The prevalence of urinary incontinence and its burden on the quality of life among older adults with medicare supplement insurance

Hawkins, Kevin; Pernarelli, Janet; Ozminkowski, Ronald J.; Bai, Ming; Gaston, Stephanie J.; Hommer, Cynthia E.; Migliori, Richard J.; Yeh, Charlotte S.

doi:10.1007/s11136-010-9808-0

Cited by 44 publications

(31 citation statements)

References 24 publications

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“…Overactive bladder syndrome is the most common cause of urinary incontinence in older adults . Our study aimed at analyzing the association between this pervasive condition and the risk of falls among older adult Medicare fee‐for‐service enrollees.…”

Section: Discussionmentioning

confidence: 99%

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Association between overactive bladder treatment and falls among older adults

Jayadevappa

Chhatre

Newman

et al. 2018

Neurourology and Urodynamics

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Section: Discussionmentioning

confidence: 99%

“…Third, potential measured and unmeasured bias were minimized using propensity score and instrumental variable approaches. Urinary incontinence has significant impact on the quality of life for many frail community‐dwelling adults . The majority of adults over 65‐years‐old experience some sort of incontinence .…”

Section: Discussionmentioning

confidence: 99%

Association between overactive bladder treatment and falls among older adults

Jayadevappa

Chhatre

Newman

et al. 2018

Neurourology and Urodynamics

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“…Riss and Kargl (2011) found a connection between UI and QoL identifying three problematic areas: daily life, recreational activities, and sex life. In addition, research has shown a decrease in social participation (Lee, 2009), physical health (Mishra et al, 2009), emotional health (Miu et al, 2010), and lower scores on QoL measures (Aguilar-Navarro et al, 2012;Cheater et al, 2008;DuBeau et al, 1998DuBeau et al, , 2006Dugan et al, 1998;Hawkins et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Quality of life of women with urinary incontinence in rehabilitation treatment

et al. 2016

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This article analyzed how sexual satisfaction, suffering, severity and impact of urinary incontinence, and psychological morbidity affected women's quality of life and whether suffering mediated the relationship between psychological morbidity and quality of life. The study included 80 women diagnosed with urinary incontinence receiving rehabilitation treatment. Regression analysis showed that sexual satisfaction, suffering, and urinary incontinence severity and impact predicted quality of life and that suffering mediated the relationship between psychological morbidity and quality of life. The findings suggest that interventions should be tailored according to the suffering reported by women and the impact of the urinary incontinence on the couple's sexual relationship.

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“…In addition, UI is responsible for increased financial burdens on individuals as well as the healthcare system 1, 2 . Numerous epidemiologic studies have identified factors associated with prevalent and incident UI, and have offered insight into the etiology of this condition and suggested possible strategies for mitigating UI 3, 4 .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with persistent urinary incontinence

Devore

Minassian

Grodstein

2013

American Journal of Obstetrics and Gynecology

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Objective Many women with urinary incontinence (UI) have symptoms that continue over many years; however, virtually nothing is known about factors that are associated with persistent UI. Study design We studied 36,843 participants of the Nurses’ Health Study, aged 54–79 years at baseline for the UI study, who provided UI information on biennial questionnaires from 2000 to 2008; follow up in the Nurses’ Health Study is 90%. In total, 18,347 women had “persistent UI,” defined as urine leakage ≥1/month reported on all five biennial questionnaires during this eight-year period; 18,496 women had no UI during this period. Using multivariable-adjusted logistic regression, we estimated odds ratios (OR) of persistent UI versus no UI across various demographic, lifestyle, and health-related factors, which were derived from reports in 2000. Results Increasing age group, white race, greater parity, greater BMI, and lower physical activity levels were each associated with greater odds of persistent UI, as were several health-related factors (i.e., stroke, type 2 diabetes, and hysterectomy). Associations with persistent UI were particularly strong for increasing age group (p-trend<0.0001; OR=2.75, 95% CI=2.54–2.98 comparing women aged ≥75 vs. <60 years) and greater BMI (p-trend<0.0001; OR=3.14, 95% CI=2.95–3.33 comparing women with BMI ≥30 vs. <25 kg/m2); moreover, black women had much lower odds of persistent UI compared to white women (OR=0.27, 95% CI=0.21–0.34). Conclusions Factors associated with persistent UI were generally consistent with those identified in previous studies of UI over shorter time periods; however, older age, white race, and obesity were particularly strongly related to persistent UI.

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The prevalence of urinary incontinence and its burden on the quality of life among older adults with medicare supplement insurance

Abstract: Consistent with other Medicare populations (e.g. Medicare managed care), UI was common in Medigap insureds, strongly associated with lower QOL affecting mental, physical, and social well-being, and is often untreated.

Cited by 44 publications

References 24 publications

Association between overactive bladder treatment and falls among older adults

Association between overactive bladder treatment and falls among older adults

Quality of life of women with urinary incontinence in rehabilitation treatment

Factors associated with persistent urinary incontinence

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