SEARCHMETA-ANALYSISepidemiology, public health

meta-analysis·epidemiology, public health, obstetrics and gynecology, systematic review, meta-analysis·PMC10021416

Estimated burden, and associated factors of Urinary Incontinence among Sub-Saharan African women aged 15–100 years: A systematic review and meta-analysis

PLOS Global Public Health · 11 authors, 5 centres

AI SUMMARY

FIDELITY 100%

This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.

AGENT 01 · STRUCTURED SUMMARY

TRACE TO SOURCE

“

TL;DR

This systematic review and meta-analysis pooled data from 25 studies to estimate the prevalence of urinary incontinence among women in Sub-Saharan Africa. The study found a pooled prevalence of 21%, with parity, constipation, overweight/obesity, vaginal delivery, chronic cough, gestational age, and age identified as significant associated factors.

Full summary

528 CHARS

The primary analysis estimated a pooled prevalence of urinary incontinence of 21% (95% CI: 16%-26%). Sub-type analysis showed stress incontinence was the most common (52%), followed by mixed (27%) and urgency (21%). Meta-regression and sub-group analyses identified several significant associated factors: parity, constipation, overweight/obesity, vaginal delivery, chronic cough, gestational age, and aging. The study noted significant heterogeneity (I^2 = 91.01%) among included studies and a lack of data from Central Africa.

STUDY TYPE

meta-analysis

SPECIALTY

epidemiology

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10021416

Estimated burden, and associated factors of Urinary Incontinence among Sub-Saharan African women aged 15–100 years: A systematic review and meta-analysis

PLOS Global Public Health

READ THE FULL PAPER

ABSTRACT

Hospital and community based-studies had been conducted for Urinary Incontinence (UI) in Sub-Sahara Africa (SSA) countries. A significant limitation of these studies is likely under-estimation of the burden of UI in SSA. It is therefore, imperative that a well-structured systematic review and meta-analytical models in SSA are required to accurately and reliably estimate the burden of UI. Medline/PubMed, Google Scholar, Africa Journal Online (AJOL) were searched to identified data on burden of UI studies in SSA. Two independent authors performed the initial screening of studies based on the details found in their titles and abstracts. The quality of the retrieved studies was assessed using the Newcastle-Ottawa Quality Assessment instrument. The pooled burden of UI was calculated using a weighted inverse variance random-effects model. A sub-group and meta-regression analyses were performed. Publication bias was checked by the funnel plot and Egger’s test. Of the 25 studies included, 14 were hospital-based, 10 community- based, and 1 university-based studies involving an overall 17863 participants from SSA. The systematic review showed that the prevalence of UI ranged from 0.6% in Sierra Leone to 42.1% in Tanzania. The estimated pooled burden of UI across all studies was 21% [95% CI: 16%-26%, I 2 = 91.01%]. The estimated pooled prevalence of stress UI was 52% [95% CI: 42%-62%], urgency UI 21% [95% CI: 15%-26%], and mixed UI 27% [95% CI: 20%-35%]. The common significant independent factors were; parity, constipation, overweight/obese, vaginal delivery, chronic cough, gestational age, and aging. One out of every five women in SSA suffers from UI. Parity, constipation, overweight/obesity, vaginal delivery, chronic cough, gestational age, and age were the most important risk variables. As a result, interventions aimed at reducing the burden of UI in SSA women aged 15 to 100 years old in the context of identified determinants could have significant public health implications.

CITATION EXPORT

Martin Ackah, Louise Ameyaw, Mohammed Gazali Salifu et al.. Estimated burden, and associated factors of Urinary Incontinence among Sub-Saharan African women aged 15–100 years: A systematic review and meta-analysis. PLOS Global Public Health. (2022). https://doi.org/10.1371/journal.pgph.0000562

AUTHORS

11 · 5 CENTRES

Martin Ackah, Louise Ameyaw, Mohammed Gazali Salifu, Cynthia OseiYeboah, Abena Serwaa Ampomaa Agyemang, Kow Acquaah, Yaa Boatema Koranteng, Asabea Opare-Appiah, Rajat Das Das Gupta, Rajat Das Das Gupta, Julia Robinson

1 Department of Physiotherapy, Korle Bu Teaching Hospital, Accra, Ghana
2 Department of Medicine, Achimota Government Hospital, Accra, Ghana
3 Policy Planning Budgeting Monitoring and Evaluation Directorate, Ministry of Health, Accra, Ghana
4 Department of Physiotherapy, Greater Accra Regional Hospital, Accra, Ghana
University of South Carolina Arnold School of Public Health, UNITED STATES

EDITOR / REVIEWER

Rajat Das Das Gupta