Table 2.
Pelvic Floor Symptoms and Knowledge in Adolescents (≤24 years-old) Compared to Young Women (25–30 years-old)
| All N=1092 | Adolescent (Ages 19–24) N=682 | Young Women (Ages 25–30) N=410 | p-valuea | |
|---|---|---|---|---|
| How often do you experience urine leakage, n (%) | 0.61 | |||
| Yes | 113 (10.3) | 68 (10.0) | 45 (11.0) | |
| No | 979 (89.7) | 614 (90.0) | 365 (89.0) | |
| Urine leakage with physical activity, n (%) | 0.29 | |||
| Yes | 129 (11.2) | 75 (11.0) | 54 (13.2) | |
| No | 963 (88.2) | 607 (89.0) | 356 (86.8) | |
| Type of sportb, n (%) | 1.0 | |||
| Impact | 55 (80.9) | 34 (80.9) | 21 (80.8) | |
| Non-Impact | 13 (19.1) | 8 (19.1) | 5 (19.2) | |
| How often has a sudden urge to pass urine caused you to leak, n (%) | 0.49 | |||
| Yes | 103 (9.4) | 71 (10.8) | 35 (8.9) | |
| No | 989 (90.6) | 588 (89.2) | 361 (91.1) | |
| Insensate urine loss, n (%) | 0.67 | |||
| Yes | 42 (4.0) | 28 (4.4) | 14 (3.6) | |
| No | 1011 (96.0) | 629 (95.6) | 382 (96.4) | |
| Enuresis, n (%) | 0.66 | |||
| Yes | 22 (2.0) | 15 (2.2) | 7 (1.7) | |
| No | 1070 (98.0) | 667 (97.8) | 403 (98.3) | |
| Sensation of a bulge, n (%) | 0.56 | |||
| Yes | 3 (0.3) | 1 (0.2) | 2 (0.5) | |
| No | 1089 (99.7) | 681 (99.8) | 408 (99.5) | |
| Experience accidental bowel leakage, n (%) | 0.0390 | |||
| Yes | 13 (1.2) | 12 (1.8) | 1 (0.2) | |
| No | 1079 (98.8) | 670 (98.2) | 409 (99.8) | |
| ISI-P total score, mean (+/− SD) | 2.9±3.6 | 2.9±3.6 | 2.9±3.6 | 0.95 |
| Type of Protection, n (%) | 0.52 | |||
| Nothing | 938 (89.4) | 590 (90.2) | 348 (88.1) | |
| Thin pad or tissue | 104 (9.9) | 60 (9.2) | 44 (11.1) | |
| Medium/regular pad | 5 (0.5) | 3 (0.5) | 2 (0.5) | |
| Large/maxi pad | 1 (0.1) | 0 | 1 (.2) | |
| Pull-up or diaper | 1 (0.1) | 1 (0.2) | 0 | |
| Amount of Protection Used, n (%) | 0.31 | |||
| None | 936 (89.4) | 592 (90.7) | 344 (87.3) | |
| 1 per day/less for safety | 99 (9.5) | 54 (8.3) | 45 (11.4) | |
| 1 per day, usually wet | 4 (0.4) | 2 (0.3) | 2 (0.5) | |
| 2–3 per day | 8 (0.8) | 5 (0.8) | 3 (0.8) | |
| Bother of UI, n (%) | 0.32 | |||
| Never | 996 (95.2) | 625 (95.9) | 371 (94.2) | |
| Rarely | 41 (3.9) | 21 (3.2) | 20 (5.1) | |
| Sometimes | 9 (0.9) | 6 (0.9) | 3 (0.8) | |
| Is UI a Problem, n (%) | 0.23 | |||
| No problem | 983 (94.1) | 168 (84.0) | 365 (92.9) | |
| Very small problem | 40 (3.8) | 20 (10.0) | 20 (5.1) | |
| Small problem | 20 (1.9) | 12 (6.0) | 8 (2.0) | |
| Awareness of Women having UI or FI, n (%) | 0.0004 | |||
| Yes | 846 (79.6) | 504 (75.9) | 342 (85.7) | |
| No | 217 (20.4) | 160 (24.1) | 57 (14.3) | |
| Awareness of Women having POP, n (%) | <.0001 | |||
| Yes | 558 (52.5) | 290 (43.7) | 268 (67.2) | |
| No | 504 (47.5) | 373 (56.3) | 131 (32.8) | |
| Awareness of female family members with: n (%) | ||||
| UI | 0.24 | |||
| Yes | 395 (38.0) | 232 (35.9) | 163 (41.5) | |
| No | 266 (25.6) | 176 (27.2) | 90 (22.9) | |
