Urinary incontinence (UI) in older women in low- and middle-income countries: a rapid review and case study from Burkina Faso
The prevalence of urinary incontinence (UI) in older women in low- and middle-income countries (LMICs) is not well understood. We conducted a rapid literature review to assess the burden of UI in this population and contextualize findings from a household survey of women aged 40 and older in Nouna,...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Global Women's Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2024.1511444/full |
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| author | Arthi Kozhumam Mamadou Bountogo Dina Goodman Palmer Carolyn Grieg Carolyn Grieg Carolyn Grieg Maxime Inghels Maxime Inghels Sandra Agyapong-Badu Sandra Agyapong-Badu Cristina Osborne Guy Harling Guy Harling Guy Harling Guy Harling Till Bärnighausen Till Bärnighausen Till Bärnighausen David Rapp David Rapp Molly Beestrum Justine Davies Justine Davies Justine Davies Lisa R. Hirschhorn |
| author_facet | Arthi Kozhumam Mamadou Bountogo Dina Goodman Palmer Carolyn Grieg Carolyn Grieg Carolyn Grieg Maxime Inghels Maxime Inghels Sandra Agyapong-Badu Sandra Agyapong-Badu Cristina Osborne Guy Harling Guy Harling Guy Harling Guy Harling Till Bärnighausen Till Bärnighausen Till Bärnighausen David Rapp David Rapp Molly Beestrum Justine Davies Justine Davies Justine Davies Lisa R. Hirschhorn |
| author_sort | Arthi Kozhumam |
| collection | DOAJ |
| description | The prevalence of urinary incontinence (UI) in older women in low- and middle-income countries (LMICs) is not well understood. We conducted a rapid literature review to assess the burden of UI in this population and contextualize findings from a household survey of women aged 40 and older in Nouna, in northwestern Burkina Faso. The rapid review included 21 survey articles. UI prevalence for LMIC women 40 or older varied greatly (6%–80%), with differences by socio-demographics, gynecological factors (menopausal status, birth outcomes), comorbidities (age, education, obesity, diabetes, hypertension, arthritis), behaviors (smoking status) and survey location. The studies used validated tools—the International Consultation on Incontinence Urinary Incontinence Short Form (ICIQ UI-SF) was most common (n = 4, 19%)—and bespoke tools that have not yet been validated. In Nouna, 983 (64.5%) of 1,524 women, completed the ICIQ UI-SF. Overall UI prevalence, defined as reporting leakage at least 2–3 times a week, was 2.6% (95% CI 1.73%–3.85%), descriptively increased with age from 0.5% in 40–49 year-olds to 6.6% in those 70 and over. Of those with UI, 88.5% experienced leakage daily, and 50% reported moderate or greater interference with daily life, yet most (88.5%) had not spoken to a healthcare provider. Multivariable analysis revealed that UI was more common among women who were not currently married and decreased with higher education levels. Both the rapid review and survey highlight the burden of UI among older women in LMICs, particularly as they age beyond 60. Given UI's association with physical and mental health, it is crucial to raise awareness of its burden, improve healthcare access, and integrate routine screening into basic healthcare services. Additionally, training healthcare providers and developing culturally appropriate interventions will help address stigma and ensure effective management of UI in this vulnerable population. |
| format | Article |
| id | doaj-art-a9c5e86097644710aa69bc54b794957e |
| institution | Kabale University |
| issn | 2673-5059 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Global Women's Health |
| spelling | doaj-art-a9c5e86097644710aa69bc54b794957e2025-01-06T06:58:58ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592025-01-01510.3389/fgwh.2024.15114441511444Urinary incontinence (UI) in older women in low- and middle-income countries: a rapid review and case study from Burkina FasoArthi Kozhumam0Mamadou Bountogo1Dina Goodman Palmer2Carolyn Grieg3Carolyn Grieg4Carolyn Grieg5Maxime Inghels6Maxime Inghels7Sandra Agyapong-Badu8Sandra Agyapong-Badu9Cristina Osborne10Guy Harling11Guy Harling12Guy Harling13Guy Harling14Till Bärnighausen15Till Bärnighausen16Till Bärnighausen17David Rapp18David Rapp19Molly Beestrum20Justine Davies21Justine Davies22Justine Davies23Lisa R. Hirschhorn24Northwestern University Feinberg School of Medicine, Robert J. Havey Institute for Global Health, Chicago, IL, United StatesCentre de Recherche en Santé de Nouna, Burkina Faso, London, United KingdomInstitute of Applied Health Research, University of Birmingham, Birmingham, United KingdomSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United KingdomNIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, United KingdomMRC-Versus Arthritis Centre for Musculoskeletal Ageing Research, University of Birmingham, Birmingham, United KingdomLincoln International Institute for Rural Health, University of Lincoln, Lincoln, United KingdomCentre Population et Développement, Université Paris Cité, Institut de Recherche Pour le Développement, Inserm, Paris, FranceInstitute of Applied Health Research, University of Birmingham, Birmingham, United KingdomSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United