Mediating effect of decline in social activities on urinary incontinence and negative mood: Do sex and marital differences exist?

Bai, Xue; Leung, Doris Y. P.; Lai, Claudia Kam Yuk; Chong, Alice M. L.; Chi, Iris

doi:10.1111/ggi.12976

Cited by 13 publications

(7 citation statements)

References 28 publications

(39 reference statements)

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“…In spite of the literature pointing out that UI leads to restrictions in social participation in our study participation was not a domain in which disability scores were significantly different between incontinent and nonincontinent women. In a study with older incontinent Australian women, the authors found an association between UI and social dysfunction, but they pointed out that this association is not casual; in fact, it is a reflection of general health and overall functioning level of women, exploring a new axis of discussion about this domain and approaching the influence of environmental aspects on it.…”

Section: Discussioncontrasting

confidence: 93%

Functioning and disability of premenopausal women with urinary incontinence: An assessment by using the World Health Organization Disability Assessment Schedule—WHODAS 2.0

Dantas

Castaneda

Correia

et al. 2019

Neurourology and Urodynamics

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Aims To analyze the association between urinary incontinence and disability status in premenopausal women. Materials and Methods The study included 120 premenopausal women recruited from six Basic Family Health Units to participate in this study. We assessed sociodemographic, gynecological, and obstetric data by using specific questions. The International Continence Society's definitions were applied to determine the presence and type of urinary incontinence, and the disability was assessed by using the 36‐item version of the World Health Organization Disability Assessment Schedule (WHODAS) 2.0. Results The WHODAS scores showed that women with urinary incontinence had a worse disability in cognition (P = .023) and mobility (P = .020) domains, in addition to the total score (P = .23). Women with mixed urinary incontinence had a worse disability in mobility domain (P = .039) than those with stress or urgency incontinence. Qualitative analyses of disability showed a significant difference between women with and without urinary incontinence (P = .033), with higher percentages of incontinent women with moderate and severe disability. Women who reported urinary incontinence had 7.69 more points on the final score of WHODAS than those who did not report this outcome. Conclusions Urinary incontinence in women of reproductive age is associated with disability and worse scores of WHODAS when we compare them to women without urine leakage. The results presented can be useful for designing and adapting strategies for comprehensive care of women with urinary incontinence and disability, and developing rehabilitation programs based on functioning.

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Section: Discussioncontrasting

confidence: 93%

Functioning and disability of premenopausal women with urinary incontinence: An assessment by using the World Health Organization Disability Assessment Schedule—WHODAS 2.0

Dantas

Castaneda

Correia

et al. 2019

Neurourology and Urodynamics

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“…Residents of 45–55, 56–65, and 66–75 have a relatively high demand for social activities, although the demand decreases with age. This finding is consistent with a large number of previous studies [ 24 , 30 , 79 ] that point out that social participation can promote active aging and reduce loneliness: elders cannot live a normal life without social participation. For people aged 75 and above, their demands reduce significantly, especially for three indicators: barrier-free construction and renovation, home care, and medical and health care institutions.…”

Section: Discussionsupporting

confidence: 93%

Assessment of Environmental Demands of Age-Friendly Communities from Perspectives of Different Residential Groups: A Case of Wuhan, China

Yan

Wang

et al. 2022

IJERPH

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Age-friendly communities (AFCs) are an important measure for fostering active aging. The key to achieving an age-friendly living environment is to construct or renovate it according to the residents’ demands. To date, very few studies have attempted to delve into the AFCs’ environmental demand from different groups’ perspectives. Based on the theory of place attachment, the aim of this paper is to explore the demand diversity of different groups for the AFC environment. This study employs the nonparametric test and the Ordinal Priority Approach (OPA) to investigate the demands from the residents’ perspectives, and is enhanced by incorporating experts’ opinions. The empirical analysis shows that residents have a high level of demand for the physical environment (indoor and outdoor) and social environment (community services and social participation). At the same time, experts advocate the importance of using digital technologies to support people aged 45–65 who have higher requirements for a community environment than older adults. The findings also show that other backgrounds, such as gender, living arrangements, and year of the community establishment, lead to different demands. However, the impact of residents’ education level, occupation, income, and self-care ability on the environmental demands is low. Based on the research findings, the paper provides some practical suggestions for the future design and development of AFCs.

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“…An AFC provides opportunities and venues that allow older people to participate in formal and informal social activities in order to establish social relationships with colleagues, friends and family (WHO, 2007). Active social participation is beneficial for improving mental health and reducing depression of older adults (Bai et al , 2017). Compared with older adults in Western countries, Chinese older adults have a relatively low rate of social participation including paid work, volunteering, political activities and so on (Guo et al , 2018).…”

Section: Literature Reviewmentioning

confidence: 99%

Structural model for the relationships between age-friendly communities and quality of life of older adults in Hefei, China

Ding

et al. 2021

ECAM

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PurposeChina is experiencing tremendous changes of rapid urbanization and aging society. The development of age-friendly communities (AFCs) has been encouraged for improving health and well-being of older adults. Hence, this study aimed to deepen the understanding of AFCs in China and to investigate the integrated relationships between AFCs and the quality of life (QoL) of older adults, using a large-scale questionnaire survey.Design/methodology/approachA questionnaire survey was conducted in Hefei, China, to investigate the complicated relationships between the components of AFCs and the QoL of older adults. Ultimately, 1,383 valid questionnaires were collected from senior respondents aged more than 60 years. Several statistical methods, including reliability analysis, correlation analysis and structural equation modeling (SEM), were adopted to develop an integrated model for AFC components and the QoL of older adults.FindingsSix AFC components and four older adults' QoL factors were identified. The SEM results revealed integrated relationships between specific AFC components and the QoL of older adults: (1) physical QoL was affected by outdoor spaces, public transportation, housing and community and health services; (2) psychological QoL was predicted by most of the AFC components except community and health services; and (3) environmental QoL and social QoL were both influenced by outdoor spaces, communication and information and community and health services.Practical implicationsIn order to enhance the QoL of older adults, it is suggested that outdoor spaces need to be enlarged by fully using the facilities and playgrounds of middle schools and renovating the older buildings. The locations of public transportation stations are recommended to be revised to be within a 5-minute walking distance of senior residents. Improvements to the social environment of AFCs, by increasing the coverage of medical services and creating multiple approaches to recreational activities, are encouraged.Originality/valueThese findings have empirical significance for urban planners and policy-makers in regard to identifying major components of AFCs and understanding the effect of those components on the QoL of older adults.

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Mediating effect of decline in social activities on urinary incontinence and negative mood: Do sex and marital differences exist?

Cited by 13 publications

References 28 publications

Functioning and disability of premenopausal women with urinary incontinence: An assessment by using the World Health Organization Disability Assessment Schedule—WHODAS 2.0

Functioning and disability of premenopausal women with urinary incontinence: An assessment by using the World Health Organization Disability Assessment Schedule—WHODAS 2.0

Assessment of Environmental Demands of Age-Friendly Communities from Perspectives of Different Residential Groups: A Case of Wuhan, China

Structural model for the relationships between age-friendly communities and quality of life of older adults in Hefei, China

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