Prevalence of urinary incontinence symptoms among black, white, and Hispanic women

Sze, Eddie H.M.; Jones, Wendy P.; Ferguson, Jennifer L.; Barker, Cynthia D; Dolezal, Jeanette M.

doi:10.1016/s0029-7844(01)01781-1

Cited by 43 publications

(25 citation statements)

References 12 publications

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“…Other studies have found differences in types of UI between African Americans and whites. 5,7,29 Fourth, African Americans and whites who participated in the Baltimore followup of the ECA Program may not be representative of African Americans and whites in the general population. Survivorship bias according to unmeasured health variables may have resulted in African Americans in the sample being healthier relative to the African Americans in the population than were whites in the sample relative to the whites in the population.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 African-American women appear to be less likely to experience UI than white women. 4,5 In a large study of an ethnically diverse sample of women, the prevalence of UI was lowest in African American women, 6 but older African-American women may also have different presenting symptoms of UI, different disorders causing the UI, and different personal characteristics associated with UI. 5,7 Despite the lower prevalence of UI in certain ethnic groups, there may be ethnic differences in the effect of UI on daily life.…”

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confidence: 99%

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Urinary Incontinence and Psychological Distress in Community‐Dwelling Older African Americans and Whites

Bogner

2004

J American Geriatrics Society

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OBJECTIVES-To compare the association between urinary incontinence (UI) and psychological distress in older African Americans and whites. DESIGN-A population-based longitudinal survey.SETTING-Continuing participants in a study of community-dwelling adults who were initially living in East Baltimore in 1981. PARTICIPANTS-AfricanAmericans and whites aged 50 and older at follow-up interviews performed between 1993 and 1996 for whom complete data were available (n = 747).MEASUREMENTS-Participants were classified as incontinent if any uncontrolled urine loss within the 12 months before the interview was reported. Psychological distress was assessed using the General Health Questionnaire (GHQ). RESULTS-AfricanAmericans with UI were more likely to experience psychological distress as measured using the GHQ than were African Americans without UI (unadjusted odds ratio = 4.22, 95% confidence interval = 1. 72-10.39). In multivariate models that controlled for age, sex, education, functional status, cognitive status, and chronic medical conditions, this association remained statistically significant. The association between UI and psychological distress did not achieve statistical significance in whites.CONCLUSION-The effect of UI on emotional well-being may be greater for African Americans than for whites.Keywords urinary incontinence; race; psychological distress; depression Urinary incontinence (UI) is a common condition in older adults. Although sampling and methodological differences account for variability in estimates from surveys, 1 the prevalence of UI in community-dwelling older adults has been reported to be about 10% for men and 20% for women.2 , 3 African-American women appear to be less likely to experience UI than white women.4 ,5 In a large study of an ethnically diverse sample of women, the prevalence of UI was lowest in African American women, 6 Despite the lower prevalence of UI in certain ethnic groups, there may be ethnic differences in the effect of UI on daily life. Overall, the evidence for the negative emotional consequences of UI has been conflicting. Some studies have suggested an association between UI and symptoms of depression as well as anxiety. [8][9][10][11][12][13][14][15] Other studies found no association between UI and depression 16 or that UI was only weakly related to psychological well-being. 17,18 One study found incontinent respondents who were younger, male, less educated, lower in social desirability, in poorer health, or losing greater quantities of urine were slightly more likely to report psychological distress. Psychological distress associated with UI was not more likely in ethnic minorities, but fewer than 10% of individuals with UI in that sample were African American. 18 However, a study with an ethnically diverse sample found that Hispanic and African-American women experienced a greater level of effect on daily life with increasing severity of UI than white women. 19 Another study on a convenience sample of collegeeducated African-American women who reported UI...

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Urinary Incontinence and Psychological Distress in Community‐Dwelling Older African Americans and Whites

Bogner

2004

J American Geriatrics Society

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“…For instance, over 30%, 50% and 53.7% of middle-aged women in the U.S., Canada and Taiwan, respectively, are considered as urinary incontinence patients8,9,10 ) .…”

Section: Discussionmentioning

confidence: 99%

Effect of belly dancing on urinary incontinence-related muscles and vaginal pressure in middle-aged women

Kim

Han

2017

J Phys Ther Sci

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[Purpose] This study examined the effect of belly dancing on the urinary incontinence-related muscles and vaginal pressure in middle-aged women to provide fundamental data for establishing an effective training program focusing on mitigating and preventing urinary incontinence. [Subjects and Methods] The subjects included 24 middle-aged women, who have been diagnosed with urinary incontinence. The subjects were randomly divided into two groups, viz. the experimental group (N=12) and control group (N=12). The experimental group underwent a belly dancing program focusing on pelvis moves. [Results] In the experimental group, the urinary incontinence-related muscle strength and vaginal pressure were increased, while the control group showed no significant change. [Conclusion] Belly dancing focusing on pelvis moves had a positive effect on the urinary incontinence-related muscle strength and vaginal pressure, suggesting that a recreational dance program focusing on pelvic exercise can be used to prevent and relieve the symptoms of urinary incontinence as a non-surgical treatment.

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“…In a study by Bump,[11] 56% out of 54 black women described symptoms of urge incontinence. Sze et al [5] surveyed a total of 2370 patients, 34% black, 39% white and 27% Hispanic. The percentage of women who had urge incontinence symptoms was very similar between the three groups (19% vs. 16% vs. 16%, P =0.214).…”

Section: Description Of Studymentioning

confidence: 99%

“…[34] A previous study did not analyze minority subsets while others utilized non validated questionnaires or retrospective data. [156] This prospective study aims to determine the prevalence of OAB symptoms with and without urge incontinence in women of lower socioeconomic strata. A working hypothesis is that the prevalence of OAB may be high in such a population as it could be under-reported by patients.…”

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confidence: 99%

What is the prevalence of overactive bladder symptoms in a lower socioeconomic female population? A suggestion for a study in India

2007

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Although it is suggested that in the United States overactive bladder affects one out of six individuals, this estimation may represent a subset of the population. Using a Pubmed literature search, many studies do not address those in a lower socioeconomic strata and the prevalence of overactive bladder may be higher. Overactive bladder symptoms may be under-reported in this population due to social stigma, lack of education or inaccessibility to medical care. This paper proposes to perform an epidemiological study incorporating validated incontinence questionnaires to assess the prevalence of overactive bladder symptoms among Indian women.

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Prevalence of urinary incontinence symptoms among black, white, and Hispanic women

Abstract: The prevalence of incontinence symptoms is significantly different among black, Hispanic, and white women.

Cited by 43 publications

References 12 publications

Urinary Incontinence and Psychological Distress in Community‐Dwelling Older African Americans and Whites

Urinary Incontinence and Psychological Distress in Community‐Dwelling Older African Americans and Whites

Effect of belly dancing on urinary incontinence-related muscles and vaginal pressure in middle-aged women

What is the prevalence of overactive bladder symptoms in a lower socioeconomic female population? A suggestion for a study in India

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