The Effect of Pelvic Pain and Urinary Incontinence on Women's Self-rated Health in Northern Mexico

Overview

Journal Int Urogynecol J

Publisher Springer

Specialties Gynecology & Obstetrics
Urology

Date 2018 Jan 10

PMID 29313090

Authors

Hilda Garcia-Perez

Sioban D Harlow

Catalina Denman

Affiliations

Soon will be listed here.

Abstract

Introduction And Hypothesis: This study was designed to assess the effect of gynecological morbidities on Mexican women's self-rated health status and emotional health.

Methods: A cross-sectional population-based study was conducted among Mexican women aged 25-54. We analyzed information on 1,303 participants living in Hermosillo, Mexico. Multiple logistic regression was used to assess the effect of having any one of three kinds of pelvic pain, urinary incontinence or both of these conditions on women's self-rated health. Additionally, we conducted analysis of variance and multiple linear regression to test the effect of these gynecological morbidities on women's self-reported emotional health.

Results: Nearly one-third (31.2%) of participants rated their health as fair to very poor. Women reporting of at least one gynecological morbidity were more likely to rate their health as fair to very poor. In adjusted analyses, in addition to older age, low educational attainment, marital status other than single, lack of access to medical care, recurrent kidney infection, asthma, diabetes, and, reporting one or concurrent gynecological morbidities were associated with increased odds (adjusted odds ratios = 1.53-3.91) of reporting fair to very poor self-rated health. Women who did not report any gynecological morbidity had significantly lower mean scores for anxiety/fear 0.30 (±0.30) than women with two to four conditions (anxiety/fear 0.45 ± 0.31).

Conclusion: Pelvic pain, urinary incontinence, and the co-occurrence of these conditions have a negative impact on women's perception of their health status and their emotional health.

References

Weaver L, Madhu S . Type 2 Diabetes and Anxiety Symptoms Among Women in New Delhi, India. Am J Public Health. 2015; 105(11):2335-40. PMC: 4605173. DOI: 10.2105/AJPH.2015.302830. View

Sznajder K, Harlow S, Burgard S, Wang Y, Han C, Liu J . Gynecologic pain related to occupational stress among female factory workers in Tianjin, China. Int J Occup Environ Health. 2014; 20(1):33-45. PMC: 4137809. DOI: 10.1179/2049396713Y.0000000053. View

Johnson 2nd T, Kincade J, Bernard S, Busby-Whitehead J, Hertz-Picciotto I, Defriese G . The association of urinary incontinence with poor self-rated health. J Am Geriatr Soc. 1998; 46(6):693-9. DOI: 10.1111/j.1532-5415.1998.tb03802.x. View

Coyne K, Sexton C, Irwin D, Kopp Z, Kelleher C, Milsom I . The impact of overactive bladder, incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: results from the EPIC study. BJU Int. 2008; 101(11):1388-95. DOI: 10.1111/j.1464-410X.2008.07601.x. View

Black K, Fraser I . The burden of health associated with benign gynecological disorders in low-resource settings. Int J Gynaecol Obstet. 2012; 119 Suppl 1:S72-5. DOI: 10.1016/j.ijgo.2012.05.002. View

Garcia-Perez H, Harlow S, Erdmann C, Denman C . Pelvic pain and associated characteristics among women in northern Mexico. Int Perspect Sex Reprod Health. 2010; 36(2):90-8. DOI: 10.1363/ipsrh.36.090.10. View

Zondervan K, Yudkin P, Vessey M, Jenkinson C, Dawes M, Barlow D . Chronic pelvic pain in the community--symptoms, investigations, and diagnoses. Am J Obstet Gynecol. 2001; 184(6):1149-55. DOI: 10.1067/mob.2001.112904. View

Haylen B, Ridder D, Freeman R, Swift S, Berghmans B, Lee J . An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2009; 21(1):5-26. DOI: 10.1007/s00192-009-0976-9. View

Thompson M, Gick M . Medical care-seeking for menstrual symptoms. J Psychosom Res. 2000; 49(2):137-40. DOI: 10.1016/s0022-3999(00)00149-5. View

10.

Ter Kuile M, Weijenborg P, Spinhoven P . Sexual functioning in women with chronic pelvic pain: the role of anxiety and depression. J Sex Med. 2009; 7(5):1901-10. DOI: 10.1111/j.1743-6109.2009.01414.x. View

11.

Coyne K, Wein A, Nicholson S, Kvasz M, Chen C, Milsom I . Economic burden of urgency urinary incontinence in the United States: a systematic review. J Manag Care Pharm. 2014; 20(2):130-40. PMC: 10437639. DOI: 10.18553/jmcp.2014.20.2.130. View

12.

Garcia-Perez H, Harlow S, Sampselle C, Denman C . Measuring urinary incontinence in a population of women in northern Mexico: prevalence and severity. Int Urogynecol J. 2012; 24(5):847-54. DOI: 10.1007/s00192-012-1949-y. View

13.

Barnard K, Frayne S, Skinner K, Sullivan L . Health status among women with menstrual symptoms. J Womens Health (Larchmt). 2003; 12(9):911-9. DOI: 10.1089/154099903770948140. View

14.

Bartoli S, Aguzzi G, Tarricone R . Impact on quality of life of urinary incontinence and overactive bladder: a systematic literature review. Urology. 2009; 75(3):491-500. DOI: 10.1016/j.urology.2009.07.1325. View

15.

Gallegos-Carrillo K, Garcia-Pena C, Duran-Munoz C, Reyes H, Duran-Arenas L . [Self-perceived health status: an approach of the elderly in Mexico]. Rev Saude Publica. 2007; 40(5):792-801. DOI: 10.1590/s0034-89102006000600008. View

16.

Wong R, Pelaez M, Palloni A . [Self-reported general health in older adults in Latin America and the Caribbean: usefulness of the indicator]. Rev Panam Salud Publica. 2005; 17(5-6):323-32. DOI: 10.1590/s1020-49892005000500004. View

17.

Fayers P, Sprangers M . Understanding self-rated health. Lancet. 2002; 359(9302):187-8. DOI: 10.1016/S0140-6736(02)07466-4. View

18.

Jones G, Kennedy S, Jenkinson C . Health-related quality of life measurement in women with common benign gynecologic conditions: a systematic review. Am J Obstet Gynecol. 2002; 187(2):501-11. DOI: 10.1067/mob.2002.124940. View

19.

Townsend M, Lajous M, Medina-Campos R, Catzin-Kuhlmann A, Lopez-Ridaura R, Rice M . Risk factors for urinary incontinence among postmenopausal Mexican women. Int Urogynecol J. 2016; 28(5):769-776. DOI: 10.1007/s00192-016-3196-0. View

20.

Cote I, Jacobs P, Cumming D . Work loss associated with increased menstrual loss in the United States. Obstet Gynecol. 2002; 100(4):683-7. DOI: 10.1016/s0029-7844(02)02094-x. View