Prevalence of, and risk factors for, symptomatic pelvic organ prolapse in Rural Bangladesh: A cross-sectional survey study

Journal article


Akter, Farjana, Gartoulla, Pragya, Oldroyd, John and Islam, Rakibul M.. (2016). Prevalence of, and risk factors for, symptomatic pelvic organ prolapse in Rural Bangladesh: A cross-sectional survey study. International Urogynecology Journal. 27(11), pp. 1753 - 1759. https://doi.org/10.1007/s00192-016-3038-0
AuthorsAkter, Farjana, Gartoulla, Pragya, Oldroyd, John and Islam, Rakibul M.
Abstract

Introduction and hypothesis: The prevalence of symptomatic pelvic organ prolapse (POP), diagnosed by a pre-tested structured questionnaire, is unknown in Bangladesh. We investigated the prevalence of, and risk factors for, symptomatic POP in women in rural Bangladesh, recruited from the community. Methods: A cross-sectional survey of 787 women aged over 15 years was conducted in four villages in one district in rural Bangladesh. The prevalence of symptomatic POP and the risk factors associated with the condition was investigated, using Chi-squared and multivariate logistic regression. Results: The prevalence of symptomatic POP was 15.6 %. The mean age of participants was 40.1 (±9.0) years. Women aged 35–44 years (odds ratio [OR] 1.96, 95 % confidence interval [CI] 1.03–3.73) and ≥45 years (OR 2.95, 95 % CI 1.62–5.38) were more likely to have POP compared with women aged ≤35 years. Having POP was positively associated with women having ≥5 children (OR 4.34, 95 % CI 1.39–13.58), having chronic obstructive pulmonary disease (COPD; OR 2.07, 95 % CI 1.02–4.21), and women having constipation (OR 3.54, 95 % CI 1.87–6.72). Women whose husband had >5 years of schooling were less likely to have POP (OR 0.37, 95 % CI 0.19–0.73) compared with women whose husband had no schooling. Conclusions: Symptomatic POP affects a substantial proportion of women in rural Bangladesh and increases with age. Parity, COPD, constipation and husband’s education are associated with POP, all of which have the potential to be modified. Thus, interventions targeting these risk factors to prevent the condition are urgently needed in Bangladesh.

Keywordsprevalence; pelvic organ prolapse; risk factors; Bangladesh
Year2016
JournalInternational Urogynecology Journal
Journal citation27 (11), pp. 1753 - 1759
PublisherSpringer UK
ISSN0937-3462
Digital Object Identifier (DOI)https://doi.org/10.1007/s00192-016-3038-0
Scopus EID2-s2.0-84970006679
Page range1753 - 1759
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
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