Resumen de Sociodemographic and Health Indicators of Older Women with Urinary Incontinence:: 2010 National Survey of Residential Care Facilities
Jennie C. de Gagne, Aeyoung So, Jina Oh, Sunah Park, Mary H. Palmer
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.
