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:10.1016/s0022-5347(05)00039-x

Cited by 213 publications

(162 citation statements)

References 20 publications

Supporting

Mentioning

151

Contrasting

Unclassified

Order By: Relevance

“…Interestingly, in the RRISK cohort, Latina females had the highest prevalence of weekly or greater urinary incontinence, followed by white, African-American, and Asian-American females (36, 30, 25, and 19 percent, respectively, P < 0.001). 16 The decreased prevalence of FI and increased prevalence of urinary incontinence in Latinas could be a result of reporting bias or other unmeasured factors not included in our analysis. Future studies of prevalence using larger sized Latina populations and anorectal physiology studies pertaining to FI in Latinas may further clarify this new finding.…”

Section: Discussionmentioning

confidence: 94%

“…Details of the recruitment have been separately reported. 16 Data on fecal incontinence were collected by self-report questionnaires. Fecal incontinence was assessed by the question "During the last 12 months, how often have you experienced leakage of stool (bowel movements), accidents, or soiling because of inability to control passage of stool (bowel movements) until you reach the toilet?"…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Fecal Incontinence in Females Older Than Aged 40 Years: Who is at Risk?

Varma

Brown

Creasman

et al. 2006

Diseases of the Colon &Amp; Rectum

Self Cite

183

158

View full text Add to dashboard Cite

PURPOSE: This study was designed to estimate the prevalence of, and identify risk factors associated with, fecal incontinence in racially diverse females older than aged 40 years. METHODS: The Reproductive Risks for Incontinence Study at Kaiser is a population-based study of 2,109 randomly selected middle-aged and older females (average age, 56 years). Fecal incontinence, determined by self-report, was categorized by frequency. Females reported the level of bother of fecal incontinence and their general quality of life. Potential risk factors were assessed by self-report, interview, physical examination, and record review. Multivariate logistic regression analysis was used to determine the independent association between selected risk factors and the primary outcome of any reported fecal incontinence in the past year. RESULTS: Fecal incontinence in the past year was reported by 24 percent of females (3.4 percent monthly, 1.9 percent weekly, and 0.2 percent daily). Greater frequency of fecal incontinence was associated with decreased quality of life (Medical Outcome Short Form-36 Mental Component Scale score, P = 0.01), and increased bother (P < 0.001) with 45 percent of females with fecal incontinence in the past year and 100 percent of females with daily fecal incontinence reporting moderate or great bother. In multivariate analysis, the prevalence of fecal incontinence in the past year increased significantly [odds ratio per 5 kg/m 2 (95 percent confidence interval)] zwith obesity [1.2 (1.1-1.3)], chronic obstructive pulmonary disease [1.9 (1.3-2.9)], irritable bowel syndrome [2.4 (1.7-3.4)], urinary incontinence [2.1 (1.7-2.6)], and colectomy [1.9 (1.1-3.1)]. Latina females were less likely to report fecal incontinence than white females [0.6 (0.4-0.9)]. CONCLUSIONS: Fecal incontinence, a common problem for females, is associated with

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Methodsmentioning

confidence: 99%

Fecal Incontinence in Females Older Than Aged 40 Years: Who is at Risk?

Varma

Brown

Creasman

et al. 2006

Diseases of the Colon &Amp; Rectum

Self Cite

183

158

View full text Add to dashboard Cite

show abstract

“…These risk factors are consistent with other population-based studies that evaluated racial differences. 6,20 Despite adequate representation of both racial groups, there was little evidence to support the idea that risk factors for UI differed between black and white women. This is in contrast to earlier work by Bump et al showing different risk factors for black versus white women; however, his study acknowledged that its small sample size limited its ability to make conclusions about racial differences.…”

Section: Discussionmentioning

confidence: 99%

“…Similar to prior reports, we found different types of UI reported by each racial group. 6,14,20,21 White women reported stress incontinence symptoms more commonly than black women, whereas twice as many black women reported symptoms of urge incontinence as compared to white women. In a large cohort study from a health maintenance organization, Thom found similar results for stress urinary incontinence symptoms, but in their population, the difference in urge UI by race was relatively small and not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Establishing the Prevalence of Incontinence Study: Racial Differences in Women’s Patterns of Urinary Incontinence

et al. 2008

View full text Add to dashboard Cite

Purpose-To examine racial differences in urinary incontinence (UI) prevalence, frequency, quantity, type, and risk factors in a population-based sample of community-dwelling black and white women.Materials and Methods-Women ages 35-64 were sampled from telephone records from three southeast Michigan counties. Women self-identifying as black or white race completed a telephone interview that assessed demographics, health history, lifestyle factors, and UI experience. Statistical analysis included descriptive statistics, factor analysis, and multivariable logistic regression to determine adjusted odds of UI. Estimates were weighted to reflect probability and nonresponse characteristics of the sample and to increase generalizability of the findings.Results-Interviews were completed by 1,922 black and 892 white women (response rate=69%). The overall prevalence of UI was 26.5%. By race, UI prevalence was 14.6% for black women and 33.1% for white women (p<0.001). Among incontinent women, there was no difference by race in the frequency of UI; however, black women reported more urine loss per episode (p<0.05). A larger proportion of white women with incontinence (39.2%) reported symptoms of pure stress incontinence compared to black women (25.0%), whereas a larger proportion of black women (23.8%) reported symptoms of pure urge incontinence compared to white women (11.0%). Risk factors for UI were generally similar for white and black women.Conclusions-In this population-based study we observed racial differences in prevalence, quantity, and type of UI. Frequency of and risk factors for UI were generally similar for white and black women.

show abstract