Incidence and remission of urinary incontinence in a community-based population of women ≥ 50 years.

TitleIncidence and remission of urinary incontinence in a community-based population of women ≥ 50 years.
Publication TypeJournal Article
Year of Publication2009
AuthorsKomesu, YM, Rogers, RG, Schrader, RM, Lewis, CM
JournalInt Urogynecol J Pelvic Floor Dysfunct
Volume20
Issue5
Pagination581-9
Date Published2009 May
KeywordsAfrican Continental Ancestry Group, Age Factors, disease progression, European Continental Ancestry Group, Female, Hispanic Americans, Humans, Incidence, Logistic Models, Longitudinal Studies, Middle Aged, Odds Ratio, Prevalence, Remission, Spontaneous, Severity of Illness Index, United States, Urinary incontinence
Abstract

INTRODUCTION AND HYPOTHESIS: The objective of the study was to determine incidence, remission, and predictors of change in urinary incontinence in women ≥ 50 in a racially diverse population.

METHODS: Subjects were women ≥ 50 with 4-year follow-up incontinence information in the Health and Retirement Study. Women with Any UI (AUI) and Severe UI (SVUI) were evaluated. Repeated measures logistic regression determined predictors of progression to and improvement of SVUI.

RESULTS: Women (11,591) were evaluated. AUI 4-year cumulative incidence was 12.7-33.8% (fifth vs. ninth decades). SVUI incidence was lower but also increased with age. Among the predictors of improvement in SVUI were age (ninth vs. fifth decade odds ratios (OR) = 6.06) and ethnicity (Black vs. White OR = 0.57). Improvement of SVUI (45.8% overall) decreased with age (ninth vs. fifth decade OR = 0.12).

CONCLUSIONS: SVUI incidence increased and remission decreased with age. Ethnicity and age predicted SVUI progression while age predicted improvement. Rates of the latter were high, particularly in younger patients.

Notes

Times Cited: 1 Komesu, Yuko M. Rogers, Rebecca G. Schrader, Ronald M. Lewis, Cindi M.

DOI10.1007/s00192-009-0838-5
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/19229462?dopt=Abstract

Endnote Keywords

Urinary Incontinence/health Status/logistic Models/incidence

Endnote ID

69714

Alternate JournalInt Urogynecol J Pelvic Floor Dysfunct
Citation Key7422
PubMed ID19229462
PubMed Central IDPMC3623953
Grant List5 M01 RR00997 / RR / NCRR NIH HHS / United States
U01 AG009740 / AG / NIA NIH HHS / United States
UL1 TR001449 / TR / NCATS NIH HHS / United States
U01AG009740 / AG / NIA NIH HHS / United States
M01 RR000997 / RR / NCRR NIH HHS / United States