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Urinary incontinence and disability in community-dwelling women: A cross-sectional study

Authors

  • Joy A. Greer,

    Corresponding author
    1. Division of Urogynecology, Women's Health Department, Naval Medical Center Portsmouth, Portsmouth, Virginia
    2. Perelman School of Medicine at the University of Pennsylvania, Department of Obstetrics & Gynecology, Division of Urogynecology, Philadelphia, Pennsylvania
    • Correspondence to: Joy A. Greer, MD, CDR MC, USN, Division of Urogynecology, Women's Health Department, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708. E-mail: joy.greer@med.navy.mil

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  • Rengyi Xu,

    1. Perelman School of Medicine at the University of Pennsylvania, Department of Biostatistics, Philadelphia, Pennsylvania
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  • Kathleen J. Propert,

    1. Perelman School of Medicine at the University of Pennsylvania, Department of Biostatistics, Philadelphia, Pennsylvania
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  • Lily A. Arya

    1. Perelman School of Medicine at the University of Pennsylvania, Department of Obstetrics & Gynecology, Division of Urogynecology, Philadelphia, Pennsylvania
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  • Eric Rovner led the peer-review process as the Associate Editor responsible for the paper.
  • Conflict of interest: none.
  • Institution at which the work was performed: Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA. Research data derived from an approved University of Pennsylvania, Philadelphia, PA IRB protocol.
  • Disclaimer: Joy A. Greer, MD, CDR, MC, USN is a military service member. This work was prepared as part of her official duties. Title 17, USC, ¶105 provides that “Copyright protection under this title is not available for any work of the United States Government.” Title 17, USC, ¶ 101 defines a U.S. Government work as a work prepared by a military service member or employee of the U.S. Government as part of that person's official duties. The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government.

ABSTRACT

Aims

Disability, an individual's reduced capacity to perform physical tasks encountered in daily routine, is associated with urinary incontinence in the elderly. Our objective was to determine if urinary incontinence is associated with disability in community-dwelling women 40 years and older.

Methods

Cross-sectional study among US women ≥40 years (n = 4,458) from National Health and Nutrition Examination Surveys 2005–2010. We estimated the age-stratified weighted prevalence and factors independently associated with disability (Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), mobility, and functional limitations) in women with and without urinary incontinence while controlling for confounders of the association between disability and urinary incontinence.

Results

The weighted prevalence of all disabilities was higher in women with urinary incontinence than women without urinary incontinence across most decades of life with the greatest difference in the prevalence of mobility disabilities: 40–49 years (12.1% vs. 7.0%), 50–59 years (17.0% vs. 9.2%), 60–69 years (28.3% vs. 19.8%), and 70+ years (43.8% vs. 33.0%, all P < 0.05). On multivariable analysis, after controlling for the confounding effect of age, co-morbidities, and income-poverty ratio, urinary incontinence was weakly associated with disabilities. The adjusted odds ratio (95% confidence interval) of disabilities for urinary incontinence was ADL 1.96 (1.07, 3.58), IADL 1.18 (0.78, 1.78), mobility 1.26 (1.01, 1.56), and functional limitations 1.36 (1.07, 1.73).

Conclusions

Urinary incontinence is weakly associated with disabilities and cannot be implicated as a cause of disability in community dwelling women. Neurourol. Urodynam. 34:539–543, 2015. © 2014 Wiley Periodicals, Inc.

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