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Urinary incontinence in rural older women
 — prevalence, incidence and remission
Author(s)Ingrid E Nygaard, Jon H Lemke
Journal titleJournal of the American Geriatrics Society, vol 44, no 9, September 1996
Pagespp 1049-1054
KeywordsIncontinence ; Older women ; Rural areas ; Longitudinal surveys ; United States of America.
Annotation2,025 women aged 65 or older enrolled in the Iowa 65+ Rural Health Study of EPESE (Establishment of Populations for Epidemiologic Studies of the Elderly) were interviewed annually for 6 years, to assess factors associated with incontinence. Conditional multivariate logistic regression analysis was done to assess the relationship between incontinence symptoms and various factors previously found to be related to incontinence. At baseline, prevalence of urge incontinence was 36.3%; stress incontinence, 40.3%. The 3-year incidence and remission rates between the third and the sixth years were: for urge incontinence, 28.5% and 22.1% respectively; and for stress incontinence, 28.6% and 25.1% respectively. 76% and 84% respectively of women who reported no urge or stress incontinence at baseline interview were continent at both follow-up interviews. Improvement in activities of daily living was associated with increased remission of urge incontinence. Some women also move between continent and incontinent states dependent on other symptoms and seasonal effects. Limitations in the study includes its questionnaire design and inability to detect potential treatment effect. (RH).
Accession NumberCPA-970812204 A
ClassmarkCTM: BD: RL: 3J: 7T

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