| I don’t know | 379 (36.4) | 239 (36.9) | 140 (35.6) | |
| FI | 0.92 | |||
| Yes | 84 (8.1) | 54 (8.4) | 30 (7.6) | |
| No | 538 (51.8) | 334 (51.7) | 204 (51.9) | |
| I don’t know | 417 (40.1) | 258 (39.9) | 159 (40.5) | |
| POP | 0.36 | |||
| Yes | 65 (6.3) | 36 (5.6) | 29 (7.4) | |
| No | 580 (55.8) | 357 (55.3) | 223 (56.7) | |
| I don’t know | 394 (37.9) | 253 (39.2) | 141 (35.9) | |
| Received education on PFD: n (%) | ||||
| UI | <.0001 | |||
| Yes | 183 (17.7) | 110 (17.1) | 136 (34.9) | |
| No | 849 (23.8) | 534 (82.9) | 254 (65.1) | |
| FI | <.0001 | |||
| Yes | 246 (23.8) | 70 (10.9) | 113 (29.1) | |
| No | 788 (76.2) | 573 (89.1) | 276 (71.0) | |
| POP | <.0001 | |||
| Yes | 219 (21.2) | 91 (14.2) | 128 (32.9) | |
| No | 812 (78.8) | 552 (85.8) | 261 (67.1) | |
| Discussed with Friends/Family, n(%) | ||||
| UI | 0.001 | |||
| Yes | 296 (28.5) | 158 (24.5) | 138 (35.2) | |
| No | 741 (71.5) | 487 (75.5) | 254 (6.8) | |
| FI | 0.84 | |||
| Yes | 82 (7.9) | 52 (8.1) | 30 (7.7) | |
| No | 953 (92.1) | 592 (91.9) | 361 (92.3) | |
| POP | 0.03 | |||
| Yes | 127 (12.3) | 66 (10.2) | 61 (15.6) | |
| No | 907 (87.7) | 578 (89.8) | 329 (84.4) | |
| Understanding of Causes of PFD, n (%) | ||||
| UI | <.0001 | |||
| Having a baby | 332 (67.8) | 174 (60.0) | 158 (79.0) | |
| Menopause | 14 (2.9) | 7 (2.4) | 7 (3.5) | |
| Breastfeeding | 0 (0.0) | 0 (0.0) | 0 (0.0) | |
| Pap smear | 3 (0.6) | 3 (1.0) | 0 (0.0) | |
| I don’t know | 141 (28.8) | 106 (36.6) | 35 (17.5) | |
| FI | 0.006 | |||
| Having a baby | 336 (45.5) | 185 (41.1) | 151 (52.2) | |
| Menopause | 24 (3.2) | 19 (4.2) | 5 (1.7) | |
| Breastfeeding | 0 (0.0) | 0 (0.0) | 0 (0.0) | |
| Pap smear | 2 (0.3) | 2 (0.4) | 0 (0.0) | |
| I don’t know | 377 (51.0) | 244 (54.2) | 133 (46.0) | |
| Flatal | 0.0007 | |||
| Having a baby | 213 (32.5) | 114 (28.6) | 99 (38.5) | |
| Menopause | 20 (3.0) | 19 (4.8) | 1 (0.4) | |
| Breastfeeding | 4 (0.6) | 3 (0.8) | 1 (0.4) | |
| Pap smear | 3 (0.5) | 2 (0.5) | 1 (0.4) | |
| I don’t know | 416 (63.4) | 261 (65.4) | 155 (60.3) | |
| POP | <.0001 | |||
| Having a baby | 255 (47.1) | 131 (40.6) | 124 (56.9) | |
| Menopause | 13 (2.4) | 6 (1.9) | 7 (3.2) | |
| Breastfeeding | 2 (0.4) | 1 (0.3) | 1 (0.5) | |
| Tubes tied | 12 (2.2) | 12 (3.7) | 0 (0.0) | |
| I don’t know | 259 (47.9) | 173 (53.6) | 86 (39.4) | |
| Wanted to know more about PFD, n (%) | 0.45 | |||
| Yes | 337 (33.0) | 216 (33.9) | 121 (31.4) | |
| No | 685 (67.0) | 421 (66.1) | 264 (68.6) |
a
p-value comparing characteristics of Adolescent vs Young Adult; p-values estimated from chi-square test
b
IMPACT – Running (Track and Field), Soccer, Tennis, Softball, Volleyball, Football, Gymnastics, Basketball, Dance, Jumping (rope), Cheerleading, Ultimate Frisbee, Badminton, Aerobics, Kickboxing
UI =Urinary Incontinence FI = Fecal Incontinence POP = Pelvic Organ Prolapse
PFD = Pelvic Floor Disorders
ISI-P = Incontinence Symptom Index – Pediatric