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• W2280494983 abstract "BackgroundPelvic floor disorders (PFDs), including urinary incontinence (UI), fecal incontinence (FI), and pelvic organ prolapse (POP), affect a large proportion of the population and impact the quality of life of women. Prevention of these conditions requires an understanding of what young women know about these conditions before they actually occur. The primary aims of this study were to determine the prevalence of pelvic floor symptoms, awareness of PFDs, and understanding causes of PFDs in women age 19-30.Materials and MethodsA cross-sectional study via online questionnaire survey of female students age 19-30 was performed. Responses from “adolescent” women, ages 19-24 were compared to “young” women, ages 25-30. The questionnaire included basic demographic and health information, as well as validated measures assessing pelvic floor symptoms, including the Incontinence Severity Index-2, the Incontinence Symptom Index-Pediatric, the Fecal Incontinence Severity Index, and one question from the Pelvic Organ Prolapse Inventory 6. To quantify the presence or absence of a condition/symptom the answers were reported dichotomously as yes/no. Other questions assessed knowledge regarding the existence of pelvic floor disorders, whether they have been discussed with family members or friends and speculation regarding their cause. T-test was utilized for continuous variables and chi-square for categorical measures.ResultsA total of 7125 email invites sent and 1092 questionnaires were completed. The average age of all respondents was 23.5±3.1 years. The overall prevalence rate of (UI) was 10.3% with no difference in rates between adolescent girls ages 19-24 and young women ages 25-30 (10% vs 11.0%, p=0.61). There were no differences in rates of urgency UI, stress UI, enuresis, or POP symptoms between groups (Table 1). Young women were more likely to have heard about problems related to UI and FI compared to adolescents (85.7% vs 75.9%, p=.0004), as well as POP (67.2% vs 43.7%, p=<.0001) (Table 2). More young women had discussed issues related to UI with family or friends (35.2% vs 24.5%, p=.001) and POP (15.6% vs 10.2%, p=.03) than the adolescent group, respectively. Neither adolescent nor young women had discussed FI with family or friends (8.1% vs 7.7%, p=0.84). The young women group reported higher rates of exposure to the subject of UI, FI, and POP in school and similarly had higher rates of knowledge regarding causes of UI (79.0% vs 60.0%, p=<.0001), FI (52.2% vs 41.1%, p=.006), Flatal Incontinence (38.5% vs 28.6%, p=.0007) and POP (56.9% vs 40.6%, p=<.0001) compared to adolescents. On questions assessing knowledge of causes of UI, FI, and POP, adolescent women and young women answered “I don’t know” 29%, 51%, and 48% respectively.ConclusionsTable 1Clinico-Demographics and Pelvic Floor SymptomsCharacteristics, N=1092All N=1092Adolescent (Age 19-24) N=682Young Women (Ages 25-30) N=410p-valueaAge, mean +/-SD (Range 19-30)23.5±3.121.5±1.727.0±1.7<.0001Race, n(%)0.82White743 (68.9)456 (67.7)287 (70.9)Black/ African American200 (18.5)127 (18.8)73 (18.0)Asian76 (7.0)49 (7.3)27 (6.7)Hispanic/Latina37 (3.4)27 (4.0)10 (2.5)Sex Education, n(%)0.084th-5th Grade204 (19.0)121 (18.0)83 (20.5)6th-7th Grade313 (29.1)203 (30.2)110 (27.2)8th-9th Grade243 (22.6)137 (20.4)106 (26.2)10th-11th Grade161 (15.0)110 (16.4)51 (12.6)None154 (14.3)100 (14.9)54 (13.4)Pregnancies, n (%)<.00010934 (87.2)636 (95.1)298 (74.1)194 (8.8)26 (3.9)68 (16.9)227 (2.5)5 (0.8)22 (5.5)3 or more16 (1.5)2 (0.3)14 (3.5)How often do you experience urine leakage, n (%)0.61Yes113 (10.3)68 (10.0)45 (11.0)No979 (89.7)614 (90.0)365 (89.0)Urine leakage with physical activity, n (%)0.29Yes129 (11.2)75 (11.0)54 (13.2)No963 (88.2)607 (89.0)356 (86.8)How often has a sudden urge to pass urine caused you to leak, n (%)0.49Yes103 (9.4)71 (10.8)35 (8.9)No989 (90.6)588 (89.2)361 (91.1)Enuresis, n (%)0.66Yes22 (2.0)15 (2.2)7 (1.7)No1070 (98.0)667 (97.8)403 (98.3)Sensation of a bulge, n (%)0.56Yes3 (0.3)1 (0.2)2 (0.5)No1089 (99.7)681 (99.8)408 (99.5)Experience accidental bowel leakage, n (%)0.0390Yes13 (1.2)12 (1.8)1 (0.2)No1079 (98.8)670 (98.2)409 (99.8)ap-value comparing characteristics of Adolescent vs Young Adult Open table in a new tab Table 2Awareness of PFDs and Education on PFDsAdolescent (Age 19-24) N=682Young Women (Ages 25-30) N=410p-valueAwareness of Women having UI or FI, n (%)0.0004Yes504 (75.9)342 (85.7)No160 (24.1)57 (14.3)Awareness of Women having POP, n (%)<.0001Yes290 (43.7)268 (67.2)No373 (56.3)131 (32.8)Awareness of female family members with:n (%)UI0.24Yes232 (35.9)163 (41.5)No176 (27.2)90 (22.9)I don’t know239 (36.9)140 (35.6)FI0.92Yes54 (8.4)30 (7.6)No334 (51.7)204 (51.9)I don’t know258 (39.9)159 (40.5)POP0.36Yes36 (5.6)29 (7.4)No357 (55.3)223 (56.7)I don’t know253 (39.2)141 (35.9)Received education on PFD: n (%)UI<.0001Yes110 (17.1)136 (34.9)No534 (82.9)254 (65.1)FI<.0001Yes70 (10.9)113 (29.1)No573 (89.1)276 (71.0)POP<.0001Yes91 (14.2)128 (32.9)No552 (85.8)261 (67.1)Discussed with Friends/Family, n(%)UI0.001Yes158 (24.5)138 (35.2)No487 (75.5)254 (6.8)FI0.84Yes52 (8.1)30 (7.7)No592 (91.9)361 (92.3)POP0.03Yes66 (10.2)61 (15.6)No578 (89.8)329 (84.4)Wanted to know more about PFD, n (%)0.45Yes216 (33.9)121 (31.4)No421 (66.1)264 (68.6)UI =Urinary Incontinence FI = Fecal Incontinence POP = Pelvic Organ Prolapse PFD = Pelvic Floor Disorders Open table in a new tab BackgroundPelvic floor disorders (PFDs), including urinary incontinence (UI), fecal incontinence (FI), and pelvic organ prolapse (POP), affect a large proportion of the population and impact the quality of life of women. Prevention of these conditions requires an understanding of what young women know about these conditions before they actually occur. The primary aims of this study were to determine the prevalence of pelvic floor symptoms, awareness of PFDs, and understanding causes of PFDs in women age 19-30. Pelvic floor disorders (PFDs), including urinary incontinence (UI), fecal incontinence (FI), and pelvic organ prolapse (POP), affect a large proportion of the population and impact the quality of life of women. Prevention of these conditions requires an understanding of what young women know about these conditions before they actually occur. The primary aims of this study were to determine the prevalence of pelvic floor symptoms, awareness of PFDs, and understanding causes of PFDs in women age 19-30. Materials and MethodsA cross-sectional study via online questionnaire survey of female students age 19-30 was performed. Responses from “adolescent” women, ages 19-24 were compared to “young” women, ages 25-30. The questionnaire included basic demographic and health information, as well as validated measures assessing pelvic floor symptoms, including the Incontinence Severity Index-2, the Incontinence Symptom Index-Pediatric, the Fecal Incontinence Severity Index, and one question from the Pelvic Organ Prolapse