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Facts About Bladder Issues: The Silent Epidemic

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Facts About Bladder Issues: The Silent Epidemic

Fact Sheet – Statistics for Bladder Problems

 

o      Definition of urinary incontinence – the unintentional loss of urine

o      Definition of overactive bladder (OAB) – urinary frequency (>8 micuritions/24 hours), with or without urge incontinence, in the absence of underlying pathology

o      1 in 4 adults suffers from bladder problems during their life (US Dept of Health & Human Services)

o      25+ million Americans have bladder problems

o      80% of those with urinary incontinence can get better

o      50% cure rate for stress incontinence with pelvic floor exercise and lifestyle changes  (International Urogynecology Journal article)

o      Several randomized controlled trials have shown that pelvic floor muscle training is effective for incontinence and is the recommended first-line treatment (International Urogynecology Journal article)

o      Women suffer on average 6 years before seeking help

o      50% of people do not consult physician about their symptoms (Osterweil, 2005)

o      "Fear that a surgical intervention was the only treatment available for incontinence was a reason for delayed treatment seeking." (Norton et al, Br Med Jr. 1988)

o      Twice as many women are affected with incontinence as men

o      As presented at the International Continence Society in 2007, one large study of 12,679 women in Norway found that 6 months post partum 21% of women still had incontinence regardless of method of birth. That's 1 in 5.

o      Women and men are equally affected with overactive bladder; 1in 6 (around 16%) (World Journal of Urology; US Dept HHS)

o      Women may start with incontinence as early as their first child

o      14% of women aged 35-55 have incontinence

o      Incontinence tends to increase with age

o      In women, the prevalence of incontinence markedly increases after age 44 (World Journal of Urology, Johns Hopkins University)

o      In men, the incidence of incontinence increases from age 65 onward 

o      As many as 40-50% of women over age 60 may be affected

o      25% of women with incontinence use sanitary pads daily to control leaking (NAFC)

o      17% of women with incontinence use tissue or paper towels to control leaking (NAFC)

o      Depression is more prevalent in women with incontinence than without incontinence (Canadian Community Health Survey)

o      Prevalence of depression is 15.5% in women with urinary incontinence (Psychosomatics, 2006; 47:147-151)

o      30% prevalence of depression in women ages 18-44 with urinary incontinence (Psychosomatics 2006; 47:147-151)

o      In all age groups, people with overactive bladder have lower quality of life scores, higher depression scores and poorer quality of sleep (World Journal of Urology, Johns Hopkins Univ.)

o      Bladder problems can hinder sexual desire for fear of leaking (Abram et al, 2001)

o      About two-thirds of women and men report that their bladder problems affect their daily living and quality of life (The NOBLE survey)

o      Incontinent people have an increase risk for falls (35% more likely) and fractures (45% more likely) (Journal of American Geriatrics Society, 2000)

o      Senate Special Committee on Aging puts urinary incontinence among four main health problems affecting quality of life in seniors

o      At least 50% of nursing home residents are affected with incontinence; 70% are women (US Dept of Health and Human Services 1996)

o      Costs estimated at $16.4 billion dollars in the US yearly (US Dept of Health & Human Services); another study showed costs at $3565 per incontinent person per year) (Wagner and Hu, Urology, 1998)

o      $1.1 billion (1996) yearly for disposable incontinence products (US Dept of Health & Human Services)

o      Of the $25.2 billion in sanitary pads and panty liners purchased, $14.2 billion of sanitary pads and panti-liners are being purchased for reasons other than the menstrual cycle. (2009, International Non-Woven Disposables Association).

o      Secondary problems with Urinary Incontinence include –decreased sexual function, sleep disturbances, decrease in normal activities, fear of stigmatization, skin infections, and depression (The NOBLE survey)

 

 

 

 

 

 

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