Section of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, New Haven, CT, USA.
Am J Obstet Gynecol. 2013 Feb;208(2):146.e1-7. doi: 10.1016/j.ajog.2012.11.010. Epub 2012 Nov 15.
To describe the association between social isolation and urinary incontinence and fecal incontinence in older women.
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.
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).
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.
描述老年女性社会孤立与尿失禁和粪便失禁之间的关系。
我们对年龄在 57 至 85 岁的女性进行了国家社会生活、健康和老龄化项目的二次数据库分析。我们的主要结局是经常感到孤立的自我报告。我们探讨了每日尿失禁和每周粪便失禁的自我报告。进行了两次逻辑回归分析，以评估经常感到孤立与（1）每日尿失禁和（2）每周粪便失禁之间的关系。
共有 1412 名女性纳入我们的分析。12.5%（177/1412）的社区居住的老年女性报告有每日尿失禁。更多有每日尿失禁的女性报告经常感到孤立（6.6%；95%置信区间[CI]，1.3-11.9 与 2.6%；95%CI，1.7-3.5；P=.04）与没有每日尿失禁的女性相比。调整抑郁症状、年龄、种族、教育程度和整体健康状况后，每日尿失禁的女性经常感到孤立的可能性增加 3.0 倍（95%CI，1.1-7.6）。1412 名女性中有 2.9%（41/1412）报告每周有粪便失禁。每周粪便失禁和经常感到孤立在单变量分析中相关（未调整比值比，4.6；95%CI，1.4-15.1）。然而，调整抑郁症状、年龄、种族、教育程度和整体健康状况后，每周粪便失禁与经常感到孤立之间的关联不再显著（调整比值比，0.65；95%CI，0.1-5.3；P=.65）。
在调整混杂因素后，每日尿失禁与经常感到孤立显著相关。多变量逻辑回归未发现每周粪便失禁与经常感到孤立相关。