KingdomInstitute of Applied Health Research, University of Birmingham, Birmingham, United KingdomUniversity College London, London, United Kingdom0Africa Health Research Institute, KwaZulu-Natal, South Africa1School of Nursing & Public Health, University of KwaZulu-Natal, Durban, South Africa2MRC/Wits Rural Public Health & Health Transitions Research Unit (Agincourt), University of the Witwatersrand, Johannesburg, South Africa0Africa Health Research Institute, KwaZulu-Natal, South Africa3Heidelberg Institute of Global Health (HIGH), Heidelberg University Hospital, Heidelberg University, Heidelberg, Germany4Harvard T.H. Chan School of Public Health, Boston, MA, United States5Global Surgical Expedition, Glen Allen, VA, United States6Department of Urology, University of Virginia, Charlottesville, VA, United StatesNorthwestern University Feinberg School of Medicine, Robert J. Havey Institute for Global Health, Chicago, IL, United StatesInstitute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom2MRC/Wits Rural Public Health & Health Transitions Research Unit (Agincourt), University of the Witwatersrand, Johannesburg, South Africa7Department of Global Health, Centre for Global Surgery, Stellenbosch University, Cape Town, South AfricaNorthwestern University Feinberg School of Medicine, Robert J. Havey Institute for Global Health, Chicago, IL, United StatesThe prevalence of urinary incontinence (UI) in older women in low- and middle-income countries (LMICs) is not well understood. We conducted a rapid literature review to assess the burden of UI in this population and contextualize findings from a household survey of women aged 40 and older in Nouna, in northwestern Burkina Faso. The rapid review included 21 survey articles. UI prevalence for LMIC women 40 or older varied greatly (6%–80%), with differences by socio-demographics, gynecological factors (menopausal status, birth outcomes), comorbidities (age, education, obesity, diabetes, hypertension, arthritis), behaviors (smoking status) and survey location. The studies used validated tools—the International Consultation on Incontinence Urinary Incontinence Short Form (ICIQ UI-SF) was most common (n = 4, 19%)—and bespoke tools that have not yet been validated. In Nouna, 983 (64.5%) of 1,524 women, completed the ICIQ UI-SF. Overall UI prevalence, defined as reporting leakage at least 2–3 times a week, was 2.6% (95% CI 1.73%–3.85%), descriptively increased with age from 0.5% in 40–49 year-olds to 6.6% in those 70 and over. Of those with UI, 88.5% experienced leakage daily, and 50% reported moderate or greater interference with daily life, yet most (88.5%) had not spoken to a healthcare provider. Multivariable analysis revealed that UI was more common among women who were not currently married and decreased with higher education levels. Both the rapid review and survey highlight the burden of UI among older women in LMICs, particularly as they age beyond 60. Given UI's association with physical and mental health, it is crucial to raise awareness of its burden, improve healthcare access, and integrate routine screening into basic healthcare services. Additionally, training healthcare providers and developing culturally appropriate interventions will help address stigma and ensure effective management of UI in this vulnerable population.https://www.frontiersin.org/articles/10.3389/fgwh.2024.1511444/fullurinary incontinenceUIolder womenLMIC (low and middle income countries)Burkina Faso |
| spellingShingle | Arthi Kozhumam Mamadou Bountogo Dina Goodman Palmer Carolyn Grieg Carolyn Grieg Carolyn Grieg Maxime Inghels Maxime Inghels Sandra Agyapong-Badu Sandra Agyapong-Badu Cristina Osborne Guy Harling Guy Harling Guy Harling Guy Harling Till Bärnighausen Till Bärnighausen Till Bärnighausen David Rapp David Rapp Molly Beestrum Justine Davies Justine Davies Justine Davies Lisa R. Hirschhorn Urinary incontinence (UI) in older women in low- and middle-income countries: a rapid review and case study from Burkina Faso Frontiers in Global Women's Health urinary incontinence UI older women LMIC (low and middle income countries) Burkina Faso |
| title | Urinary incontinence (UI) in older women in low- and middle-income countries: a rapid review and case study from Burkina Faso |
| title_full | Urinary incontinence (UI) in older women in low- and middle-income countries: a rapid review and case study from Burkina Faso |
| title_fullStr | Urinary incontinence (UI) in older women in low- and middle-income countries: a rapid review and case study from Burkina Faso |
| title_full_unstemmed | Urinary incontinence (UI) in older women in low- and middle-income countries: a rapid review and case study from Burkina Faso |
| title_short | Urinary incontinence (UI) in older women in low- and middle-income countries: a rapid review and case study from Burkina Faso |
| title_sort | urinary incontinence ui in older women in low and middle income countries a rapid review and case study from burkina faso |
| topic | urinary incontinence UI older women LMIC (low and middle income countries) Burkina Faso |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2024.1511444/full |
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