Factors Associated with Urinary Tract Infections among Women Aged 18 – 59 Years in Consolata Mission Hospital, Nyeri County, Kenya

  • Humphrey Kihoro Maina
  • James Malusha
Keywords: Urinary, Tract, Infections, Women, Kenya

Abstract

Urinary tract infection (UTI) is a condition in which bacteria invade and grow in the human urinary tract. UTIs generally happen when microscopic organisms enter the urinary lot through the urethra and start to spread in the bladder. The microbes may then grab hold and develop into an all-out contamination in the urinary tract. Because their urethra is closer to the anus and their urethral opening is closer to the bladder, women typically have a more at risk of acquiring a urinary tract infection (UTI) than males. The aim of the study was to assess factors contributing to urinary tract infections among women between 18 to 59 years at Consolata Mission hospital, Nyeri County, Kenya. A cross-sectional study was used. The target population was 171 women attending Consolata Mission hospital where systematic sampling was used. Data was collected using questionnaires. Chi-square test statistics was used to determine associations. The study revealed majority of the respondents were married (51.8%) and 85.6% of the respondents were Christians. Vast majority of the respondents had adequate education and also 70.7% had some form of employment. 83.8% of the women were knowledgeable on what UTIs are according to the study. The bulk of the women (75.6%) were familiar with how UTIs are treated, 84.4% knew the signs and symptoms and an additional 76.9% are conversant with how they are prevented. Cross-tabulation of the data using Chi-square statistics revealed there was no association between the independent and dependent variables. In conclusion, though socio-demographic factors such as age, marital status, religion, occupation, level of education and residence did not show any association with urinary tract infection, nonetheless these factors play a crucial role in a person’s health status.

