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

Authors


Address correspondence to Aeyoung So, PhD, MPH, Department of Nursing, Gangneung-Wonju National University, Heungup myeon, Namwonro, 150, Wonju-si 220–711, Gangwon-do, Korea.

E-mail: aeyoung@gwnu.ac.kr

Abstract

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.

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