Symptoms of urinary incontinence among older community-dwelling men. 1996

M G Umlauf, and S M Sherman
School of Nursing, University of Alabama at Birmingham 35294-1210, USA.

The purpose of this study was to explore the problem of urinary incontinence among elderly men living in the community. Descriptive data from a mailed, 53-item survey were collected and analyzed. The subjects were a convenience sample of 2800 older community-dwelling men enrolled in a hospital-based senior citizens' group in the southwest United States. The 53-item, self-administered survey was designed with a large typeface and a reading level of 3 years of schooling. In pretesting, the instrument required approximately 10 minutes to complete. Within the 2-month response period, 1490 completed surveys were returned for a total response rate of 53%. A subsample of 434 respondents (29%) reported uncontrolled urine leakage of any amount during the month before the survey. Most of these elders reported mild symptoms (84%) or symptoms that had persisted longer than 1 month but less than 2 years (48%). Consistent with the mildness of symptoms reported, the most frequently reported wetness management products were household commodities, such as toilet tissue and paper towels. Only one third of subjects with urinary incontinence symptoms had discussed these symptoms with a physician. Of those who did, almost half received some type of treatment. Incontinence was found to be statistically associated with age, prostate surgery, diuretic use, difficulty in starting urination, and voiding small amounts. In most cases, however, incontinence demonstrated a limited statistical relationship to these variables commonly associated with incontinence. In contrast, caffeine use, a history of prostate problems, and the sensation of incomplete bladder emptying were statistically associated with continence. The prevalence of urinary incontinence among elderly community-dwelling men is significant, although most asserted that their problems with urine loss are mild. In addition to urinary incontinence, many continent and incontinent elderly men have a wide range of urinary dysfunction symptoms.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010342 Patient Acceptance of Health Care Patients' willingness to receive health care. Acceptability of Health Care,Health Care Seeking Behavior,Acceptability of Healthcare,Acceptors of Health Care,Health Care Utilization,Nonacceptors of Health Care,Patient Acceptance of Healthcare,Care Acceptor, Health,Care Acceptors, Health,Care Nonacceptor, Health,Care Nonacceptors, Health,Health Care Acceptability,Health Care Acceptor,Health Care Acceptors,Health Care Nonacceptor,Health Care Nonacceptors,Healthcare Acceptabilities,Healthcare Acceptability,Healthcare Patient Acceptance,Healthcare Patient Acceptances,Utilization, Health Care
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D014549 Urinary Incontinence Involuntary loss of URINE, such as leaking of urine. It is a symptom of various underlying pathological processes. Major types of incontinence include URINARY URGE INCONTINENCE and URINARY STRESS INCONTINENCE. Incontinence, Urinary
D015995 Prevalence The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time. Period Prevalence,Point Prevalence,Period Prevalences,Point Prevalences,Prevalence, Period,Prevalence, Point,Prevalences

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