References

Almaghlouth, A. K., Alkhalaf, R. A., Alshamrani, A. A., Alibrahim, J. A., Alhulibi, B. S., Al-Yousef, A. Y., Alamer, A. K., Alsuabie, S. M., Almuhanna, S. M., & Alshehri, A. D. (2023). Awareness, Knowledge, and Attitude Towards Urinary Tract Infections: An Appraisal From Saudi Arabia. Cureus, 15(11), e49352. https://doi.org/10.7759/cureus.49352
Bandukwala, N. (2021). When a UTI Gets Complicated. WebMD. https://www.webmd.com/women/uti-complications
Barnea, R., Tur‐Sinai, A., Levtzion‐Korach, O., Weiss, Y., & Tal, O. (2022). Patient preferences and choices as a reflection of trust—A cluster analysis comparing postsurgical perceptions in a private and a public hospital. Health Expectations, 25(5), 2340-2354. https://doi.org/10.1111/hex.13487
Bokolia, R. (2016). The profession society for health economics and outcomes research; Assessment of knowledge of urinary tract infection (UTI) amongst school going adolescent girls. Value in Health, 19(7), A631. https://www.ispor.org/publications/journals/value-in-health/abstract/Volume-19-Issue7/Assessment-of-Knowledge-of-Urinary-Tract-Infection(UTI)-Among-School-Going-Adolescent-Girls
CDC (2015). Catheter-associated urinary tract infection. Health care-associated Infections (HAIs). Centers for Disease Control and Prevention (CDC). https://www.cdc.gov/hai/ca-uti/uti.html
Cleveland Clinic (2020). Urinary Tract Infections; What is the major cause of urinary tract infection? https://www.clevelandclinic.org/health/diseases/9135-urinary-tract-infections.
Cooper, E., Read, B., Sanyaolu, L., Ahmed, H., & Lecky, D. (2023). Impact of sociodemographic status and UTI symptoms on women’s health-care seeking and management in England: findings from an e-survey conducted during the first year of the COVID-19 pandemic. BJGP Open, 7(4). https://doi.org/10.3399/BJGPO.2023.0039
Eslami, V., Sany, S. B. T., Tehrani, H., Ghavami, V., & Peyman, N. (2023). Examining health literacy and self-efficacy levels and their association with preventive behaviors of urinary tract infection in Iranian pregnant women: across sectional study. BMC Women's Health, 23(1), 258. https://bmcwomenshealth.biomedcentral.com/articles/10.1186/512905-023-02359-3
Flores-Mireles, A. L., Walker, J. N., Caparon, M., & Hultgren, S. J. (2015). Urinary tract infections: epidemiology, mechanisms of infection and treatment options. Nature Reviews Microbiology, 13(5), 269-284. https://doi.org/10.1038/nrmicro3432
Foxman, B. (2002). Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. The American Journal of Medicine, 113(1), 5-13. https://doi.org/10.1016/S0002-9343(02)01054-9
Geerlings, S. E. (2016). Clinical presentations and epidemiology of urinary tract infections. Microbiology Spectrum, 4(5), 10-1128. https://doi.org/10.1128/microbiolspec.uti-0002-2012
Jansåker, F., Li, X., & Sundquist, K. (2021). Sociodemographic factors and uncomplicated cystitis in women aged 15–50 years: A nationwide Swedish cohort registry study (1997–2018). The Lancet Regional Health–Europe, 4, 100108. https://doi.org/10.1016/j.lanepe.2021.100108
Jordan, H., Roderick, P., Martin, D., & Barnett, S. (2004). Distance, rurality and the need for care: access to health services in South West England. International Journal of Health Geographics, 3(1), 21. https://doi.org/10.1186/1476-072X-3-21
Kenya Female Advisory Organization (n.d.). Kenya Female Advisory Organization (KEFEADO) promotes women’s rights and aims to eradicate gender disparities in education, health and work. https://inclusivefutures.org/kenya-female-advisory-organization/
Kovacs, J.S. (2021). Urinary tract infections (UTIs). Women’s Health Guide. WebMD. https://www.webmd.com/women/guide/your-guide-urinary-tract-infections
Markland, A., Chu, H., Epperson, C. N., Nodora, J., Shoham, D., Smith, A., ... & Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium. (2018). Occupation and lower urinary tract symptoms in women: a rapid review and meta‐analysis from the PLUS research consortium. Neurourology and Urodynamics, 37(8), 2881-2892. https://doi.org/10.1002/nau.23806
Mayo Clinic (2023). Urinary tract infection [Definition and overview] https://www.mayoclinic.org/diseases-conditions/urinary-tract-infections/symptoms-causes/syc-203447
Medina, M., & Castillo-Pino, E. (2019). An introduction to the epidemiology and burden of urinary tract infections. Therapeutic Advances in Urology, 11, 1756287219832172. https://doi.org/10.1177/175628721983217
Odoki, M., Almustapha Aliero, A., Tibyangye, J., Nyabayo Maniga, J., Wampande, E., Drago Kato, C., Agwu, E., & Bazira, J. (2019). Prevalence of Bacterial Urinary Tract Infections and Associated Factors among Patients Attending Hospitals in Bushenyi District, Uganda. International Journal of Microbiology, 2019, 4246780. https://doi.org/10.1155/2019/4246780
O'Higgins, N., et al. (2023). ILO Youth Country brief: Kenya. Technical report. International Labour Organization. https://www.researchgate.net/publication/371959737_ILO_Youth_Country_brief_Kenya
Ramana K. V. (2015). Predictors of Urinary Tract Infections in Nursing Students in India. Annals of Medical and Health Sciences Research, 5(3), 228. https://doi.org/10.4103/2141-9248.157521
Rosenberg, M. (1999). Pharmacoeconomics of treating uncomplicated urinary tract infections. International Journal of Antimicrobial Agents, 11(3-4), 247-251. https://doi.org/10.1016/S0924-8579(99)00024-2
Sexual and Reproductive Health (n.d.). United Nations Fund for Population Activities. https://kenya.unfpa.org/en/topics/sexual-reproductive-health-4
Stanborough, R. & Biggers, A. (2021). Can Stress Cause a Urinary Tract Infection (UTI)? Healthline Media. https://www.healthline.com/health/urinary-tract-infection-adults/can-stress-cause-a-uti#stress-and-symptoms
U.S. Department of Health and Human Service (n.d.). National Cancer Institute. https://www.cancer.gov/publications
Udeme, V. U., & Orumie, U. C. (2021). Patients’ preferences of healthcare facilities for quality healthcare services in Akwa Ibom State: a game theory approach. American Journal of Operations Research, 11(3), 181-198. https://doi.org/10.4236/ajor.2021.113011
Verneda Lights (2023). UTIs in adults. https://www.healthline.com/health/urinary-tract-infection-adult
Wanja, F., Ngugi, C., Omwenga, E., Maina, J. & Kiiru, J. (2021). Urinary Tract Infection among Adults Seeking Medicare at Kiambu Level 5 Hospital, Kenya: Prevalence, Diversity, Antimicrobial Susceptibility, Profiles and Possible Risk Factors. Advances in Microbiology, 11, 360-383. https://doi.org/10.4236/aim.2021.118028
Zeng, Z., Zhan, J., Zhang, K., Chen, H., & Cheng, S. (2022). Global, regional, and national burden of urinary tract infections from 1990 to 2019: an analysis of the global burden of disease study 2019. World Journal of Urology, 40(3), 755-763. https://doi.org/10.1007/s00345-021-03913-0
Published
2024-05-29
How to Cite
Maina, H. K., & Malusha, J. (2024). Factors Associated with Urinary Tract Infections among Women Aged 18 – 59 Years in Consolata Mission Hospital, Nyeri County, Kenya. European Journal of Science, Innovation and Technology, 4(3), 82-95. Retrieved from https://ejsit-journal.com/index.php/ejsit/article/view/435
Section
Articles