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Urinary Incontinence in a National Cohort of Older Women: Implications for Caregiving and Care Dependence JOURNAL OF WOMENS HEALTH Yang, E., Lisha, N. E., Walter, L., Obedin-Maliver, J., Huang, A. J. 2018; 27 (9): 1097–1103

Abstract

Urinary incontinence (UI) can interfere with older women's ability to perform activities of daily living (ADLs), but little is known about factors that predispose incontinent women to become functionally dependent or compromise their ability to serve as caregivers to others.UI, caregiving, and care-receiving behaviors were assessed by questionnaire in a national sample of community-dwelling older women. Multivariable models evaluated associations between incontinence and care dependence, assessed factors associated with care dependence among incontinent women, and compared health among female caregivers with and without incontinence.Of the 1703 women, 27% reported weekly or more incontinence and 13% monthly incontinence. Women with weekly or more incontinence were more likely than women without incontinence to report receiving care for ADLs (AOR?=?2.39, CI?=?1.61-3.56) or instrumental ADLs (AOR?=?1.94, CI?=?1.42-2.63). Compared to 46% of women without incontinence, 60% of women with monthly or weekly incontinence reported unmet care needs (p?=?0.0002). Factors associated with care dependence included more frequent incontinence, older age, marital status, and fair/poor health (p?

View details for DOI 10.1089/jwh.2017.6891

View details for Web of Science ID 000435559200001

View details for PubMedID 29902123

View details for PubMedCentralID PMC6148721