Epidemiology of pelvic floor disorders between urban and rural female inhabitants

Strinić, Tomislav and Buković, Damir and Roje, Damir and Milić, Nikša and Pavić, Mato and Turčić, Petra (2007) Epidemiology of pelvic floor disorders between urban and rural female inhabitants. Collegium Antropologicum, 31 (2). pp. 483-487. ISSN 0350-6134

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Abstract

The aim of this study was to investigate the prevalence of pelvic organ prolapse in urban and rural women and to identify possible related factors. They were 1749 participants; one thousand four hundred seventeen (81%) urban women and 332 rural residents (19%). The urban and rural women were congruently regarding to age, parity, using oral contraceptives and postmenopausal status. The urban women were more often obese (p < 0.01), estrogen replacement users (p < 0.001), smokers (p < 0.001), with mild (p < 0.001) and high (p < 0.001) education, and they were often divorced (p < 0.05) than rural women. Rural women were more often alcohol consumers (p < 0.001), with low level of education (p < 0.001) and more often married (p < 0.05) than rural examinees. There were no association between the presence of prolapse and: weight, menopausal status, oral contraceptives and estrogen replacement using, smoking, alcohol consuming and marital status. There were not observed differences in prevalence of prior hysterectomy, urinary incontinence, uroinfectio, sexual and bowel dysfunction between both groups. The prevalence of cystocele, rectocele and uterine prolapse were similar among urban and rural participants. In conclusion, a more complete picture of factors associated with genital prolapse would include in investigation, such as molecular and genetic ones.

Abstract in Croatian

Cilj ove studije bio je ispitati učestalost spuštenih genitalnih organa u gradskih i ruralnih stanovnica i otkriti moguće uzročne čimbenike. U ispitivanje je uključeno 1749 žena; tisuću četiristo i sedamnaest (81%) gradskih stanovnica i 332 (19%) stanovnica sela. Stanovnice grada i žene sa sela bile su sličnih karakteristika u pogledu životne dobi, broja poroda, uzimanja oralnih kontraceptiva i trajanja poslijemenopauze. Gradske stanovnice bile su deblje (p<0,01), češće su koristile hormonsko nadomjesno liječenje (p<0,001), češće su bile pušačice (p<0,001), češće su imale srednje (p<0,001) i visoko (p<0,001) obrazovanje, i češće su bile razvedene u odnosu prema ženama sa sela. Stanovnice sela češće su uživale alkohol (p<0,001), češće imale niže obrazovanje (p< 0,001) i češće bile u braku (p<0,05) u odnosu na gradske stanovnice. Nije uočena povezanost prolapsa s tjelesnom masom, uzimanjem oralnih kontraceptiva i hormonske nadomjesne terapije, trajanja poslijemenopauze, pušenja, uzimanja alkohola i bračnog stanja. Nije nađena različita učestalost prethodne histerektomije, uroinfekcija, inkontinencije urina, seksualnih poremećaja i smetnji sa strane crijeva između ispitivanih grupa. Učestalost cistocele, rektocele i prolapsa maternice bila je slična u objema skupinama. Zaključno valja kazati kako je potrebito uključiti više čimbenika u svezi s genitalnim prolapsom u istraživanje, naročito molekularne i genske čimbenike.

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