Sociodemographic and Health Indicators of Older Women with Urinary Incontinence:: 2010 National Survey of Residential Care Facilities

• Autores: Jennie C. de Gagne, Aeyoung So, Jina Oh, Sunah Park, Mary H. Palmer
• Localización: Journal of the American Geriatrics Society, ISSN 0002-8614, Vol. 61, Nº. 6, 2013, págs. 981-986
• Idioma: inglés
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• Resumen

  • Objectives: To describe the relationship between sociodemographic characteristics, health status, and urinary incontinence (UI) in older women (?65) living in residential care facilities (RCFs).

    Design: Cross-sectional, retrospective survey of a population-based sample, the 2010 National Survey of Residential Care Facilities (NSRCF).

    Setting: United States.

    Participants: Participants in the 2010 NSRCF (N = 8,094).

    Measurements: Sociodemographic and health indicators associated with UI.

    Results: Data from 4,930 women were available for analysis, 44.6% of whom had UI. Statistically significant differences were found between the samples of continent women and incontinent women in marital status (P = .001), educational level (P = .04), and length of stay (P = .03). Significant differences were also found between continent and incontinent women in activity of daily living (ADL) scores (P < .001), overall health status (P < .001), and comorbidities (P < .001). The strongest association was severe impairment in ADLs (adjusted odds ratio (OR) = 21.59, 95% confidence interval (CI) = 16.07�29.01), followed by moderate impairment in ADLs (OR = 3.41, 95% CI = 2.61�4.44).

    Conclusion: UI is highly prevalent in older women residing in RCFs and is associated with severe impairment in ADLs. A comprehensive assessment including physical function status or early detection in physically functional impairment in RCFs is suggested to prevent or delay onset of or improve existing UI.