Prevalence of, and risk factors for, pelvic floor disorders in women at midlife in Bangladesh: a population-based study

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Abstract

Objective: We investigated, using validated questionnaires, the weighted prevalence of symptomatic pelvic floor disorders (PFDs) and their risk factors in a nationally representative sample of Bangladeshi women randomly recruited from the community. Methods: 1590 women, aged 30–59 years, were recruited from 7 districts of 7 divisions in Bangladesh, by a multistage cluster sampling technique, between September 2013 and March 2014. The weighted prevalence of, and the factors associated with, PFDs were investigated using simple and multivariable weighted logistic regression. Results: The weighted prevalence of urinary incontinence (UI) was 23.7% [95% confidence interval (CI) 21.3%–26.0%], faecal incontinence (FI) 5.3% (3.7%–5.8%), pelvic organ prolapse (POP) 16.2% (14.2%–18.2%) and at least one PFD 35.3% (32.6%–37.9%). Compared with women aged 30–39 years, having at least one PFD was more likely for women aged 40–49 years [adjusted odds ratio (AOR) 1.46, 95% CI 1.02–2.08; p¼0.040] and 50–59 years (AOR 2.39, 95% CI 1.59–3.58; p<0.0001). Having at least one PFD was significantly associated with having >2 children compared with fewer children (AOR 1.61, 95% CI 1.14–2.27; p¼0.007), being in the middle (AOR 3.05, 95% CI 1.72–5.41; p<0.0001), second lowest (AOR 2.49, 95% CI 1.39–4.47; p¼0.002) or lowest (AOR 3.13, 95% CI 1.68–5.86; p<0.0001) wealth quintile compared with the highest wealth quintile, and self-reporting diabetes mellitus (AOR 2.55, 95% CI 1.54–4.23; p<0.0001). Conclusions: Symptomatic PFDs affect a substantial proportion of women at midlife in Bangladesh. Associated factors include age, higher parity, lower wealth status and diabetes. There is a need for increased attention to diagnosis, treatment, and ultimately prevention of PFDs in Bangladesh and other developing countries, as these chronic conditions are distressing, and can be disabling.
Original languageEnglish
Pages (from-to)39-39
Number of pages1
JournalClimacteric
Volume19
Issue numberSuppl. 1
DOIs
Publication statusPublished - 26 Sep 2016

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