education,State Key Laboratory of Vascular Homeostasis and Remodeling,Peking University;Department of Obstetrics and Gynecology,National Clinical Research Center for Obstetric&Gynecologic Diseases,State Key Laboratory of Common Mechanism Research for Major Diseases,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College;
【通讯作者】
李立明;吕筠;朱兰;
【机构】
Vanke School of Public Health,Institute for Healthy China,Tsinghua University；
Institute of Clinical Medicine,National Infrastructures for Translational Medicine,State Key Laboratory of Common Mechanism Research for Major Diseases,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College；
School of Economics and Wang Yanan Institute for Studies in Economics,Xiamen University；
Department of Gynecology,Gansu Provincial Maternity and Child-Care Hospital,Gansu Provincial Central Hospital；
Department of Gynecology,The Third Affiliated Hospital of Zhengzhou University；
Department of Gynecology,Women’s Hospital,School of Medicine,Zhejiang University；
Department of Pelvic Floor Rehabilitation,Hubei Maternity and Childcare Hospital,Women and Children’s Hospital of Hubei Province；
Department of Gynecology,Nanjing First Hospital,Nanjing Medical University；
Department of Gynecology,Guiyang Maternal and Child Health Care Hospital；
Beijing Miyun District Hospital；
Department of Obstetrics and Gynecology,Women and Children’s Hospital of Chongqing Medical University；
Department of Gynecology,Shijiazhuang Maternal and Child Health Hospital；
Maternal and Child Health Hospital of Beijing Dongcheng District；
Department of Gynecology,People’s Hospital of Xinjiang Uygur Autonomous Region；
Department of Gynecology,Shanxi Maternal and Child Health Hospital；
Department of Gynecology,Guangdong Province Women and Children Hospital；
Ministry of Women’s Health,Harbin Maternal and Child Health Care and Family Planning Service Center；
Department of Gynecology,Shenyang Women’s and Children’s Hospital；
Haidian District Maternal and Child Health Care Hospital；
Department of Gynecology and Obstetrics,Maternal and Child Health Hospital of Yanqing District；
Department of Gynecology and Obstetrics,Guangxi Academy of Medical Sciences,The People’s Hospital of Guangxi Zhuang Autonomous Region；
Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences；
Department of OBGYN,Tufts University School of Medicine；
Department of Public Health,School of Population Medicine and Public Health,Chinese Academy of Medical Sciences&Peking Union Medical College；
Department of Gynecology and Obstetrics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,National Clinical Research Center for Obstetric&Gynecologic Diseases；
School of Public Health,Peking University Health Science Center,Peking University Center for Public Health and Epidemic Preparedness&Response,Key Laboratory of Epidemiology of Major Diseases (Peking University),Ministry of Education；
School of Public Health,Peking University Health Science Center,Peking University Center for Public Health and Epidemic Preparedness&Response,Key Laboratory of Epidemiology of Major Diseases (Peking University),Ministry of Education,State Key Laboratory of Vascular Homeostasis and Remodeling,Peking University；
Department of Obstetrics and Gynecology,National Clinical Research Center for Obstetric&Gynecologic Diseases,State Key Laboratory of Common Mechanism Research for Major Diseases,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College；
【摘要】 Urinary incontinence(UI) is a disease that quietly yet seriously impacts women’s health and represents a global health burden that is often neglected. This study aims to systematically assess the prevalence and dynamics of female UI in China, and can inform further policies and have international implications. This study used three nationwide investigations: A national cross-sectional survey in 2021; another nationwide cross-sectional survey in 2006; and data regarding the institutions and physicians providing pelvic floor rehabilitation services from 2005 to 2019. The weighted prevalence of female UI and its subtypes,including stress UI(SUI), urgency UI(UUI), and mixed UI(MUI), were estimated as primary outcomes.Knowledge, attitude and care-seeking behaviors of UI were evaluated. It was found that the weighted prevalence of female UI was 16.0 %(95% CI, 13.3 %–19.1%) with SUI remaining the predominant subtype(7.0%) in 2021, followed by MUI(6.5%) and UUI(1.9%). The estimated absolute number of Chinese adult women with UI was 85.8 million in 2021. 52.7%(95% CI, 45.9%–59.4 %) of women were aware that UI was a medical condition, and only 10.1% of women with UI sought health care. After 15 years of development,there were 8400 pelvic floor rehabilitation institutions and nearly 10,000 relevant physicians in ChinaDthey were found to be associated with UI prevalence. The UI prevalence in China was significantly lower in 2021 compared to that in 2006. Despite the achievement, UI remains a public health problem, especially given China’s fast aging and three-child policy. More innovations, especially those that can facilitate care seeking, are needed to address this prevalent yet treatable condition.更多还原
【Abstract】 Urinary incontinence(UI) is a disease that quietly yet seriously impacts women’s health and represents a global health burden that is often neglected. This study aims to systematically assess the prevalence and dynamics of female UI in China, and can inform further policies and have international implications. This study used three nationwide investigations: A national cross-sectional survey in 2021; another nationwide cross-sectional survey in 2006; and data regarding the institutions and physicians providing pelvic floor rehabilitation services from 2005 to 2019. The weighted prevalence of female UI and its subtypes,including stress UI(SUI), urgency UI(UUI), and mixed UI(MUI), were estimated as primary outcomes.Knowledge, attitude and care-seeking behaviors of UI were evaluated. It was found that the weighted prevalence of female UI was 16.0 %(95% CI, 13.3 %–19.1%) with SUI remaining the predominant subtype(7.0%) in 2021, followed by MUI(6.5%) and UUI(1.9%). The estimated absolute number of Chinese adult women with UI was 85.8 million in 2021. 52.7%(95% CI, 45.9%–59.4 %) of women were aware that UI was a medical condition, and only 10.1% of women with UI sought health care. After 15 years of development,there were 8400 pelvic floor rehabilitation institutions and nearly 10,000 relevant physicians in ChinaDthey were found to be associated with UI prevalence. The UI prevalence in China was significantly lower in 2021 compared to that in 2006. Despite the achievement, UI remains a public health problem, especially given China’s fast aging and three-child policy. More innovations, especially those that can facilitate care seeking, are needed to address this prevalent yet treatable condition.更多还原
【基金】 supported by the National Key Research and Development Program of China (2021YFC2701300, 2023YFC2706000 and 2018YFC2002201);the National Natural Science Foundation of China (72104247);the National High Level Hospital Clinical Research Funding (2022-PUMCH-B-087, 2022-PUMCH-A-023)
