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Purpose <p>To investigate factors associated with quality of life (QoL) among women with urinary incontinence (UI) in a large, population-based sample.</p> Methods <p>9,974 women aged ≥ 20 years with UI from a national survey conducted between September 2019 and December 2021 using multistage, stratified, cluster sampling. UI severity was assessed using International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI-SF), and QoL was evaluated using Incontinence Impact Questionnaire Short Form (IIQ-7). Women were categorized into good or poor QoL groups. Logistic regression was used to examine associations between potential risk factors and QoL, estimating odds ratios (ORs) and 95% confidence intervals (CIs).</p> Results <p>Most women had slight UI symptoms (91.5%) and reported good QoL (73.8%). Risk factors for poor QoL included urgency UI (OR = 1.97, 95% CI: 1.65–2.35), mixed UI (OR = 3.39, 95% CI: 3.05–3.79), moderate (OR = 3.97, 95% CI: 3.30–4.77) or severe UI (OR = 11.62, 95% CI: 8.17–16.52), advanced age (OR: 1.29, 95% CI: 1.14–1.48), minority ethnicity (OR: 1.25, 95% CI: 1.03–1.51), smoking (OR: 1.74, 95% CI: 1.25–2.41), chronic constipation (OR: 1.27, 95% CI: 1.10–1.48), chronic cough (OR: 1.98, 95% CI: 1.68–2.39), and cerebrovascular disease (OR: 1.49, 95% CI: 1.16–1.94). Protective factors included urban residence (OR = 0.58, 95% CI: 0.51–0.64) and pelvic surgery (OR = 0.57, 95% CI: 0.50–0.66).</p> Conclusions <p>QoL among women with UI is associated with UI subtype, severity, and various clinical and sociodemographic factors. Addressing modifiable risk factors may help improve QoL in Chinese population.</p>

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Potential factors influencing quality of life in Chinese adult women with urinary incontinence: a nationwide cross-sectional study

  • 期刊论文

  • 发表日期：

    2026年6月1日

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  • Yichun Wu,
  • Lichao Yang,
  • Jiming Zhu,
  • Maosheng Zhu,
  • Yuhong Mu,
  • Qing Liu,
  • Luwen Wang,
  • Hangmei Jin,
  • Liyan Gong,
  • Jingyan Xie,
  • Ting Lai,
  • Aiyang Li,
  • Lubin Liu,
  • Lifei Zhou,
  • Yanqiu Luan,
  • Lin Wang,
  • Xiaoli Li,
  • Xiping Luo,
  • Yingjie Fu,
  • Jumin Niu,
  • Wen Zhao,
  • Qiming Liu,
  • Renfeng Zhao,
  • Yueping Shen,
  • Haiyu Pang

摘要

Purpose

To investigate factors associated with quality of life (QoL) among women with urinary incontinence (UI) in a large, population-based sample.

Methods

9,974 women aged ≥ 20 years with UI from a national survey conducted between September 2019 and December 2021 using multistage, stratified, cluster sampling. UI severity was assessed using International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI-SF), and QoL was evaluated using Incontinence Impact Questionnaire Short Form (IIQ-7). Women were categorized into good or poor QoL groups. Logistic regression was used to examine associations between potential risk factors and QoL, estimating odds ratios (ORs) and 95% confidence intervals (CIs).

Results

Most women had slight UI symptoms (91.5%) and reported good QoL (73.8%). Risk factors for poor QoL included urgency UI (OR = 1.97, 95% CI: 1.65–2.35), mixed UI (OR = 3.39, 95% CI: 3.05–3.79), moderate (OR = 3.97, 95% CI: 3.30–4.77) or severe UI (OR = 11.62, 95% CI: 8.17–16.52), advanced age (OR: 1.29, 95% CI: 1.14–1.48), minority ethnicity (OR: 1.25, 95% CI: 1.03–1.51), smoking (OR: 1.74, 95% CI: 1.25–2.41), chronic constipation (OR: 1.27, 95% CI: 1.10–1.48), chronic cough (OR: 1.98, 95% CI: 1.68–2.39), and cerebrovascular disease (OR: 1.49, 95% CI: 1.16–1.94). Protective factors included urban residence (OR = 0.58, 95% CI: 0.51–0.64) and pelvic surgery (OR = 0.57, 95% CI: 0.50–0.66).

Conclusions

QoL among women with UI is associated with UI subtype, severity, and various clinical and sociodemographic factors. Addressing modifiable risk factors may help improve QoL in Chinese population.