Screening for urinary incontinence in Minnesota women using a validated epidemiologic survey: a cross-sectional study

Activity: Talk typesPoster


Introduction: The prevalence of female pelvic floor disorders (PFDs) including urinary incontinence (UI) is felt to be high, however prior estimates vary. Estimates range from 1% to 50%, in part due to unreliable screening questionnaires for PFDs. The purpose of this study was to use the Epidemiology of Prolapse and Incontinence Questionnaire (EPIQ), a validated screening tool, to determine the prevalence of UI in women attending the Minnesota State Fair. Methods: After IRB approval, the EPIQ was administered to women ≥ 18 years old attending the Minnesota State Fair in 2018. Data collection occurred over 6 half-day sessions at the University of Minnesota Driven to Discover building. Participants self-reported data using iPads connected to a secure web-based system, Research Electronic Data Capture (REDCap). Demographic data of age, height, and weight was collected and summarized using descriptive statistics. Chisquare or Fisher’s exact tests were used to analyze associations between variables and outcomes. Results: A total of 1568 subjects were surveyed: 1270 (88%) younger women age 18-64 years, and 173 (12%) older women ≥ 65 years. Overall, 774 (49.5%) participants reported any type of UI. The prevalence of stress urinary incontinence (SUI) and urge urinary incontinence (UUI) were 613 (40.7%) and 363 (24.1%), respectively. A proportionately higher, 97 (56.7%) older women reported any type of UI, when compared to 597 (47%) younger women, p=0.02. UUI was also associated with older age and observed in 53 (32.9%) older and 273 (22.2%) younger women. There was a significant association between childbirth and any type of UI, SUI, UUI, and history of any UI surgery, all p<0.01. In total, 60 (3.8%) women reported at least one surgery related to UI. Additionally, smoking status was significantly associated with any UI, including SUI and UUI, all p<0.01. UI was reported in 156 (63.4%) past and 30 (50.8%) current smokers versus 580 (46.6%) non-smokers. Conclusion: The prevalence of urinary incontinence in women in Minnesota was relatively high when reported on the validated EPIQ survey compared to previous studies. As expected, urinary incontinence was associated with older age, childbirth, and smoking. Further studies are needed to better assess why our cohort appears to have a higher risk of UI.
PeriodFeb 26 2019Mar 2 2019
Event titleSociety of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction
Event typeConference
LocationMiami, United States, FloridaShow on map
Degree of RecognitionNational