title: Prevalence, Risk Factors, Quality of Life, and Health-Care Seeking Behaviors of Female Urinary Incontinence: Results From the 4th Korean National Health and Nutrition Examination Survey VI (2007-2009).
abstract: OBJECTIVE
  There is a lack of information on female urinary incontinence (UI) in South Korea. We investigated the prevalence, risk factors, quality of life (QoL), and healthcare-seeking behaviors of women with UI.
  
  
  METHODS
  We included 9,873 women over the age of 20 years who had participated in the Korea National Health and Nutrition Examination Survey IV. The condition of UI was defined as answering "yes" to the question "Do you have UI?" Additionally, health care seeking behavior for UI was defined as answering "yes" to "Have you ever been treated for UI?' The EuroQoL-5 Dimension (EQ-5D) descriptive system was used to evaluate QoL.
  
  
  RESULTS
  The mean age of our sample was 49.7 years. The overall prevalence of UI was 7.9%. The prevalence of UI significantly increased with age. The rate of healthcare-seeking behavior for UI also significantly increased with age. However, the rate of healthcare seeking for UI was significantly lower when compared to the prevalence of UI. In our multivariate analysis, age, body mass index, and marriage were significantly and independently associated with UI. As the severity of all the subscales of EQ-5D increased, the unadjusted odds ratio for UI also increased. After adjusting for potential confounders, the subscales of mobility, usual activities, pain/discomfort, and anxiety/depression from the EQ-5D were significantly associated with UI.
  
  
  CONCLUSIONS
  UI is a common disease and is significantly associated with QoL. Our results suggest the need for developing preventive measures and treatment policies for UI.
authors.affiliation: Department of Economics and Finance, College of Business Adminstration, Kwandong University, Gangneung, Korea.
authors.forename: Choon Sig
authors.initials: CS
authors.lastname: Kwon
authors.affiliation: Department of Urology, National Police Hospital, Seoul, Korea.
authors.forename: Jun Ho
authors.initials: JH
authors.lastname: Lee
keywords: Epidemiology; Healthcare-seeking behavior; Quality of life; Urinary incontinence
references.citation: Urology. 1997 Dec;50(6A Suppl):4-14; discussion 15-7
references.pmid: 9426746
references.citation: J Formos Med Assoc. 2000 Oct;99(10):753-8
references.pmid: 11061069
references.citation: Int Neurourol J. 2013 Dec;17(4):186-90
references.pmid: 24466466
references.citation: Age Ageing. 1991 Jul;20(4):262-6
references.pmid: 1927732
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2001;12 Suppl 2:S5-8
references.pmid: 11450979
references.citation: Obstet Gynecol Clin North Am. 1998 Dec;25(4):723-46
references.pmid: 9921553
references.citation: Int J Urol. 2000 Mar;7(3):95-103
references.pmid: 10750888
references.citation: Maturitas. 2009 Dec 20;64(4):246-8
references.pmid: 19836174
references.citation: Eur Urol. 2005 Oct;48(4):634-41
references.pmid: 15963633
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(4):191-5
references.pmid: 9449294
references.citation: Circulation. 2005 Oct 25;112(17):2735-52
references.pmid: 16157765
references.citation: Health Policy. 1990 Dec;16(3):199-208
references.pmid: 10109801
references.citation: Am Fam Physician. 2013 May 1;87(9):634-40
references.pmid: 23668526
references.citation: Menopause. 2009 Jul-Aug;16(4):831-6
references.pmid: 19240656
references.citation: BJU Int. 2004 Feb;93(3):324-30
references.pmid: 14764130
references.citation: Int J Gynaecol Obstet. 2003 Sep;82(3):327-38
references.pmid: 14499979
references.citation: Phys Ther. 2008 Dec;88(12):1545-53
references.pmid: 18820095
references.citation: BJU Int. 2010 Sep;106(5):596-608
references.pmid: 21050350
references.citation: Rev Urol. 2004;6 Suppl 5:S18-25
references.pmid: 16985904
references.citation: Am J Manag Care. 2005 Jul;11(4 Suppl):S103-11
references.pmid: 16161383