title: Effects of a new community-based reproductive health intervention on knowledge of and attitudes and behaviors toward stress urinary incontinence among young women in Shanghai: a cluster-randomized controlled trial.
abstract: OBJECTIVE
  This study aimed to evaluate the prevalence of stress urinary incontinence (SUI) and to introduce a new community-based reproductive health intervention. We then evaluated the effectiveness of this intervention.
  
  
  METHODS
  In this cluster-randomized trial, 2100 participants aged 18-40 years were divided randomly into an intervention group (IG, 1400 women) and a control group (CG, 700 women). The CG received traditional community intervention, cmprising limited reproductive information and education; the IG received the new community-based reproductive health intervention model, comprising self-designed handbooks, health lectures, and free medical consultations, in addition to the traditional community intervention. All participants were surveyed face to face using a self-designed questionnaire before and after the 6-month intervention.
  
  
  RESULTS
  In Shanghai, the prevalence rate of SUI was 14.3 %. No difference was observed between groups regarding mean knowledge, attitudes, and practices (KAPs) about SUI and the total score at baseline (P > 0.05). The IG scored significantly higher than the CG on the KAP questions at follow-up, and a significant improvement was observed in the IG after the intervention. Total scores increased with age, educational level, income, and time spent working in Shanghai per year but decreased with gravidity and the number of abortions. Native respondents scored higher than did migrants.
  
  
  CONCLUSIONS
  The prevalence of SUI is high in Shanghai, and the new community-based reproductive health intervention model is both effective and easily implemented. This intervention should focus on women with a low income, women with low education levels, young women, migrant women, and women who have had multiple abortions or pregnancies.
authors.affiliation: Obstetrics and Gynecology Hospital of Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
authors.forename: Ning
authors.initials: N
authors.lastname: Zhang
authors.affiliation: Obstetrics and Gynecology Hospital of Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: He
authors.affiliation: Obstetrics and Gynecology Hospital of Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
authors.forename: Jue
authors.initials: J
authors.lastname: Wang
authors.affiliation: Obstetrics and Gynecology Hospital of Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Obstetrics and Gynecology Hospital of Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
authors.forename: Jingxin
authors.initials: J
authors.lastname: Ding
authors.affiliation: Obstetrics and Gynecology Hospital of Fudan University, 419 Fangxie Road, Shanghai, 200011, China. huakeqinjiaoshou@163.com.
authors.forename: Ke-qin
authors.initials: KQ
authors.lastname: Hua
mesh_terms: D000028:Abortion, Induced; D000328:Adult; D000367:Age Factors; D002681:China / Q000453:epidemiology; D003153:Community Health Services; D005260:Female; D020073:Gravidity; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007182:Income; D015995:Prevalence; D060728:Reproductive Health; D011795:Surveys and Questionnaires; D014146:Training Support; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000523:psychology* / Q000628:therapy; D055815:Young Adult
keywords: Cluster-randomized trial; Community-based intervention; Prevalence; Shanghai; Stress urinary incontinence (SUI); Young women