Urinary, fecal, and dual incontinence in older U.S. Adults.
Urinary, fecal, and dual incontinence in older U.S. Adults.
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DOI：
10.1111/jgs.13385
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发表时间：
2015-05
影响因子：
6.3
通讯作者：
Markland AD
中科院分区：
文献类型：
--
作者：
Wu JM;Matthews CA;Vaughan CP;Markland AD
评估尿失禁(UI)、大便失禁(FI)和双重尿失禁(DI)在美国老年女性和男性中的患病率，并确定与每种类型失禁相关的共同因素。以人群为基础的横断面研究。国家健康和营养检查调查(NHANES，2005-2010年)。50岁及以上的女性和男性。尿失禁定义为中到重度(有效尿失禁严重程度指数≥为3，范围0-12)；尿失禁是指至少每个月固体、液体或粘液便消失；DI是尿失禁和尿失禁。女性比男性更容易报告仅有UI和DI，但不报告FI(仅UI，女性19.8%，男性6.4%；仅FI，女性8.2%，男性8.4%；DI女性，6.0%，男性1.9%)。在男女中，患病率都随着年龄的增长而增加。在调整了产次和子宫切除的回归模型中，女性DI与非西班牙裔白人(优势比(OR)=2.3，95%可信区间(CI)=1.5~3.4)、抑郁(OR=4.7，95%CI=2.0~11.1)、合并症(OR=4.3，95%CI=1.9~9.6，与无合并症比较)、子宫切除(OR=1.8，95%CI=1.2~2.7)、腹泻(OR=2.8，95%CI=1.2~2.7)有关。95%CI=1.5~5.0)。在男性中，ADL损害(OR=2.4，95%CI=1.2-4.9)和较差的自评健康(OR=2.8，95%CI=1.5-5.30)与DI有关。UI、FI和DI在老年女性和男性中很常见。与DI相关的因素与与UI和FI相关的因素是不同的。根据性别的不同，DI也存在差异，在女性中，DI与抑郁和共病相关，在男性中，DI与缺乏功能能力和较差的自我评估健康有关。
To estimate the prevalence of urinary (UI), fecal (FI), and dual incontinence (DI) and to identify shared factors associated with each type of incontinence in older U.S. women and men. Population-based cross-sectional study. National Health and Nutrition Examination Survey (NHANES, 2005–2010). Women and men aged 50 and older. UI was defined as moderate to severe (≥3 on a validated UI severity index, range 0–12); FI was at least monthly loss of solid, liquid, or mucus stool; and DI was the presence of UI and FI. Women were more likely than men to report UI only and DI but not FI only (UI only, women 19.8%, men 6.4%; FI only, women 8.2%, men 8.4%; DI women, 6.0%, men 1.9%). In both sexes, prevalence increased with age. In regression models adjusted for parity and hysterectomy, DI in women was associated with non-Hispanic white race (odds ratio (OR) = 2.3, 95% confidence interval (CI) = 1.5–3.4), depression (OR = 4.7, 95% CI = 2.0–11.1), comorbidities (OR = 4.3, 95% CI = 1.9–9.6 for ≥3 comorbidities vs none), hysterectomy (OR = 1.8, 95% CI = 1.2–2.7), and diarrhea (OR = 2.8, 95% CI = 1.5–5.0). In men, ADL impairment (OR = 2.4, 95% CI = 1.2–4.9) and poorer self-rated health (OR = 2.8, 95% CI = 1.5–5.30) were associated with DI. UI, FI, and DI are common in older women and men. Factors associated with DI were distinct from those associated with UI and FI. There were also differences according to sex, with DI associated with depression and comorbid diseases in women and lack of functional ability and poorer self-rated health in men.