Urinary incontinence in community dwelling elderly: are there sex differences in help-seeking behaviour?

Teunissen, Doreth; Lagro‐Janssen, Toine

doi:10.1080/02813430410006666

Cited by 56 publications

(64 citation statements)

References 7 publications

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“…According to a recent study among community-dwelling elderly persons with urinary incontinence, incontinencerelated symptoms, e.g. obstructive symptoms such as voiding problems, increased the likelihood of seeking help, especially in women [21]. Primary care physicians should apply a comprehensive approach when assessing their older female patients with LUTS.…”

Section: Discussionmentioning

confidence: 99%

Health problems associated with lower urinary tract symptoms in older women

Nuotio

Jylhä

Luukkaala

et al. 2005

Scandinavian Journal of Primary Health Care

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Section: Discussionmentioning

confidence: 99%

Health problems associated with lower urinary tract symptoms in older women

Nuotio

Jylhä

Luukkaala

et al. 2005

Scandinavian Journal of Primary Health Care

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“…At the same time, there is a recognized discrepancy between the number of women who report UI and the number who seek help [2]. Reluctance to seek treatment may be due to the perception of incontinence as a taboo subject or because urinary leakage does not substantially interfere with an individual's daily life.…”

Section: Introductionmentioning

confidence: 96%

“…Relatively little is known about the impact of uncomplicated UI on daily life in the elderly in the general population, especially in men. Because elderly men seek help for less severe UI than women [9] this study also focused on the differences between the sexes in the impact of UI on daily life.…”

Section: Introductionmentioning

confidence: 99%

“It can always happen”: The impact of urinary incontinence on elderly men and women

Teunissen

Bosch

Weel

et al. 2006

Scandinavian Journal of Primary Health Care

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Objective. To determine the impact of urinary incontinence (UI) on the quality of life of the elderly in the general population and to identify factors with the greatest effect. Design. Qualitative and quantitative analyses of interview data. Setting . Patients from the nine family practices of the Nijmegen University Research Network. Subjects. Independently living patients aged 60 and over. Main outcome measures. All independently living patients aged 60 and over with uncomplicated UI were interviewed at home using the Incontinence Impact Questionnaire and open-ended questions. Results. In total, 56 men and 314 women were interviewed. A majority do not have such an impact. In the Incontinence Impact Questionnaire (IIQ) emotional well-being was most affected. Half to one-third of the patients felt nervous, embarrassed, or frustrated because of their incontinence. In the social domain ''clothing'' and ''fear of odour'' scored the highest impact. The most affected practical consequence in the IIQ was ''going to places where you are not sure about the availability of a toilet'' followed by ''travelling longer than 20 minutes'' and ''entertainment''. Men reported higher impact scores than women, despite the fact that incontinence was less severe in men. The most important effect of incontinence reported in men was ''being out of control'' while most women considered ''feeling impelled to take several precautions'' to be the most important consequence of UI. Conclusion. UI affects nearly half of patients, particularly as regards their emotional wellbeing and in public activities. Men experienced more impact compared with women and experienced loss of control more often than women.

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“…The 2 most important reasons for not seeking help are that patients consider their incontinence not serious enough and that they believe that there is no treatment available. 1 Therefore, GPs should approach urinary incontinence more actively. The aim of this study was to identify which comorbidities are more common in patients with urinary incontinence compared with patients without urinary incontinence.…”

mentioning

confidence: 99%

Comorbidities Associated with Urinary Incontinence: A Case-Control Study from the Second Dutch National Survey of General Practice

Gerwen

Schellevis

Lagro‐Janssen³

2007

The Journal of the American Board of Family Medicine

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Purpose: The aim of this study was to identify which comorbidities are more common in patients with urinary incontinence compared with patients without this diagnosis.Design of study: Case-control study. Setting/methods: The data for this study were obtained from the Second Dutch National Survey of General Practice (DNSGP-2) performed in 2001 and were extracted from the electronic medical records of all patients registered in the participating practices in the year of study (2001). Conditional logistic regression was performed using the PHREG (proportional hazards regression) procedure.Results: Urinary tract infections, constipation, and depression were more prevalent in both men and women with urinary incontinence than in controls. In men, heart failure is more common than among controls, and in women, diabetes mellitus, genitourinary prolapse, and chronic obstructive pulmonary disease (COPD)/asthma are more common than among controls. Conclusion: General practitioners could ask for the presence of urinary incontinence in patients with the above described comorbidities. (J Am Board Fam Med 2007;20:608 -610.)Urinary incontinence is a widespread, troubling condition in men and women. However, only approximately half of the patients with urinary incontinence are diagnosed as such by the general practitioner (GP) because they do not seek help for this condition. The 2 most important reasons for not seeking help are that patients consider their incontinence not serious enough and that they believe that there is no treatment available. 1 Therefore, GPs should approach urinary incontinence more actively. The aim of this study was to identify which comorbidities are more common in patients with urinary incontinence compared with patients without urinary incontinence. These comorbid diseases could be used as a trigger for case finding. MethodsThe data for this study were obtained from the Second Dutch National Survey of General Practice (DNSGP-2) performed in 2001. 2 DNSGP-2 was conducted in 104 general practices, comprising 195 general practitioners (in total 165.5 general practitioner full-time equivalents). Eventually 8 practices were excluded from the database because of incomplete data collection on morbidity signs. Data [gender and age of the patient (25 years and older), contact diagnosis (International Classification of Primary Care [ICPC] code U04 [urinary incontinence]), and ICPC-coded comorbidity] were extracted from the electronic medical records of all patients registered in the participating practices in the study year (2001). We performed a case-control study in which controls were identified by detecting for every patient with urinary incontinence 3 persons without urinary incontinence from the same practice with the same age (in 5-year age bands) This article was externally peer reviewed.

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Urinary incontinence in community dwelling elderly: are there sex differences in help-seeking behaviour?

Cited by 56 publications

References 7 publications

Health problems associated with lower urinary tract symptoms in older women

Health problems associated with lower urinary tract symptoms in older women

“It can always happen”: The impact of urinary incontinence on elderly men and women

Comorbidities Associated with Urinary Incontinence: A Case-Control Study from the Second Dutch National Survey of General Practice

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