Urinary incontinence and its association with activities of daily living, sedentary behavior and psychosocial factors of women attending a selected rehabilitation center in Bangladesh

Abstract

Objectives: The objective of the study was to find out socio-demographic information, the association of activities of daily living, sedentary behaviour and psychosocial factors with urinary incontinence among women. Methodology: It was a cross-sectional study. 100 samples were conveniently selected from Musculoskeletal and Gynecology OPD of CRP, Savar, and Mirpur, based on eligible criteria. A semi structured questionnaire was used that had socio-demographic information, sedentary behavior, ADL, psychosocial impact’s part. ICIQ-UI, Modified Barthel Index and IIQ questionnaire and some self-reported questions were used to determine the factors. The data were analyzed through descriptive and inferential statistics. Descriptive statistics were presented as mean, standard deviation for parametric data and frequency, percentage for non-parametric data. Interferential statistics has been performed by chi- square test has been performed for association of the variables. Binary logistic regression has been performed to predict the association among variables. P-value was set as <.05. Results: Among 100 participants, mean± SD of overall age was 52.04±12.351. 26% reported SUI, 37% reported UUI and 37% reported MUI. Statistical analysis showed an association between age in category and sedentary behaviors, ADL, psychosocial impacts were significant (P< .05). Quantity of urine leak and ADL, psychosocial impacts were significant (P< .05). Leaking urine that influences in daily activity and sedentary behaviors, psychosocial impacts were significant (P< .05). Association between duration of urine leak and sedentary behaviors, ADL and psychosocial impacts were significant (P< .05). A positive relationship was found on binary regression and significant association between age in the category and psychosocial impacts (travel more than 30 minutes from home (OR 3.659), participation in social activities (OR 2.767). A reverse relation has been found and was significant age in category with ADL (OR .294). A reverse relation has been found and was significant frequency with ADL in this study (OR .179). No significant association was found on regression that sedentary behaviors with any predictable variables. Conclusion: Urinary incontinence adversely associated with ADL, sedentary behavior and psychosocial life of women. Key words: Urinary incontinence, sedentary behavior, ADL, psychosocial impact