Analysis of Characteristics and Quality of Life of Elderly Women with Mild to Moderate Urinary Incontinence in Community Dwellings

Zhang, Di; Wang, Shiyan; Gao, Lei; Jia, Yuanyuan; Wang, Haibo; Sun, Xiuli; Wang, Jianliu

doi:10.3390/ijerph19095609

Cited by 5 publications

(5 citation statements)

References 46 publications

(58 reference statements)

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“…Similar to previous literature, 8 our research showed higher levels of disability at the end of an almost 4 years span associated with any type of UI versus no UI. Consistent with previous cross-sectional studies, 5,9,10 our study found that the highest OR for disability were for mixed urinary incontinence as compared with urgency urinary incontinence and stress urinary incontinence. Participants reporting MUI also documented more comorbid medical issues, which may contribute more greatly to their UI symptoms.…”

Section: Discussionsupporting

confidence: 92%

“…1,2 Considerable evidence documents a strong cross-sectional association between UI and disability. [3][4][5][6][7][8][9][10][11][12][13] The odds ratio of women older than 65 years old needing assistance with activities of daily living for those with UI compared with continent groups ranged from 2.0 8 to 2.57. 6 Several studies show a strong association between UI and cognition, mental health, and quality of life (QOL) limitation.…”

mentioning

confidence: 99%

“…Subtyping stress UI versus urgency UI may lead to a better understanding of differential impact early in the disablement trajectory. Three previous studies suggest a differential in disability based on type of UI, with urgency UI and mixed UI contributing to more significant physical and mental health declines, 5,9,10 but this relationship has not been explored longitudinally in a racially diverse population. Daily frequency of UI has been associated with work disability 15 and greater QOL disruption.…”

mentioning

confidence: 99%

“…Considerable evidence documents a strong cross-sectional association between UI and disability 3‐13 . The odds ratio of women older than 65 years old needing assistance with activities of daily living for those with UI compared with continent groups ranged from 2.0 8 to 2.57 6 .…”

mentioning

confidence: 99%

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The association of urinary incontinence and disability among a diverse sample of midlife Study of Women’s Across the Nation women

Dugan,

Crawford,

Wente

et al. 2023

Menopause

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Objective The aim of the study is to examine whether urinary incontinence (UI) type, frequency, and amount are associated with self-reported disability in a racially/ethnically diverse cohort of community-dwelling midlife women. Methods Data were from longitudinal analyses of questionnaires from the multicenter, prospective cohort Study of Women's Health Across the Nation (SWAN). We used multivariable ordinal logistic regression to examine whether urinary incontinence type, frequency, and amount at the 13th follow-up were associated with the World Health Organization Disability Assessment Schedule at the 15th follow-up controlling for other factors (menopause status, body mass index, lifestyle and psychosocial factors, and disability at follow-up 13). Results Urinary incontinence was associated with subsequent reports of disability in participants, particularly in the World Health Organization Disability Assessment Schedule domains of mobility (P < 0.0001), communication (P = 0.0057), and life activities (P = 0.0407). Associations were strongest for mixed UI type compared with stress UI or urgency UI (odds ratio [OR] = 1.66, 95% confidence interval [CI] = 1.26-2.17, P < 0.001), daily frequency of UI compared with monthly or less than weekly frequency of UI (OR = 1.61, 95% CI = 1.04-2.47, P < 0.001), and larger amounts of urine leakage compared with drops of leakage (OR = 2.98, 95% CI = 1.58-5.62, P < 0.0001) for mobility/getting around domain. Conclusions Urinary incontinence seems to have a strong association with multiple domains of disability, including mobility and interacting with others, after approximately 3.7 years. Thus, UI may be an important factor limiting social engagement among women. Screening for mixed UI and UI that occurs greater than weekly and in amounts requiring pads may yield better information regarding an individual's future disability risk and may preserve social interaction.

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Section: Discussionsupporting

confidence: 92%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The association of urinary incontinence and disability among a diverse sample of midlife Study of Women’s Across the Nation women

Dugan,

Crawford,

Wente

et al. 2023

Menopause

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“…Pelvic floor disorder is a public health concerns, as it affects one’s quality of life with significant psychosocial effects, including low self-esteem, anxiety, frustration and depression [ 14 , 15 ]. Despite the prevalence, economic burden, and psychosocial and physical morbidities associated with urinary incontinence and pelvic organ prolapse, the majority of women do not seek medical attention and continue to suffer in silence [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Knowledge and Awareness of Pelvic Floor Disorder among Pregnant Women in a Tertiary Centre, Malaysia

Farihan¹,

Phon

et al. 2022

IJERPH

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Pelvic floor disorders are common and of concern, as the majority of maternity healthcare providers seldom discuss this issue with patients compared to other antenatal issues. The aim of this study is to determine the prevalence and to assess the knowledge and awareness of pelvic floor disorder (PFD) among pregnant women in a tertiary centre in Malaysia. We also aim to assess the association between women’s risk factors regarding their knowledge and awareness of pelvic floor disorder so that primary prevention strategies can be planned, initiated and implemented in the future. This is a cross-sectional study with a total of four hundred twenty-four pregnant women that were recruited over a 6-month duration from May to November 2017 in a tertiary centre in Malaysia. The Pelvic Floor Distress Inventory (PFDI-20) was used to evaluate pelvic floor distress symptoms during pregnancy, namely urinary incontinence, pelvic organ prolapse and faecal incontinence. A validated Prolapse and Incontinence Knowledge Questionnaire (PIKQ), which consists of 24 items, was used to assess respondents’ knowledge about urinary incontinence (UI) and pelvic organ prolapse (POP). A total of 450 participants were approached, but 424 participants agreed to participate, showing a response rate of 94.3%. The median age was 31.5 years old, and 33.3% were primiparity. Overall, 46.1% of pregnant women had at least one symptom of pelvic floor disorder during pregnancy. Of these, 62.3% experienced urinary incontinence, 41.1% experienced symptoms of pelvic organ prolapse, and 37.8% experienced symptoms of faecal incontinence. The overall median score of PIKQ was 12.0 (8.0, 17.0). The median score for PIKQ—UI was 7.0 (5.0, 9.0) and the median score for PIKQ—POP was 6.0 (4.0, 8.0). There were 341 (80.4%) pregnant women that had a low level of knowledge in UI, and 191 (45.0%) had a low level of knowledge in POP. Having a tertiary level of education and receiving antenatal specialist care were both associated with better proficiency in both the PIKQ—UI (p < 0.001) and PIKQ—POP (p < 0.001) subscales. Pelvic floor disorder during pregnancy was common. A knowledge of pelvic floor disorder was lacking among pregnant women in this study. Having a tertiary education and receiving antenatal specialist care were both associated with better knowledge proficiency. This study hopefully serves as a basic platform for future educational programs to bridge the knowledge gaps in PFD among pregnant women.

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Assessment of health literacy and quality of life in women with urinary incontinence

Erkan,

Özdemir

2023

Int Urol Nephrol

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Analysis of Characteristics and Quality of Life of Elderly Women with Mild to Moderate Urinary Incontinence in Community Dwellings

Cited by 5 publications

References 46 publications

The association of urinary incontinence and disability among a diverse sample of midlife Study of Women’s Across the Nation women

The association of urinary incontinence and disability among a diverse sample of midlife Study of Women’s Across the Nation women

Prevalence, Knowledge and Awareness of Pelvic Floor Disorder among Pregnant Women in a Tertiary Centre, Malaysia

Assessment of health literacy and quality of life in women with urinary incontinence

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