Ramage-Morin Pamela L, Gilmour Heather
Health Analysis Division, Statistics Canada, Ottawa, Ontario, K1A 0T6.
Health Rep. 2013 Oct;24(10):3-10.
Urinary incontinence (UI), a prevalent condition among seniors, can have substantial impacts on quality of life.
Data from the 2008/2009 Canadian Community Health Survey-Healthy Aging were used to examine the prevalence of UI, as well as the relationship between UI and loneliness in a sample of 16,369 people aged 65 or older. Multivariate logistic regression was used to identify significant relationships, while adjusting for potential confounders.
In 2008/2009, an estimated 512,000 seniors reported that they experienced UI. Women were more likely than men to have this complaint (14% versus 9%), as were older seniors. Those with UI were significantly more likely to be lonely than were those without the condition (OR=1.8, 95% CI: 1.5 to 2.0). This association persisted when socio-demographic, social and functional health factors were taken into account (OR=1.5, 95% CI: 1.3 to 1.7).
This study highlights the prevalence of UI among Canadian seniors and its correlation with loneliness, which, itself, is associated with negative health outcomes. Further research is needed to establish exactly how UI has an impact on seniors' feelings of loneliness.
尿失禁（UI）是老年人中的一种普遍状况，会对生活质量产生重大影响。
使用2008/2009年加拿大社区健康调查——健康老龄化的数据，在16369名65岁及以上的人群样本中，研究尿失禁的患病率以及尿失禁与孤独感之间的关系。采用多因素逻辑回归来确定显著关系，同时对潜在的混杂因素进行调整。
在2008/2009年，估计有51.2万老年人报告他们经历过尿失禁。女性比男性更易有此问题（分别为14%和9%），年龄较大的老年人也是如此。有尿失禁的人比没有尿失禁的人明显更易感到孤独（比值比=1.8，95%置信区间：1.5至2.0）。在考虑社会人口统计学、社会和功能健康因素后，这种关联依然存在（比值比=1.5，95%置信区间：1.3至1.7）。
本研究凸显了加拿大老年人中尿失禁的患病率及其与孤独感的相关性，而孤独感本身与负面健康结果相关。需要进一步研究以确切确定尿失禁如何影响老年人的孤独感。
