Z Li3, T Xu2, Z Li3, J Gong4, Q Liu5, Y Wang6, J Wang7, Z Xia8, L Zhu1. 1. a Department of Gynecology and Obstetrics, Peking Union Medical College Hospital , Peking Union Medical College , Beijing , People's Republic of China. 2. b Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Science and School of Basic Medicine , Peking Union Medical College , Beijing , People's Republic of China. 3. c Department of Gynecology and Obstetrics , Children's Hospital of Shanxi Province , Shanxi , People's Republic of China. 4. d Department of Gynecology and Obstetrics , Maternal and Child Health Hospital of Wuxi , Jiangsu , People's Republic of China. 5. e Department of Gynecology and Obstetrics , Maternal and Child Health Hospital of Gansu Province , Lanzhou , People's Republic of China. 6. f Department of Gynecology and Obstetrics , Maternal and Child Health Hospital of Foshan , Guangdong , People's Republic of China. 7. g Department of Gynecology and Obstetrics , Maternal and Child Health Hospital of Guiyang , Guizhou , People's Republic of China. 8. h Department of Gynecology and Obstetrics , ShengJing Hospital of China Medical University , Shenyang , People's Republic of China.
Abstract
OBJECTIVE: This study aimed to assess the prevalence and factors associated with symptomatic pelvic organ prolapse (POP) in a representative sample of postmenopausal Chinese women. METHODS: A total of 20,008 postmenopausal Chinese women were recruited to this cross-sectional study between February 2014 and March 2016. The prevalence of symptomatic POP, defined as any stage II or higher POP resulting in symptoms, was assessed using questionnaires and physical examinations. Multivariable logistic regression was used to assess factors associated with symptomatic POP. RESULTS: Among all women with natural menopause included in the study (mean age =61.98 ± 10.62 years), 2962 of 20,008 women (14.80%, 95% confidence interval [CI] 14.3-15.3%) had symptomatic POP. In the multivariate analysis, women were more likely to have symptomatic POP if aged 50-59 years (adjusted odds ratio [AOR] 1.322, 95% CI 1.123-1.560), 60-69 years (AOR 1.603, 95% CI 1.352-1.907), or above 70 years (AOR 1.824, 95% CI 1.158-2.197), compared with women aged 40-49 years. Having delivered two times (AOR 1.145, 95% CI 1.105-1.292) or three or more times (AOR 1.384, 95% CI 1.214-1.578) was significantly associated with symptomatic POP. Compared with normal weight women, overweight women (AOR 1.365, 95% CI 1.247-1.494) and obese women (AOR 1.548, 95% CI 1.344-1.780) were more likely to have POP. Living in an urban area, smoking, alcohol consumption, cough, constipation, mental labor, physical disease, and gynecological diseases were also associated with symptomatic POP. CONCLUSIONS: Symptomatic POP affects nearly 15% of postmenopausal women in China. The prevalence of symptomatic POP increases significantly with age, body mass index, and parity.
OBJECTIVE: This study aimed to assess the prevalence and factors associated with symptomatic pelvic organ prolapse (POP) in a representative sample of postmenopausal Chinese women. METHODS: A total of 20,008 postmenopausal Chinese women were recruited to this cross-sectional study between February 2014 and March 2016. The prevalence of symptomatic POP, defined as any stage II or higher POP resulting in symptoms, was assessed using questionnaires and physical examinations. Multivariable logistic regression was used to assess factors associated with symptomatic POP. RESULTS: Among all women with natural menopause included in the study (mean age =61.98 ± 10.62 years), 2962 of 20,008 women (14.80%, 95% confidence interval [CI] 14.3-15.3%) had symptomatic POP. In the multivariate analysis, women were more likely to have symptomatic POP if aged 50-59 years (adjusted odds ratio [AOR] 1.322, 95% CI 1.123-1.560), 60-69 years (AOR 1.603, 95% CI 1.352-1.907), or above 70 years (AOR 1.824, 95% CI 1.158-2.197), compared with women aged 40-49 years. Having delivered two times (AOR 1.145, 95% CI 1.105-1.292) or three or more times (AOR 1.384, 95% CI 1.214-1.578) was significantly associated with symptomatic POP. Compared with normal weight women, overweight women (AOR 1.365, 95% CI 1.247-1.494) and obesewomen (AOR 1.548, 95% CI 1.344-1.780) were more likely to have POP. Living in an urban area, smoking, alcohol consumption, cough, constipation, mental labor, physical disease, and gynecological diseases were also associated with symptomatic POP. CONCLUSIONS: Symptomatic POP affects nearly 15% of postmenopausal women in China. The prevalence of symptomatic POP increases significantly with age, body mass index, and parity.
Entities:
Keywords:
Epidemiology; pelvic organ prolapse; postmenopausal; prevalence; risk factors