Population based study of incidence and predictors of urinary incontinence in black and white older adults
Population based study of incidence and predictors of urinary incontinence in black and white older adults
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DOI：
10.1016/j.juro.2007.11.069
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发表时间：
2008-04-01
影响因子：
6.6
通讯作者：
Allman, Richard M.
中科院分区：
文献类型：
--
作者：
Goode, Patricia S.;Burgio, Kathryn L.;Allman, Richard M.
目的：我们确定的发病率和预测因素的事件尿失禁超过3年，在社区居住的老年adults. Materials和Methods：人口为基础的，前瞻性队列研究进行了随机抽样的医疗保险受益人分层为50%的黑人，50%的男性和50%的农村。家庭基线评估包括标准化问卷和简短的体能测试。通过电话进行了三次年度后续访谈。inflammation被定义为任何程度的尿失禁发生至少一次每月在过去6 months.Results：参与者是490名妇女和496名男子65至106岁（平均年龄75）。基线时尿失禁的患病率在女性中为41%，在男性中为27%。三年尿失禁的发病率为29%（84/290）的女性和24%（86/363）的男性。在尿失禁的患病率或偶发率方面，种族之间没有差异。在女性多变量logistic回归模型中，新发尿失禁的显著独立基线预测因子包括卒中（OR 3.4，p = 0.011）、尿失禁少于每月一次（OR 3.3，p = 0.001）、既往或当前绝经后雌激素（OR 2.3，p
Purpose: We determined the incidence and predictors of incident urinary incontinence over 3 years in community dwelling older adults.Materials and Methods: A population based, prospective cohort study was conducted with a random sample of Medicare beneficiaries stratified to be 50% black, 50% men and 50% rural. In-home baseline assessment included standardized questionnaires and short physical performance battery. Three annual followup interviews were conducted by telephone. Incontinence was defined as any degree of incontinence occurring at least once a month in the last 6 months.Results: Participants were 490 women and 496 men 65 to 106 years old (mean age 75). Prevalence of incontinence at baseline was 41% in women and 27% in men. Three-year incidence of incontinence was 29% (84 of 290) in women and 24% (86 of 363) in men. There were no differences by race in prevalent or incident incontinence. In multivariable logistic regression models for women, significant independent baseline predictors of new incontinence included stroke (OR 3.4, p = 0.011), less than monthly incontinence (OR 3.3, p = 0.001), past or current postmenopausal estrogen (OR 2.3, p