The Influence of Urinary Incontinence on the Quality of Life of Elderly Women

Grimby, Agneta; Milsom, Ian; Molander, Ulla; Wiklund, Ingela; Ekelund, P.

doi:10.1093/ageing/22.2.82

Cited by 354 publications

(237 citation statements)

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“…Sample Size estimated after doing a thorough Review of Literature where it was found that the prevalence ranges from 0-60%. [6][7][8][9][10][20][21][22][23][24] Taking a mean prevalence as 30%, relative error of 20% of p. Using Formula: N = z²pq/L², we got the sample size as 233. Taking design effect of 2 and applying non-response rate of 5 %, we finally took a sample size of 530 postmenopausal women.…”

Section: Methodsmentioning

confidence: 99%

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The influence of menopause on urinary incontinence in the women of the community: a cross-sectional study from North India

Khan

Ansari

Vasenwala

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Urinary incontinence is defined as the complaint of any involuntary loss of urine that is a social or hygienic problem. Worldwide, over 200 million people are living with urinary incontinence and as the life expectancy of women is increasing, more number of women are bound to suffer from it. The aim of the present study is to find out the effect of menopause on the occurrence of Urinary Incontinence in women and to find out risk factors in post-menopausal women associated with Urinary Incontinence.Methods: It was a community based cross-sectional study involving post-menopausal women living in the urban and rural areas registered under Community Medicine, J.N. Medical College, Aligarh, India. A total of 530 women were taken for this study. Descriptive statistics as well as simple proportion were calculated with SPSS 20.0. Tests of significance and Binary Logistic regression analysis were used for analysis.Results: Significant differences were found in the association of Urinary Incontinence with increasing age groups and consequent years spent in menopause, rural area of residence, illiteracy, lower socio-economic class, inadequate housing standards, obesity, smoking, parity, history of hysterectomy, and co-morbidities such as Urinary Tract Infection and Pelvic organ prolapse.Conclusions: From a public health perspective, there is considerable opportunity to improve women's quality of life by increasing health education about urinary incontinence and its treatment by taking steps for life style modifications.

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Section: Methodsmentioning

confidence: 99%

“…In general, the overall prevalence rate of UI increases with age. 7 Numerous epidemiologic studies show that the incidence of UI increases with age, with the range of prevalence estimates among community dwelling patients varying enormously from 2% to 58%. 8 Elderly women are the most affected, with a mean prevalence of 34%.…”

Section: Introductionmentioning

confidence: 99%

The influence of menopause on urinary incontinence in the women of the community: a cross-sectional study from North India

Khan

Ansari

Vasenwala

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…[54][55][56] People with urinary incontinence have higher levels of depression and anxiety, feel more stigmatised and have poorer life satisfaction compared with people who are continent. 57,58 Most treatments for urinary incontinence are directed towards improving symptoms and correspondingly most existing health-related QoL measures, including both generic and incontinence condition-specific instruments, are designed for use in trials where some change in patient symptoms is expected.…”

Section: Background Summarymentioning

confidence: 99%

Absorbent products for urinary/faecal incontinence: a comparative evaluation of key product designs

Fader¹,

Cottenden²,

Getliffe³

et al. 2008

Health Technol Assess

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“…UI can lead to a loss in functioning, which may limit social and physical activities. 18 Some of this condition-specific functional loss may be self-imposed by older persons to help manage their condition, such as going out only for short trips. 19 Withdrawal from activities, even if self-imposed, may lead to feelings of loss of control and diminished life satisfaction.…”

mentioning

confidence: 99%

Urinary Incontinence and Psychological Distress in Community‐Dwelling Older Adults

Bogner¹,

Gallo²,

Sammel

et al. 2002

J American Geriatrics Society

101

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OBJECTIVES-To examine the relationship between urinary incontinence (UI) and psychological distress in older adults. We hypothesized that persons with UI associated with condition-specific functional loss would be most likely to report psychological distress. 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-Persons aged 50 and older (n = 781) at follow-up interviews conducted between 1993 and 1996 for whom complete data were available.MEASUREMENTS-Participants were classified as incontinent if they reported any uncontrolled urine loss within the 12 months preceding the 13-year follow-up interview. Condition-specific functional loss secondary to UI was further assessed based on a series of questions relating directly to participants' inability to engage in certain activities due to their UI. Psychological distress was assessed using the General Health Questionnaire (GHQ) at interviews in 1981 and at the 13-year follow-up.RESULTS-Persons with UI were more likely to experience psychological distress as measured by the GHQ than were persons without UI (unadjusted odds ratio (OR) = 1.74, 95% confidence interval (CI) = 1.13-2.68). Persons with condition-specific functional loss secondary to UI were substantially more likely to have psychological distress as measured by the GHQ than were persons without UI (unadjusted OR = 4.02, 95% CI = 1. 86-8.70). In multivariate models that controlled for potentially influential characteristics such as age, gender, ethnicity, and chronic medical conditions the association between condition-specific functional loss secondary to UI and psychological distress remained statistically significant. Among people with UI, persons with persistently elevated GHQ scores were much more likely to report condition-specific functional impairment from UI (adjusted OR = 6.55, 95% CI = 1.94-22.12).CONCLUSION-Individuals with UI, especially when incontinence was associated with conditionspecific functional loss, were more likely to have psychological distress than were other older adults. © 2002 by the American Geriatrics SocietyAddress correspondence to Hillary R. Bogner, MD, MSCE, Department of Family Practice and Community Medicine, University of Pennsylvania, 3400 Spruce Street, 2 Gates Building, Philadelphia, PA 19104. bogner@mail.med.upenn.edu Our findings support a general conceptual model that condition-specific functional impairment mediates the relationship between a chronic medical condition and psychological distress.Keywords urinary incontinence; older adults; psychological distress; depression; functional status Urinary incontinence (UI) is a commonly encountered problem, especially 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 as at least 10% for men and 20% for women. 2 , 3 As many as half of nursing ...

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The Influence of Urinary Incontinence on the Quality of Life of Elderly Women

Cited by 354 publications

References 0 publications

The influence of menopause on urinary incontinence in the women of the community: a cross-sectional study from North India

The influence of menopause on urinary incontinence in the women of the community: a cross-sectional study from North India

Absorbent products for urinary/faecal incontinence: a comparative evaluation of key product designs

Urinary Incontinence and Psychological Distress in Community‐Dwelling Older Adults

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