Assessment, incidence and factors associated with urinary incontinence in older Aboriginal Australians
| Autor: | Ruth Crawford, Kate Smith, Ailsa Sutherland, Dina LoGiudice, Anna Dwyer, Linda Skeaf, Zoë Hyde, Roslyn Malay, David Atkinson, Leon Flicker |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Native Hawaiian or Other Pacific Islander Cross-sectional study Population Urinary incontinence 030204 cardiovascular system & hematology Logistic regression 03 medical and health sciences Sex Factors 0302 clinical medicine Risk Factors Internal medicine Prevalence Internal Medicine medicine Humans 030212 general & internal medicine Risk factor education Aged Aged 80 and over education.field_of_study business.industry Incidence Incidence (epidemiology) Age Factors Western Australia Odds ratio Middle Aged Health Surveys Confidence interval Cross-Sectional Studies Logistic Models Urinary Incontinence Female medicine.symptom business |
| Zdroj: | Internal Medicine Journal. 49:1111-1118 |
| ISSN: | 1445-5994 1444-0903 |
| DOI: | 10.1111/imj.14192 |
| Popis: | Background Little is known about urinary incontinence in older Aboriginal Australians. Aim To describe urinary incontinence assessment, prevalence, incidence and associated conditions in older Aboriginal Australians. Methods Wave 1 consisted of 363 Aboriginal participants aged ≥45 years from Western Australia; 289 participants participated in Wave 2, with 184 included at both time points. Urinary incontinence was assessed by self-report, family report and the modified International Consultation on Incontinence Questionnaire (ICIQ). We investigated factors associated with incontinence with binary logistic regression. Sensitivity and specificity analyses of incontinence measures were undertaken using the ICIQ score ≥2 as the reference standard. Results Participant mean age was 61.2 ± 11.2 years. Prevalence of incontinence at Wave 2 (n = 289) using self-report was 24.6%; using ICIQ ≥2 was 22.5%; and family report 14.2%. Incidence after follow-up of 6.7 years was 33 (23.6%), higher than estimates of 5-20% in other populations. Cross-sectional associations with incontinence include female sex (odds ratio (OR) = 6.82; 95% confidence interval (CI) 2.98-15.57), stroke (OR = 3.55; 95% CI 1.43-8.77), head injury (OR = 3.15; 95% CI 1.54-6.45) and depressive symptoms (OR = 1.07; 95% CI 1.01-1.14). Longitudinal associations were age (OR = 1.05; 95% CI 1.01-1.09) and female sex (OR = 2.37; 95% CI 0.99-5.67). Sensitivity (81.5%) and specificity (93.5%) of self-report were high. Conclusion The prevalence and incidence of urinary incontinence in Aboriginal Australians is high with risk factors of older age and female sex. The modified ICIQ and self-report appear to be appropriate incontinence screens. Further research to understand causes and treatments within this population is urgently required. |
| Databáze: | OpenAIRE |
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