Table 1.
Weighted Prevalence Rates of Pelvic Floor Disorders by Demographic Categories in Nonpregnant U.S. Women (N = 7924)
| Weighted Prevalence, % (95% Confidence Interval) | |||||
|---|---|---|---|---|---|
|
| |||||
| Variable | No. of Women | Pelvic Organ Prolapse (n = 7071) | Fecal Incontinence (n = 7046) | Urinary Incontinence (n= 7142) | One or More Pelvic Floor Disorder (n = 7924)* |
|
| |||||
| Overall | 2.9 (2.5, 3.4) | 9.4 (8.6, 10.2) | 17.1 (15.8, 18.4) | 25.0 (23.6, 26.3) | |
|
| |||||
| Age, years | |||||
| 20–29 | 1128 | 0.5 (0.3, 1.1) | 2.6 (1.7, 3.9) | 3.5 (2.6, 4.9) | 6.3 (5.0, 7.8) |
|
| |||||
| 30–39 | 1117 | 2.1 (1.4, 3.2) | 4.3 (3.3, 5.6) | 9.2 (7.5, 11.2) | 13.6 (11.7, 15.7) |
|
| |||||
| 40–49 | 1318 | 2.3 (1.5, 3.5) | 8.8 (7.0, 10.9) | 15.0 (12.7, 17.6) | 23.4 (20.5, 26.6) |
|
| |||||
| 50–59 | 1085 | 4.0 (2.8, 5.7) | 11.0 (9.3, 12.9) | 22.4 (19.1, 26.1) | 31.6 (28.3, 35.1) |
|
| |||||
| 60–69 | 1193 | 5.1 (3.4, 7.6) | 16.5 (13.7, 19.6) | 24.7 (21.0, 28.8) | 38.5 (33.8, 43.3) |
|
| |||||
| 70–79 | 805 | 4.3 (2.8, 6.6) | 14.3 (11.5, 17.6) | 29.7 (26.0, 33.6) | 39.6 (35.6, 43.8) |
|
| |||||
| ≥80 | 496 | 4.0 (2.5, 6.5) | 21.0 (16.9, 25.8) | 38.2 (33.7, 43.0) | 52.7 (48.1, 57.2) |
|
| |||||
| p value | <0.001 | <0.001 | <0.001 | <0.001 | |
|
| |||||
| Race/Ethnicity | |||||
| Hispanic, Mexican American | 1267 | 5.3 (4.1, 6.8) | 6.3 (4.8, 8.1) | 17.2 (14.9, 19.6) | 24.0 (21.3, 26.8) |
|
| |||||
| Hispanic, Other | 662 | 4.5 (2.9, 7.1) | 6.8 (5.3, 8.8) | 13.1 (10.8, 15.9) | 20.0 (17.4, 22.9) |
|
| |||||
| Non-Hispanic White | 3475 | 2.7 (2.2, 3.4) | 10.2 (9.1, 11.30 | 18.2 (16.7, 20.0) | 26.4 (24.6, 28.2) |
|
| |||||
| Non-Hispanic black | 1445 | 2.2 (1.5, 3.2) | 7.9 (6.5, 9.6) | 12.8 (11.3, 14.4) | 20.0 (17.8, 22.5) |
|
| |||||
| Other, including multi-racial | 293 | 2.1 (0.8, 5.5) | 8.7 (5.1, 14.5) | 13.9 (10.0, 19.1) | 22.6 (17.1, 29.2) |
|
| |||||
| P value | 0.01 | 0.04 | <0.001 | 0.002 | |
|
| |||||
| Education | |||||
| <High school | 1960 | 4.8 (3.8, 6.1) | 12.0 (10.2, 14.0) | 23.8 (21.7, 26.1) | 32.6 (30.3, 35.1) |
|
| |||||
| High school | 1675 | 3.1 (2.1, 4.5) | 9.3 (7.8, 10.9) | 18.4 (16.3, 20.7) | 27.0 (25.0, 23.7) |
|
| |||||
| >High school | 3496 | 2.2 (1.7, 2.8) | 8.6 (7.4, 10.0) | 14.5 (13.0, 16.1) | 21.8 (20.0, 23.70 |
|
| |||||
| P value | <0.001 | 0.03 | <0.001 | <0.001 | |
|
| |||||
| Poverty income ratio | |||||
| <1 | 1369 | 4.3 (3.3, 5.4) | 9.3 (7.5, 11.5) | 19.6 (17.2, 22.3) | 27.3 (24.6, 30.3) |
|
| |||||
| 1–2 | 1832 | 3.7 (2.7, 5.1) | 11.4 (10.0, 13.1) | 19.2 (17.0, 21.6) | 27.9 (25.7, 30.2) |
|
| |||||
| >2 | 3941 | 2.4 (1.9, 3.0) | 8.8 (7.8, 9.9) | 16.0 (14.6, 17.4) | 23.6 (22.2, 25.2) |
|
