Female double incontinence: prevalence, incidence, and risk factors from the SABE (Health, Wellbeing and Aging) study

Denise R. Yuaso*, Jair L. F. Santos, Rodrigo A. Castro, Yeda A. O. Duarte, Manoel J. B. C. Girao, Bary Berghmans, Jose Tadeu N. Tamanini

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Web of Science)

Abstract

Introduction and hypothesis Double Incontinence (DI) is incontinence of urine and stool and is an extreme manifestation of pelvic floor dysfunction. The objective of this study was to estimate the prevalence and incidence of DI and the risk factors in elderly women in So Paulo, Brazil. Methods This was a prospective study in women aged 65 years or older evaluated in 2006 and re-evaluated in 2010. The sample was selected by two-phase stratified sampling with replacement and probability proportional to size. The likelihood ratio test was performed and Cox regression curves were generated to evaluate the equality of survival. Poisson's regression was used to evaluate risk factors. Results This is the first study on the incidence of DI in elderly women. A total of 864 elderly women were interviewed in 2006. The prevalence rate of DI was 4.9%. The incidence rate of DI in the period between 2006 and 2010 was 13.8/1,000 person-years. Associated factors were the presence of chronic obstructive pulmonary disease, hypertension, difficulty with basic activities of daily living (BADL) and instrumental activities of daily living (IADL), polypharmacy and falls in the last year. Poisson's regression analysis showed that falls in the last year and difficulty with at least three IADL were risk factors for DI. Conclusions The incidence of DI seems to be high in this population. Falls in the last year and difficulty with at least three IADL were identified as risk factors. Preventive measures must be implemented with public health policies to prevent increases in DI.
Original languageEnglish
Pages (from-to)265-272
Number of pages8
JournalInternational Urogynecology Journal
Volume29
Issue number2
DOIs
Publication statusPublished - 1 Feb 2018

Keywords

  • Double incontinence
  • Fecal incontinence
  • Incidence
  • SABE study
  • Urinary incontinenc
  • ICIQ-UI SF
  • NURSING-HOME RESIDENTS
  • FECAL INCONTINENCE
  • URINARY-INCONTINENCE
  • DUAL INCONTINENCE
  • OLDER-PEOPLE
  • SHORT-FORM
  • POPULATION
  • WOMEN
  • ASSOCIATION
  • CONTINENCE

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