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. 2013 Feb;208(2):146.e1-7.
doi: 10.1016/j.ajog.2012.11.010. Epub 2012 Nov 15.

The association between urinary and fecal incontinence and social isolation in older women

Sallis O Yip  1 , Madeline A Dick, Alexandra M McPencow, Deanna K Martin, Maria M Ciarleglio, Elisabeth A Erekson
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The association between urinary and fecal incontinence and social isolation in older women

Sallis O Yip et al. Am J Obstet Gynecol. 2013 Feb.

Abstract

Objective: To describe the association between social isolation and urinary incontinence and fecal incontinence in older women.

Methods: We conducted a secondary database analysis of the National Social Life, Health and Aging Project for women aged 57 to 85 years old. Our primary outcome was self-report of often feeling isolated. We explored self-report of daily urinary incontinence and weekly fecal incontinence. Two logistic regression analyses were performed to assess the association between often feeling isolated and (1) daily urinary incontinence and (2) weekly fecal incontinence.

Results: A total of 1412 women were included in our analysis. Daily urinary incontinence was reported by 12.5% (177/1412) of community-dwelling older women. More women with daily urinary incontinence reported often feeling isolated (6.6%; 95% confidence interval [CI], 1.3-11.9 vs 2.6%; 95% CI, 1.7-3.5; P = .04) compared with women without daily urinary incontinence. Women with daily urinary incontinence had 3.0 (95% CI, 1.1-7.6) increased odds of often feeling isolated after adjusting for depressive symptoms, age, race, education, and overall health. Weekly fecal incontinence was reported by 2.9% (41/1412) of women. Weekly fecal incontinence and often feeling isolated were associated on univariable analysis (crude odds ratio, 4.6; 95% CI, 1.4-15.1). However, after adjusting for depressive symptoms, age, race, education, and overall health the association between weekly fecal incontinence and often feeling isolated was not significant (adjusted odds ratio, 0.65; 95% CI, 0.1-5.3; P = .65).

Conclusion: After adjusting for confounders, daily urinary incontinence was significantly associated with often feeling isolated. Weekly fecal incontinence was not found to be associated with often feeling isolated on multivariable logistic regression.

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References

    1. Grimby A, Milsom I, Molander U, Wiklund I, Ekelund P. The influence of urinary incontinence on the quality of life of elderly women. Age and Ageing. 1993;22(2):82–89. - PubMed
    1. Fultz NH, Herzog AR. Self reported social and emotional impact of urinary incontinence. J Am Geriatr Soc. 2001;49:892–899. - PubMed
    1. Dugan E, Cohen SJ, Bland DR, Preisser JS, Davis CC, Suggs PK, et al. The association of depressive symptoms and urinary incontinence among older adults. Journal of the American Geriatrics Society. 2000;48(4):413–416. - PubMed
    1. Herzog AR, Fultz NH, Brock BM, Brown MB, Diokno AC. Urinary incontinence and psychological distress among older adults. Psychology and Aging. 1988;3(2):115–121. - PubMed
    1. Nygaard I, Turvey C, Burns TL, Crischilles E, Wallace R. Urinary incontinence and depression in middle-aged united states women. Obstet Gynecol. 2003;101:149–156. - PubMed

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