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Factors associated with variations in older people's use of community-based continence services
Author(s)Tim J Peters, Sue Horrocks, Helen Stoddart
Journal titleHealth & Social Care in the Community, vol 12, no 1, January 2004
Pagespp 53-62
Sourcewww.blackwellpublishing.com/hsc
KeywordsIncontinence ; National Health Service ; Usage [services] ; Cross sectional surveys ; Bristol.
AnnotationIncreasing older people's access to continence services has the potential to reduce inequalities and improve quality of life. This study aimed to identify older people with urinary incontinence (UI) living in the community, to describe and compare the characteristics of users and non-users of continence services, and to identify factors which prevent older people seeking help. A cross-sectional survey of patients aged 65+ registered with 4 general practices in Bristol found an overall prevalence of 39% of older people with UI, only 15% of whom had accessed services. Two-thirds of respondents who reported that they experienced urinary leakage several times per week to all the time, and up to two-thirds of those reporting leakages of moderate or large volumes of leakage, had not accessed services. As most are in regular contact with health professionals, the greatest single influence on use of services was that of being asked by a health professional whether there were continence problems. Being married or having a partner, experiencing less pain generally, and suffering relatively high frequency and volumes of urinary leakage also appeared to be associated independently with continence service use. Thus, there appear to be a considerable amount of unmet need for continence services. (RH).
Accession NumberCPA-040505203 A
ClassmarkCTM: L4: QLD: 3KB: 8AB

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