title: Urinary incontinence in Northern Ireland: a prevalence study.
abstract: OBJECTIVE
  To determine the prevalence of urinary incontinence in a Northern Ireland community drawn from four neighbouring geographical areas and to assess factors predisposing to the development of urinary incontinence.
  
  
  METHODS
  A three-page self-administered postal questionnaire was sent to 1050 women (age range 35-74 years), recruited randomly from a target population of 43 829 women. The main survey was preceded by a pilot survey. Respondents and those not responding were compared.
  
  
  RESULTS
  The overall response rate was 65.6% (689/1050); there was no significant difference between respondents and those not responding. Two-hundred and thirty-one women (33.5%) reported incontinence 'sometimes' and 161 (23.4%) 'often'. Of those who had urinary incontinence, sanitary protection was required by 21.7% (85/392). This equates to 12.3% (85) of the total study population. Age (chi2=20.34; P<0.001) and parity (Mann-Whitney U-test, P< 0.001) were associated with urinary incontinence, with a higher proportion of women aged 45-54 years having urinary incontinence. The menopause and postnatal pelvic floor exercises were not associated with urinary incontinence. Overall 19.9% (78/392) of women with urinary incontinence had consulted their general practitioner. Of those who required sanitary protection, 40% (34/85) had consulted their doctor.
  
  
  CONCLUSIONS
  Urinary incontinence is common; it is sufficiently severe to require sanitary protection in 12% of women aged 35-74 years in a Northern Ireland community.
authors.affiliation: Department of Obstetrics and Gynaecology, Antrim Hospital, Northern Ireland, UK.
authors.forename: L M
authors.initials: LM
authors.lastname: Dolan
authors.forename: K
authors.initials: K
authors.lastname: Casson
authors.forename: P
authors.initials: P
authors.lastname: McDonald
authors.forename: R G
authors.initials: RG
authors.lastname: Ashe
mesh_terms: D000328:Adult; D000368:Aged; D005081:Exercise Therapy; D005260:Female; D006306:Health Surveys; D006801:Humans; D008875:Middle Aged; D009660:Northern Ireland / Q000453:epidemiology; D018579:Patient Selection; D010865:Pilot Projects; D015995:Prevalence; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000453:epidemiology*; D016387:Women's Health