Education & Debate
نویسنده
چکیده
Quality of life has become a major issue for the 1990s, not only because of its social impact on the individual and society but also because of its political implications. Urinary incontinence is one of the medical conditions which severely adversely affect quality of life, and yet in the United Kingdom little attention has been focused on this problem. In the United States, however, the National Institutes of Health have acknowledged that urinary incontinence is not only abnormal and antisocial but also extremely expensive. The conclusions of a consensus conference held at the National Institutes of Health (box 1) in 1988 are just as pertinent in the United Kingdom as in the United States, even though, numerically, the problem is smaller in the United Kingdom. Certainly, it is true that more attention is being given to this neglected disability. A recent MORI poll estimated that at least three and a half million, and possibly as many as 10 million, British people have urinary incontinence.2 Its prevalence increases with age, and it is commoner in women than men at all ages. These figures are similar to those quoted previously. In a large survey Thomas et al showed that at least a third ofwomen aged over 35
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