| |||||
| p value | 0.005 | 0.02 | 0.001 | <0.001 | |
|
| |||||
| BMI | |||||
| <25.0 | 2181 | 2.0 (1.4, 2.7) | 7.5 (6.4, 8.8) | 10.3 (8.9, 11.9) | 17.8 (15.7, 19.5) |
|
| |||||
| 25.0 – 29.9 | 2059 | 3.5 (2.5, 4.7) | 9.3 (7.8, 11.1) | 18.1 (16.1, 20.2) | 26.5 (24.3, 28.8) |
|
| |||||
| ≥30.0 | 2902 | 3.4 (2.7, 4.2) | 11.2 (9.5, 13.2) | 22.9 (20.6, 25.5) | 31.1 (28.5, 33.7) |
|
| |||||
| P value | 0.02 | 0.007 | <0.001 | <0.001 | |
|
| |||||
| Self-reported conditions/comorbid diseases (cumulative count) | |||||
|
| |||||
| 0 | 3445 | 1.9 (1.5, 2.8) | 5.6 (4.6, 6.9) | 9.7 (8.7, 10.8) | 15.6 (14.4, 16.8) |
|
| |||||
| 1 | 1938 | 3.7 (2.7, 5.1) | 9.4 (8.2, 10.9) | 20.3 (17.9, 22.9) | 28.5 (26.0, 31.1) |
|
| |||||
| 2 | 1017 | 4.2 (3.1, 5.8) | 15.8 (13.4, 18.5) | 27.3 (23.7, 31.2) | 39.9 (36.5, 43.5) |
|
| |||||
| ≥3 | 708 | 4.5 (3.2, 6.5) | 23.0 (18.5, 28.2) | 37.2 (33.3, 42.2) | 50.1 (45.6, 54.6) |
|
| |||||
| P value | <0.001 | <0.001 | <0.001 | <0.001 | |
|
| |||||
| Hysterectomy | |||||
|
| |||||
| No | 4621 | 2.3 (1.9, 2.7) | 8.0 (7.2, 8.9) | 14.7 (13.5, 16.0) | 21.8 (20.5, 23.1) |
|
| |||||
| Yes | 1717 | 5.4 (4.0, 7.3) | 16.6 (14.6, 18.8) | 29.5 (26.8, 32.3) | 42.2 (39.1, 45.4) |
|
| |||||
| P value | <0.001 | <0.001 | <0.001 | <0.001 | |
|
| |||||
| Parity | |||||
| 0 | 1018 | 0.6 (0.3, 1.6) | 4.6 (3.4, 6.3) | 7.9 (6.4, 9.8) | 11.5 (9.6, 13.8) |
|
| |||||
| 1 | 784 | 1.4 (0.7, 2.9) | 10.3 (7.6, 13.7) | 11.8 (9.4, 14.9) | 21.1 (17.8, 24.9) |
|
| |||||
| 2 | 1450 | 3.2 (2.3, 4.5) | 8.3 (6.7, 10.1) | 15.6 (13.4, 18.2) | 23.8 (21.0, 26.8) |
|
| |||||
| 3 | 1416 | 3.2 (2.2, 4.5) | 11.1 (9.1, 13.4) | 20.5 (18.0, 23.3) | 28.7 (25.9, 31.6) |
|
| |||||
| ≥4 | 2462 | 4.5 (3.7, 5.6) | 11.8 (10.2, 13.5) | 23.9 (21.7, 26.3) | 33.6 (30.9, 36.5) |
|
| |||||
| P value | <0.001 | <0.001 | <0.001 | <0.001 | |
|
| |||||
| Mode of delivery | |||||
|
| |||||
| Never pregnant | 1018 | 0.6 (0.3, 1.3) | 4.6 (3.4, 6.3) | 7.9 (6.4, 9.8) | 11.5 (9.6, 13.8) |
|
| |||||
| Vaginal delivery | 4527 | 4.0 (3.3, 4.8) | 11.5 (10.5, 12.6) | 20.6 (18.9, 22.4) | 30.4 (28.6, 32.3) |
|
| |||||
| Cesarean delivery | 723 | 1.9 (1.1, 3.3) | 6.4 (4.6, 8.8) | 12.7 (10.4, 15.4) | 18.4 (15.7, 21.5) |
|
| |||||
| Vaginal and cesarean deliveries | 571 | 2.3 (1.2, 4.1) | 7.2 (4.3, 11.7) | 19.5 (15.5, 24.1) | 25.3 (19.9, 31.5) |
|
| |||||
| P value | <0.001 | <0.001 | <0.001 | <0.001 | |
*
Sample size higher for more than one pelvic floor disorder than for pelvic organ prolapse (POP), fecal incontinence (FI), or urinary incontinence (UI) alone due to overlap for POP, FI, UI or a combination of these.
All P values calculated using chi-square analysis with the appropriate sampling weights.