Factors Associated With Urgency Urinary Incontinence Among Older Mexican American Women Aged 65 years and Older.
Factors Associated With Urgency Urinary Incontinence Among Older Mexican American Women Aged 65 years and Older.
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DOI：
10.1177/23337214221119061
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发表时间：
2022-01
影响因子：
2.7
通讯作者：
Al Snih, Soham
中科院分区：
文献类型：
--
作者：
Martinez, Ariza;Rodriguez, Martin A.;Al Snih, Soham
本研究的目的是确定哪些社会人口统计学、临床或功能因素与急迫性尿失禁（UUI）有关，随访20年以上的社区居住样本为65岁及以上基线时无UUI的墨西哥裔美国妇女。在美国西南部（亚利桑那州、加利福尼亚州、科罗拉多州、新墨西哥州和德克萨斯州）进行的老年流行病学研究中，我们纳入了1358名来自西班牙裔既定人群的女性参与者。测量包括自我报告的UUI、社会人口统计学、吸烟状况、体重指数、医疗状况、抑郁症状、身体和认知功能以及握力。我们使用广义估计方程模型来估计UUI的优势比（OR）和95%置信区间（CI）作为社会经济、临床和功能因素的函数。从基线（1993/1994）到随访（2012/2013），自我报告的UUI从3.1%增加到21.9%。随着时间的推移，当前吸烟者、肥胖、关节炎、既往心脏病发作和抑郁症状是与UUI发生几率增加相关的因素。这些因素的识别可以帮助临床医生确定哪些是发生UUI的高风险人群。早期预防和/或治疗危险因素可能会延迟UUI，并提高这一服务不足人群的生活质量。
The purpose of this study was to determine which socio-demographic, clinical, or functional factors are associated with urgency urinary incontinence (UUI) over 20-years of follow-up in a community-dwelling sample of Mexican American women aged 65 years and older without UUI at baseline. We included 1,358 women participants from the Hispanic Established Population for the Epidemiologic Study of the Elderly study conducted in the southwestern of US (Arizona, California, Colorado, New Mexico, and Texas). Measures included self-reported UUI, socio-demographics, smoking status, body mass index, medical conditions, depressive symptoms, physical and cognitive function, and handgrip strength. We used generalized estimating equation models to estimate the odds ratio (OR) and 95% Confidence Interval (CI) of UUI as a function of socioeconomic, clinical, and functional factors. Self-reported UUI increased from 3.1% to 21.9% from baseline (1993/1994) to follow-up (2012/2013). Current smokers, obesity, arthritis, previous heart attacks, and depressive symptoms were factors associated with greater odds of UUI over time. Identification of these factors can help clinicians determine those at high risk of developing UUI. Preventing and/or treating the risk factors early may delay UUI and increase quality of life in this underserved population.
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影响因子：
168.9
作者：
Christensen, Kaare;Doblhammer, Gabriele;Rau, Roland;Vaupel, James W.
通讯作者：
Vaupel, James W.
DOI：
10.1093/gerona/gly013
发表时间：
2019-02-01
影响因子：
5.1
作者：
Mutambudzi, Miriam;Chen, Nai-Wei;Markides, Kyriakos S.
通讯作者：
Markides, Kyriakos S.
影响因子：
2
作者：
Reigota, Renata B.;Pedro, Adriana Orcesi;Pinto-Neto, Aarao M.
通讯作者：
Pinto-Neto, Aarao M.
DOI：
10.9778/cmajo.20210147
发表时间：
2022-04
期刊：
CMAJ open
影响因子：
--
作者：
Scime, Natalie V;Hetherington, Erin;Metcalfe, Amy;Chaput, Kathleen H;Dumanski, Sandra M;Seow, Cynthia H;Brennand, Erin A
通讯作者：
Brennand, Erin A
DOI：
10.1016/j.juro.2009.08.071
发表时间：
2009-12
期刊：
The Journal of urology
影响因子：
--
作者：
Subak LL;Richter HE;Hunskaar S
通讯作者：
Hunskaar S