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.
Written by:
De Gagne JC, So A, Oh J, Park S, Palmer MH. Are you the author?
Byrdine F. Lewis School of Nursing and Health Professions, Georgia State University, Atlanta, Georgia.
Reference: J Am Geriatr Soc. 2013 Jun;61(6):981-6.
doi: 10.1111/jgs.12258
PubMed Abstract
PMID: 23692374
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