Details of Publication 663 for Project A183A:

Barker M, Rowlands J, Mishra G & Dobson A. Depression, childhood sexual abuse, and the incidence of urinary incontinence symptoms among young Australian women. , 2013; : 77

Background: Risk factors for urinary incontinence (UI) in older women are well established, however, factors that affect the incidence of UI symptoms among young women remain unclear.Method: Data from 5391 women in the young cohort (born 1973-78) from the Australian Longitudinal Study on Women’s Health were used to investigate the relationship of history of depression and childhood sexual abuse on the subsequent incidence of UI symptoms (between survey 3 in 2003 and survey 5 in 2009). Generalised estimating equations for binary repeated measured were performed.Results: One in five (19.7%) women reported the incidence of UI symptoms, while the prevalence of UI symptoms over the study period increased from 4.6% (survey 1 in 1996) to 10.6% (survey 5). After adjusting for body weight, lifestyle, and reproductive factors, those who reported depression (Center for Epidemiologic Studies Depression Scale >/=10) or a history of doctor diagnosed depression showed a subsequent 30% (1.31, 1.05 to 1.63) and 40% (1.40, 1.07 to 1.83) increased likelihood of reporting UI symptoms for the first time; sexual abuse in childhood was also linked with a 26% greater risk for the incidence of UI symptoms (1.26, 0.98 to 1.61).Conclusion: Findings indicate that depression, history of depression, and childhood sexual abuse pose an additional risk of UI symptoms, after adjusting for reproductive and lifestyle risk factors. Health professionals should consider these psychological and childhood factors when advising women who seek treatment for their UI symptoms.