Inventory 6. To quantify the presence or absence of a condition/symptom the answers were reported dichotomously as yes/no. Other questions assessed knowledge regarding the existence of pelvic floor disorders, whether they have been discussed with family members or friends and speculation regarding their cause. T-test was utilized for continuous variables and chi-square for categorical measures. A cross-sectional study via online questionnaire survey of female students age 19-30 was performed. Responses from “adolescent” women, ages 19-24 were compared to “young” women, ages 25-30. The questionnaire included basic demographic and health information, as well as validated measures assessing pelvic floor symptoms, including the Incontinence Severity Index-2, the Incontinence Symptom Index-Pediatric, the Fecal Incontinence Severity Index, and one question from the Pelvic Organ Prolapse Inventory 6. To quantify the presence or absence of a condition/symptom the answers were reported dichotomously as yes/no. Other questions assessed knowledge regarding the existence of pelvic floor disorders, whether they have been discussed with family members or friends and speculation regarding their cause. T-test was utilized for continuous variables and chi-square for categorical measures. ResultsA total of 7125 email invites sent and 1092 questionnaires were completed. The average age of all respondents was 23.5±3.1 years. The overall prevalence rate of (UI) was 10.3% with no difference in rates between adolescent girls ages 19-24 and young women ages 25-30 (10% vs 11.0%, p=0.61). There were no differences in rates of urgency UI, stress UI, enuresis, or POP symptoms between groups (Table 1). Young women were more likely to have heard about problems related to UI and FI compared to adolescents (85.7% vs 75.9%, p=.0004), as well as POP (67.2% vs 43.7%, p=<.0001) (Table 2). More young women had discussed issues related to UI with family or friends (35.2% vs 24.5%, p=.001) and POP (15.6% vs 10.2%, p=.03) than the adolescent group, respectively. Neither adolescent nor young women had discussed FI with family or friends (8.1% vs 7.7%, p=0.84). The young women group reported higher rates of exposure to the subject of UI, FI, and POP in school and similarly had higher rates of knowledge regarding causes of UI (79.0% vs 60.0%, p=<.0001), FI (52.2% vs 41.1%, p=.006), Flatal Incontinence (38.5% vs 28.6%, p=.0007) and POP (56.9% vs 40.6%, p=<.0001) compared to adolescents. On questions assessing knowledge of causes of UI, FI, and POP, adolescent women and young women answered “I don’t know” 29%, 51%, and 48% respectively. A total of 7125 email invites sent and 1092 questionnaires were completed. The average age of all respondents was 23.5±3.1 years. The overall prevalence rate of (UI) was 10.3% with no difference in rates between adolescent girls ages 19-24 and young women ages 25-30 (10% vs 11.0%, p=0.61). There were no differences in rates of urgency UI, stress UI, enuresis, or POP symptoms between groups (Table 1). Young women were more likely to have heard about problems related to UI and FI compared to adolescents (85.7% vs 75.9%, p=.0004), as well as POP (67.2% vs 43.7%, p=<.0001) (Table 2). More young women had discussed issues related to UI with family or friends (35.2% vs 24.5%, p=.001) and POP (15.6% vs 10.2%, p=.03) than the adolescent group, respectively. Neither adolescent nor young women had discussed FI with family or friends (8.1% vs 7.7%, p=0.84). The young women group