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Effects of a new community-based reproductive health intervention on knowledge of and attitudes and behaviors toward stress urinary incontinence among young women in Shanghai: a cluster-randomized controlled trial

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Abstract

Introduction and hypothesis

This study aimed to evaluate the prevalence of stress urinary incontinence (SUI) and to introduce a new community-based reproductive health intervention. We then evaluated the effectiveness of this intervention.

Methods

In this cluster-randomized trial, 2100 participants aged 18–40 years were divided randomly into an intervention group (IG, 1400 women) and a control group (CG, 700 women). The CG received traditional community intervention, cmprising limited reproductive information and education; the IG received the new community-based reproductive health intervention model, comprising self-designed handbooks, health lectures, and free medical consultations, in addition to the traditional community intervention. All participants were surveyed face to face using a self-designed questionnaire before and after the 6-month intervention.

Results

In Shanghai, the prevalence rate of SUI was 14.3 %. No difference was observed between groups regarding mean knowledge, attitudes, and practices (KAPs) about SUI and the total score at baseline (P > 0.05). The IG scored significantly higher than the CG on the KAP questions at follow-up, and a significant improvement was observed in the IG after the intervention. Total scores increased with age, educational level, income, and time spent working in Shanghai per year but decreased with gravidity and the number of abortions. Native respondents scored higher than did migrants.

Conclusions

The prevalence of SUI is high in Shanghai, and the new community-based reproductive health intervention model is both effective and easily implemented. This intervention should focus on women with a low income, women with low education levels, young women, migrant women, and women who have had multiple abortions or pregnancies.

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Abbreviations

SUI:

Stress urinary incontinence

IG:

Intervention group

CG:

Control group

PFMT:

Pelvic floor muscle training

PFM:

Pelvic floor muscle

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Acknowledgments

We are grateful to the staff of the maternal and childcare service center that assisted in the investigation and data collection. We are also grateful to all participants.

Funding

This study was supported by grants from the Shanghai Municipal Commission of Health and Family Planning (2013-KT02) and was conducted by the Obstetrics and Gynecology Hospital of Fudan University.

Conflicts of interest

None.

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Author notes

    Authors and Affiliations

    1. Obstetrics and Gynecology Hospital of Fudan University, 419 Fangxie Road, Shanghai, 200011, China

      Ning Zhang, Yuan He, Jue Wang, Ying Zhang, Jingxin Ding & Ke-qin Hua

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    1. Ning Zhang
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    2. Yuan He
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    3. Jue Wang
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    4. Ying Zhang
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    Corresponding author

    Correspondence to Ke-qin Hua.

    Additional information

    Ning Zhang and Yuan He contributed equally to this work.

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    Zhang, N., He, Y., Wang, J. et al. Effects of a new community-based reproductive health intervention on knowledge of and attitudes and behaviors toward stress urinary incontinence among young women in Shanghai: a cluster-randomized controlled trial. Int Urogynecol J 27, 545–553 (2016). https://doi.org/10.1007/s00192-015-2851-1

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    • DOI: https://doi.org/10.1007/s00192-015-2851-1

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