Differences in Prevalence of Urinary Incontinence by Race/Ethnicity

Thom, David H.; Eeden, Stephen K. Van Den; Ragins, Arona I.; Wassel-Fyr, Christina; Vittinghof, Eric; Subak, Leslee L.; Brown, Jeanette S.

doi:10.1097/00005392-200601000-00092

Cited by 38 publications

(53 citation statements)

References 15 publications

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“…Our cohort consists of members of KPMCP, and previous research has suggested that the very wealthy and the very poor may be underrepresented in this population 18. We determined that women who were members since age 18 were similar to all women members of the same age with respect to multiple characteristics 9. Most of the data was obtained through self-report questionnaires by the participants.…”

Section: Discussionmentioning

confidence: 99%

“…Urinary incontinence was assessed by asking a series of detailed questions modified from other epidemiologic studies 9. Women were asked “During the past 3 months, how often have you typically leaked urine, even a small amount?” Severity was determined using the validated Sandvik Severity score 19.…”

Section: Methodsmentioning

confidence: 99%

“…Race/ethnicity may play a more complicated role among women with diabetes, as African-Americans and Latinos, are more than twice as likely to have diabetes than whites of a similar age 2. However, African-American women have a 3–4 fold decreased risk of incontinence despite a higher risk of diabetes and obesity, both independent risk factors for incontinence 9.…”

Section: Introductionmentioning

confidence: 99%

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Women With Diabetes: Understanding Urinary Incontinence and Help Seeking Behavior

et al. 2010

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Purpose-To examine the association of urinary incontinence by diabetes status and race and evaluate beliefs and help-seeking around incontinence in a population-based cohort of women with and without diabetes.Materials and Methods-We performed a cross-sectional analysis of 2,270 middle-aged and older racially/ethnically diverse women in Diabetes RRISK. Incontinence, help-seeking behavior, and beliefs were assessed by self-report questionnaires and in-person interviews. Incontinence characteristics of diabetics and non-diabetics were compared using univariate analysis and multivariate models.Results-Women with diabetes reported weekly incontinence significantly more than women without diabetes (Weekly: 35.4% vs. 25.7%, respectively, p <0.001). Race prevalence patterns were similar (white and Latina women with the most prevalent incontinence and African-American and Asian women with the least) among women with and without diabetes. Less than 50% of women with diabetes discussed their incontinence with a doctor (42.2% vs. 55.5% (of women without diabetes) p <0.003). Women with diabetes were more likely than women without diabetes to report believing that incontinence is a rare condition (17% vs. 6%, respectively, p<0.001).Conclusions-Incontinence is highly prevalent among women with diabetes. Race prevalence patterns are similar among women with and without diabetes. Understanding help-seeking behaviors are important to ensure appropriate care for patients. Physicians should be alert for urinary incontinence because it is often unrecognized and thereby under-treated among women with diabetes.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Women With Diabetes: Understanding Urinary Incontinence and Help Seeking Behavior

et al. 2010

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“…Other than one study 8, the impact of urine leakage on QOL in one or more racial/ethnic groups has not been investigated. Reported race-ethnic differences in prevalence of urine leakage 9–12 warrant further investigation of differences in the impact of urine leakage on QOL in these groups.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Severity of Urine Leakage on Quality of Life in Hispanic, White, and Black Men and Women: The Boston Community Health Survey

Tennstedt¹,

Chiu²,

Link³

et al. 2010

Urology

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Objective The effect of urine leakage on quality of life (QOL) is related to severity of leakage. This study investigates gender and race/ethnic differences in this relationship. Methods An epidemiologic survey was conducted with a population-based random sample of 3,202 women and 2,301 men (1,767 Black, 1,877 Hispanic, 1,859 White) aged 30–79 years in Boston MA. Severity of leakage was based on frequency and amount by the Sandvik Severity Scale. QOL was measured with physical (PCS) and mental (MCS) component summaries of Medical Outcomes Study Short-Form-12 (SF-12). Covariates included race/ethnicity, age, socioeconomic status, urinary incontinence risk factors, and comorbidities. Analysis included multivariate linear regression modeling by gender. Results 30% of women and 18% of men reported urine leakage, most was mild or moderate. Women (5.1%) were more likely than men (0.9%) to report severe leakage. In multivariate analysis, as severity of leakage increased, both components of QOL declined, with decreases in scores of 7–8 points for men (p≤0.001 for each) and 4–6 points (p<0.05 and p=0.001 respectively) for women. Severe leakage was associated with a greater decline in QOL than was observed for most other co-morbidities considered. The impact of urine leakage on QOL was similar among racial and ethnic groups. Conclusions Urine leakage impairs QOL for both men and women, with no evidence of different effects by racial/ethnic group. Leakage has clinically significant impacts on physical health related QOL for men and on mental health QOL for both men and women.

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“…Despite not being life-threatening, UI affects women on their daily living activities, social interactions, interpersonal and sexual relationships, careers, and psychological wellbeing thereby adversely impacting their quality of life [2][3][4][5][6][7][8][9][10]. The etiology of UI is multifactorial, but hyperglycemic disorders and pregnancy are recognized as important risk factors.…”

Section: Introductionmentioning

confidence: 99%

Cross-Sectional Study of the Influence of Gestational Hyperglycemia Associated With Urinary Incontinence on Quality Of Life

Santini¹,

Barbosa²,

Sousa³

2015

J Women's Health Care

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During pregnancy, the prevalence of Urinary Incontinence (UI) is higher adversely impacting quality of life. Both Gestational Diabetes (GDM) and mild hyperglycemia have been associated with increased risk of UI. However, UI influence on quality of life is still poorly understood. The objective of this study was to assess the impact of UI on the quality of life of women with GDM. Method: Cross-sectional study including pregnant women allocated into 2 groups: Normoglycemic (NG) or Hyperglycemic/GDM (HG). All women classified as incontinent were asked to respond to the King's Health Questionnaire (KHQ). Results: Of the 102 pregnant women enrolled, 69 were NG (67.6%) and 33 were HG (32.4%). UI prevalence was 55.9%. HG scores were lower for all KHQ domains with significant differences between groups regarding the scores for KHQ domains general health perception, UI impact, personal relationships emotions, and sleep/energy (p<0.05). Conclusions: UI impact was higher on pregnant women with hyperglycemia and GDM.

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Differences in Prevalence of Urinary Incontinence by Race/Ethnicity

Cited by 38 publications

References 15 publications

Women With Diabetes: Understanding Urinary Incontinence and Help Seeking Behavior

Women With Diabetes: Understanding Urinary Incontinence and Help Seeking Behavior

The Effects of Severity of Urine Leakage on Quality of Life in Hispanic, White, and Black Men and Women: The Boston Community Health Survey

Cross-Sectional Study of the Influence of Gestational Hyperglycemia Associated With Urinary Incontinence on Quality Of Life

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