reported higher rates of exposure to the subject of UI, FI, and POP in school and similarly had higher rates of knowledge regarding causes of UI (79.0% vs 60.0%, p=<.0001), FI (52.2% vs 41.1%, p=.006), Flatal Incontinence (38.5% vs 28.6%, p=.0007) and POP (56.9% vs 40.6%, p=<.0001) compared to adolescents. On questions assessing knowledge of causes of UI, FI, and POP, adolescent women and young women answered “I don’t know” 29%, 51%, and 48% respectively. ConclusionsTable 1Clinico-Demographics and Pelvic Floor SymptomsCharacteristics, N=1092All N=1092Adolescent (Age 19-24) N=682Young Women (Ages 25-30) N=410p-valueaAge, mean +/-SD (Range 19-30)23.5±3.121.5±1.727.0±1.7<.0001Race, n(%)0.82White743 (68.9)456 (67.7)287 (70.9)Black/ African American200 (18.5)127 (18.8)73 (18.0)Asian76 (7.0)49 (7.3)27 (6.7)Hispanic/Latina37 (3.4)27 (4.0)10 (2.5)Sex Education, n(%)0.084th-5th Grade204 (19.0)121 (18.0)83 (20.5)6th-7th Grade313 (29.1)203 (30.2)110 (27.2)8th-9th Grade243 (22.6)137 (20.4)106 (26.2)10th-11th Grade161 (15.0)110 (16.4)51 (12.6)None154 (14.3)100 (14.9)54 (13.4)Pregnancies, n (%)<.00010934 (87.2)636 (95.1)298 (74.1)194 (8.8)26 (3.9)68 (16.9)227 (2.5)5 (0.8)22 (5.5)3 or more16 (1.5)2 (0.3)14 (3.5)How often do you experience urine leakage, n (%)0.61Yes113 (10.3)68 (10.0)45 (11.0)No979 (89.7)614 (90.0)365 (89.0)Urine leakage with physical activity, n (%)0.29Yes129 (11.2)75 (11.0)54 (13.2)No963 (88.2)607 (89.0)356 (86.8)How often has a sudden urge to pass urine caused you to leak, n (%)0.49Yes103 (9.4)71 (10.8)35 (8.9)No989 (90.6)588 (89.2)361 (91.1)Enuresis, n (%)0.66Yes22 (2.0)15 (2.2)7 (1.7)No1070 (98.0)667 (97.8)403 (98.3)Sensation of a bulge, n (%)0.56Yes3 (0.3)1 (0.2)2 (0.5)No1089 (99.7)681 (99.8)408 (99.5)Experience accidental bowel leakage, n (%)0.0390Yes13 (1.2)12 (1.8)1 (0.2)No1079 (98.8)670 (98.2)409 (99.8)ap-value comparing characteristics of Adolescent vs Young Adult Open table in a new tab Table 2Awareness of PFDs and Education on PFDsAdolescent (Age 19-24) N=682Young Women (Ages 25-30) N=410p-valueAwareness of Women having UI or FI, n (%)0.0004Yes504 (75.9)342 (85.7)No160 (24.1)57 (14.3)Awareness of Women having POP, n (%)<.0001Yes290 (43.7)268 (67.2)No373 (56.3)131 (32.8)Awareness of female family members with:n (%)UI0.24Yes232 (35.9)163 (41.5)No176 (27.2)90 (22.9)I don’t know239 (36.9)140 (35.6)FI0.92Yes54 (8.4)30 (7.6)No334 (51.7)204 (51.9)I don’t know258 (39.9)159 (40.5)POP0.36Yes36 (5.6)29 (7.4)No357 (55.3)223 (56.7)I don’t know253 (39.2)141 (35.9)Received education on PFD: n (%)UI<.0001Yes110 (17.1)136 (34.9)No534 (82.9)254 (65.1)FI<.0001Yes70 (10.9)113 (29.1)No573 (89.1)276 (71.0)POP<.0001Yes91 (14.2)128 (32.9)No552 (85.8)261 (67.1)Discussed with Friends/Family, n(%)UI0.001Yes158 (24.5)138 (35.2)No487 (75.5)254 (6.8)FI0.84Yes52 (8.1)30 (7.7)No592 (91.9)361 (92.3)POP0.03Yes66 (10.2)61 (15.6)No578 (89.8)329 (84.4)Wanted to know more about PFD, n (%)0.45Yes216 (33.9)121 (31.4)No421 (66.1)264 (68.6)UI =Urinary Incontinence FI = Fecal Incontinence POP = Pelvic Organ Prolapse PFD = Pelvic Floor Disorders Open table in a new tab ap-value comparing characteristics of Adolescent vs Young Adult UI =Urinary Incontinence FI = Fecal Incontinence POP = Pelvic Organ Prolapse PFD = Pelvic Floor Disorders" @default.
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• W2280494983 title "Prevalence, Awareness, and Understanding, of Pelvic Floor Disorders in Adolescent and Young Women" @default.
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