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Arch Gerontol Geriatr. 2019 May - Jun;82:226-231. doi: 10.1016/j.archger.2019.03.001. Epub 2019 Mar 2.

Pelvic floor disorders and health-related quality of life in older women: Results from the Women's Gynaecological Health study in Lieto, Finland.

Author information

1
University of Turku, Faculty of Medicine, Department of Nursing Science, FI-20014, Finland; Turku University of Applied Science, Health and Well-being, Finland. Electronic address: sinelo@utu.fi.
2
Hospital District of Southwest Finland Turku, 20520, Turku, Finland; University of Turku, Faculty of Medicine, Department of Obstetrics and Gynaecology, FI-20014, Finland.
3
Hospital District of Southwest Finland Turku, 20520, Turku, Finland.
4
University of Turku, Faculty of Medicine, Department of Clinical Medicine, Biostatistics, FI-20014, Finland.
5
Department of Public Health, University of Helsinki, Finland.

Abstract

OBJECTIVE:

The aim of this study was to analyse the prevalence of pelvic floor disorders and to describe health-related quality of life (HRQoL) among older women. We also compared participants' HRQoL with the age-matched general female population and analysed factors associated with HRQoL.

STUDY DESIGN:

This is a population-based study of a cohort of women born in 1948 and in 1950 (n = 143) which is also part of the Women's Gynaecological Health study in Lieto, Finland.

METHODS:

The data were collected by questionnaires which pertained to socio-demographics, health-related variables, pelvic floor disorders and HRQoL (15D). Linear model was conducted to estimate a model of factors that associated with HRQoL.

RESULTS:

The prevalence of urinary incontinence, faecal incontinence and pelvic organ prolapse was 50%, 13% and 12%, respectively. The overall HRQoL score of the study cohort is broadly similar to that of the agematched general Finnish female population (mean±SD15D scores 0.905±0.084 vs 0.912±0.077). Higher number of medications was the most important explanatory factor for lower HRQoL.

CONCLUSION:

Urinary incontinence was common; however, the impact on HRQoL was minor. The overall HRQoL score of the study cohort was broadly similar to that of age-matched general female population. Women who used a higher number of medications had lower HRQoL compared to women who used fewer medications.

KEYWORDS:

Health-related quality of life; Older women; Pelvic floor disorders

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