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

Autor: De Gagne, Jennie C., So, Aeyoung, Oh, Jina, Park, Sunah, Palmer, Mary H.
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Zdroj: Journal of the American Geriatrics Society; Jun2013, Vol. 61 Issue 6, p981-986, 6p, 3 Charts
Abstrakt: 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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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