title: Subjective urinary urgency in middle age women: A population-based study.
abstract: OBJECTIVE
  There are few population-based studies evaluating the epidemiology of overactive bladder syndrome (OAB) in women, especially in the climacteric stage where there is a decrease in estrogen production. This study aimed to assess the prevalence of OAB and associated factors in climacteric Brazilian women.
  
  
  METHODS
  A descriptive, exploratory, cross-sectional study was conducted between September 2012 and June 2013 with 749 women (a population-based household survey). The dependent variable was OAB, defined as the presence of urinary urgency, with or without urinary incontinence, and when there was no concomitant stress urinary incontinence. The independent variables were sociodemographic data, health related habits and problems, self-perception of health, and gynecological background. Statistical analysis was carried out by Chi-square test and Poisson regression using the backward selection criteria.
  
  
  RESULTS
  Mean age was 52.5 (± 4.4) years. With regard to menopausal status, 16% were premenopausal, 16% perimenopausal and 68% postmenopausal. The prevalence of OAB was 7.8%. The vast majority of women had only urinary urgency. Only two women who responded to the interview reported urge incontinence. In the final statistical model, vaginal dryness (PR 1.75; 95% CI 1.13-2.69; p=0.012) and bilateral oophorectomy (PR 2.21; 95% CI 1.11-4.40; p=0.025) were associated with a greater prevalence of OAB.
  
  
  CONCLUSIONS
  Health professionals should adopt a proactive behavior in surgically menopausal women and those with a history of genital atrophy to identify and treat OAB, thus contributing to an improved quality of life and healthier aging.
authors: Department of Obstetrics and Gynecology, University of Campinas, School of Medicine, Campinas, SP, Brazil. Electronic address: cassia.raquel@gmail.com.
authors: Cássia Raquel Teatin
authors: CR
authors: Juliato
authors: Department of Obstetrics and Gynecology, University of Campinas, School of Medicine, Campinas, SP, Brazil.
authors: Luiz Francisco
authors: LF
authors: Baccaro
authors: Department of Obstetrics and Gynecology, University of Campinas, School of Medicine, Campinas, SP, Brazil.
authors: Adriana Orcesi
authors: AO
authors: Pedro
authors: Department of Obstetrics and Gynecology, University of Campinas, School of Medicine, Campinas, SP, Brazil.
authors: Lucia
authors: L
authors: Costa-Paiva
authors: Department of Obstetrics and Gynecology, University of Campinas, School of Medicine, Campinas, SP, Brazil.
authors: Jeffrey
authors: J
authors: Lui-Filho
authors: Department of Obstetrics and Gynecology, University of Campinas, School of Medicine, Campinas, SP, Brazil.
authors: Aarão Mendes
authors: AM
authors: Pinto-Neto
mesh_terms: D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008593:Menopause / Q000502:physiology*; D008875:Middle Aged; D010052:Ovariectomy; D015995:Prevalence; D012307:Risk Factors; D053201:Urinary Bladder, Overactive / Q000150:complications / Q000453:epidemiology*; D053202:Urinary Incontinence, Urge / Q000150:complications / Q000453:epidemiology*
keywords: Atrophic vaginitis; Menopause; Middle age; Ovariectomy; Overactive bladder; Population study; Urinary incontinence