Correlates of urinary, fecal, and dual incontinence in older African-American and white men and women.

摘要: OBJECTIVES: To determine prevalence and correlates of urinary (UI), fecal (FI), dual (DI) incontinence in community-dwelling older adults. DESIGN: Cross-sectional, population-based in-home survey. SETTING: Three rural two urban Alabama counties (1999–2001). PARTICIPANTS: Stratified random sample 1,000 Medicare beneficiaries aged 65 older: 25% African-American men, white women, women. MEASUREMENTS: UI defined as involuntary urine loss at least monthly; FI “In the past year, have you had any control your bowels, even a small amount that stained underwear?” Independent variables were sociodemographics, medical history, activities daily living (ADLs) excluding toileting. Multinomial logistic regression models constructed using UI, FI, DI dependent variables. RESULTS: prevalences 27%, 6%, respectively. White women higher (41.1% vs 24.6%, P<.001) (18.5% 8.0%, P=.07) but not (4.4% 3.8%, P=.83) than women. Men no racial differences (UI 22.2%, 7.7%, 4.6%). In included Charlson comorbidity score depressive symptoms greater ADL difficulty for DI. was associated with prostate disease symptoms; chronic diarrhea, history transient ischemic attack (TIA), poor self-perceived health; TIA, foot leg swelling, symptoms. CONCLUSION: Women well similar subtypes, whereas men did not.