TY - JOUR T1 - Incidence and remission of urinary incontinence in a community-based population of women ≥ 50 years. JF - Int Urogynecol J Pelvic Floor Dysfunct Y1 - 2009 A1 - Yuko M Komesu A1 - Rebecca G Rogers A1 - Ronald M Schrader A1 - Cynthia M. Lewis KW - Age Factors KW - Black People KW - disease progression KW - Female KW - Hispanic or Latino KW - Humans KW - Incidence KW - Logistic Models KW - Longitudinal Studies KW - Middle Aged KW - Odds Ratio KW - Prevalence KW - Remission, Spontaneous KW - Severity of Illness Index KW - United States KW - Urinary incontinence KW - White People AB -

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.

PB - 20 VL - 20 IS - 5 N1 - Times Cited: 1 Komesu, Yuko M. Rogers, Rebecca G. Schrader, Ronald M. Lewis, Cindi M. U1 - http://www.ncbi.nlm.nih.gov/pubmed/19229462?dopt=Abstract U2 - PMC3623953 U4 - Urinary Incontinence/health Status/logistic Models/incidence ER - TY - JOUR T1 - Diabetes and Urinary Incontinence in 50- to 90-year-old Women: A cross-sectional population-based study JF - American Journal of Obstetrics and Gynecology Y1 - 2005 A1 - Cynthia M. Lewis A1 - Ronald M Schrader A1 - Many, Angela A1 - Mackay, Mary A1 - Rebecca G Rogers KW - Health Conditions and Status KW - Risk Taking AB - Objective: The purpose of this study was to examine the association between urinary incontinence and diabetes in a large community-based population of women. Study design: The Health and Retirement Study is a large multistage area probability sample of households in the United States. Data were collected from 10,678 women aged 50 to 90 years. Dependent variables were no, mild, and severe incontinence. Independent variables consisted of demographic and health data. Diabetes was dichotomized into insulin-requiring (IRDM) and non insulin-requiring disease (NIRDM). Survey-based ordered logistic regression was used to simultaneously analyze associations between incontinence groups. Results: Urinary incontinence was reported by 22 (2319/10,678) of women. IRDM was associated with urinary incontinence (odds ratio OR 1.63; 95 CI 1.28-2.09), but NIRDM was not (OR 1.20; 95 CI 1.00-1.45). Conclusion: IRDM is independently associated with urinary incontinence in women ages 50 to 90 years, independent of patient body mass index, comorbidities, or age. PB - 53 VL - 53 UR - https://www.ajog.org/article/S0002-9378(05)01182-8/fulltext IS - 6 U4 - Diabetes/Urinary Incontinence/Risk Factors ER -