Department of Public Health Sciences, Loyola University Chicago, 2160 S 1st Ave, Maywood, IL, 60153, USA.
Department of Urology, Loyola University Chicago, 2160 S 1st Ave, Maywood, IL, 60153, USA.
Int Urogynecol J. 2020 May;31(5):1013-1020. doi: 10.1007/s00192-019-04137-y. Epub 2020 Jan 3.
Urinary incontinence is common among older adults with chronic conditions. The purpose of this study is to examine the association of urinary incontinence with chronic conditions in the US population.
We used data from the 2001-2014 National Health and Nutrition Examination Survey; 7226 women and 7239 men age > 50 years answered questions regarding urinary symptoms. The analysis accounted for the complex survey design, and prevalence reflects estimates within the non-institutionalized US population.
The mean age was 64.2 years [standard error (SE) 0.2] among women and 62.9 (SE 0.1) years among men. Bothersome stress, urgency and mixed incontinence were reported by 6.7% (SE 0.4), 4.8% (SE 0.4) and 19.3% (SE 0.59) of women, respectively, and 0.6% (SE 0.1), 3.5% (SE 0.2) and 1.9% (SE 0.2) of men, respectively. Among chronic conditions, heart failure was associated with higher prevalence of mixed incontinence in women and urgency incontinence in men. Among women, heart failure was associated with significantly increased odds of bothersome mixed incontinence (OR 2.35; 95% CI 1.62, 3.42) and lower odds of stress (OR 0.50; 95% CI 0.3, 0.9) or urgency incontinence (OR 0.43; 95% CI 0.19, 0.98) after adjustment for covariates. Among men, heart failure was associated with higher odds of stress (OR 1.99; 95% CI 0.39, 10.22), urgency (1.65; 95% CI 0.91, 2.99) and mixed incontinence (OR 1.54; 95% CI 0.91, 2.62) but associations were not statistically significant.
Heart failure is associated with higher odds of bothersome incontinence, especially among women.
尿失禁在患有慢性病的老年人中很常见。本研究的目的是在美国人群中研究尿失禁与慢性病的关系。
我们使用了 2001-2014 年全国健康和营养调查的数据；7226 名 50 岁以上的女性和 7239 名男性回答了有关尿症状的问题。该分析考虑了复杂的调查设计，患病率反映了非机构化的美国人口内的估计值。
女性的平均年龄为 64.2 岁（标准差 [SE] 0.2），男性为 62.9 岁（SE 0.1）。女性分别有 6.7%（SE 0.4）、4.8%（SE 0.4）和 19.3%（SE 0.59）报告有令人烦恼的压力性、急迫性和混合性尿失禁，而男性分别有 0.6%（SE 0.1）、3.5%（SE 0.2）和 1.9%（SE 0.2）。在慢性疾病中，心力衰竭与女性混合性尿失禁和男性急迫性尿失禁的患病率较高有关。在女性中，心力衰竭与令人烦恼的混合性尿失禁（OR 2.35；95%CI 1.62，3.42）的几率显著增加和压力性（OR 0.50；95%CI 0.3，0.9）或急迫性尿失禁（OR 0.43；95%CI 0.19，0.98）的几率降低有关，在调整了协变量后。在男性中，心力衰竭与压力性（OR 1.99；95%CI 0.39，10.22）、急迫性（1.65；95%CI 0.91，2.99）和混合性尿失禁（OR 1.54；95%CI 0.91，2.62）的几率增加有关，但关联无统计学意义。
心力衰竭与令人烦恼的尿失禁的几率增加有关，尤其是在女性中。
