Gorina Yelena, Schappert Susan, Bercovitz Anita, Elgaddal Nazik, Kramarow Ellen
Vital Health Stat 3. 2014 Jun(36):1-33.
Objective - This report presents national estimates of incontinence prevalence in the United States using data source-specific definitions of incontinence among persons aged 65 and over by sociodemographic characteristics during 2007-2010. Methods - Data are from the 2007-2010 National Health and Nutrition Examination Survey (NHANES), the 2010 National Survey of Residential Care Facilities (NSRCF), the 2007 National Home and Hospice Care Survey (NHHCS), and the 2009 Long Term Care Minimum Data Set (MDS). Findings are based on in-home interviews with 2,625 noninstitutionalized respondents (NHANES) and reports provided by designated facility or agency staff members for 6,856 residential care facility (RCF) residents (NSRCF), 3,226 current home health care patients (NHHCS), 3,918 hospice discharges (NHHCS), and 2,416,705 nursing home residents (MDS). Response rates for incontinence questions were 84% among noninstitutionalized persons (NHANES), 98% among RCF residents and home health and hospice care patients (NSRCF and NHHCS), and 99% for nursing home residents (MDS). Results - This is the first report presenting national estimates on incontinence for subpopulations of older persons sampled in the Centers for Disease Control and Prevention's National Center for Health Statistics surveys and the Centers for Medicare and Medicaid Services' Long Term Care Minimum Data Set. Because a different definition of incontinence is used by each data collection system, it is not possible to make data comparisons between them or to summarize results across all surveys. Accordingly, only survey-specific results are presented. Including recent data from all of these data collection systems facilitates a multidimensional picture of incontinence, while underscoring the need for a standardized definition.
目的——本报告利用2007 - 2010年期间按社会人口统计学特征划分的65岁及以上人群中针对失禁的特定数据源定义，呈现美国失禁患病率的全国估计值。方法——数据来自2007 - 2010年国家健康和营养检查调查（NHANES）、2010年全国住宿护理机构调查（NSRCF）、2007年全国家庭与临终关怀护理调查（NHHCS）以及2009年长期护理最小数据集（MDS）。研究结果基于对2625名非机构化受访者的家庭访谈（NHANES），以及指定机构或机构工作人员为6856名住宿护理机构（RCF）居民（NSRCF）、3226名当前家庭健康护理患者（NHHCS）、3918名临终关怀出院患者（NHHCS）和2416705名养老院居民（MDS）提供的报告。失禁问题的回复率在非机构化人群中为84%（NHANES），在RCF居民以及家庭健康和临终关怀护理患者中为98%（NSRCF和NHHCS），在养老院居民中为99%（MDS）。结果——这是第一份呈现疾病控制和预防中心国家卫生统计中心调查以及医疗保险和医疗补助服务中心长期护理最小数据集中抽样的老年亚人群失禁全国估计值的报告。由于每个数据收集系统使用不同的失禁定义，因此无法在它们之间进行数据比较，也无法汇总所有调查的结果。因此，仅呈现特定调查的结果。纳入所有这些数据收集系统的最新数据有助于形成失禁的多维度图景，同时强调需要一个标准化定义。
