Nakanishi N, Tatara K, Naramura H, Fujiwara H, Takashima Y, Fukuda H
Department of Public Health, Osaka University Medical School, Japan.
J Am Geriatr Soc. 1997 Feb;45(2):215-9. doi: 10.1111/j.1532-5415.1997.tb04511.x.
To estimate the prevalence and risk factors of urinary and fecal incontinence among a community-residing older population in Japan.
Population-based cross-sectional study.
A randomly selected sample of 1473 people aged 65 years and older living in the City of Settsu, Osaka, in 1992.
Data collected via in-home visits were used to estimate the prevalence of urinary and fecal incontinence and to provide information regarding potential risk factors of urinary and fecal incontinence.
Data were obtained from 1405 older adults, a response rate of 95.4%. The prevalence of any degree of urinary incontinence was 98/1000 in both sexes, and 87/ 1000 men and 66/1000 women admitted to some degree of fecal incontinence. Daily, 34/1000 and 20/1000 of the population were incontinent of urine and feces, respectively. There was an increasing prevalence of urinary and fecal incontinence with age in both sexes, but the expected greater prevalence in women was not found. By univariate analyses, age older than 75 years, poor general health as measured by Activities of Daily Living, stroke, dementia, no participation in social activities, and lack of life worth living (Ikigai) were associated significantly with both urinary and fecal incontinence. In the multivariate analyses using logistic regression, age older than 75 years, poor general health, and stroke were independent risk factors for any type of incontinence. Diabetes was an independent risk factor for isolated fecal incontinence, and dementia and no participation in social activities were independent risk factors for double incontinence.
Incontinence of urine and feces is a prevalent condition among very old people living in the community in Japan and is associated highly with health and psychosocial conditions.
评估日本社区老年人群中尿失禁和大便失禁的患病率及危险因素。
基于人群的横断面研究。
1992年从大阪府摄津市随机抽取的1473名65岁及以上的老年人。
通过家访收集的数据用于评估尿失禁和大便失禁的患病率，并提供有关尿失禁和大便失禁潜在危险因素的信息。
共获得1405名老年人的数据，应答率为95.4%。任何程度尿失禁的患病率在男女中均为98/1000，承认有某种程度大便失禁的男性为87/1000，女性为66/1000。每天，分别有34/1000和20/1000的人群存在尿失禁和大便失禁。男女尿失禁和大便失禁的患病率均随年龄增长而增加，但未发现女性患病率预期更高的情况。单因素分析显示，年龄大于75岁、根据日常生活活动能力测量的总体健康状况差、中风、痴呆、不参与社会活动以及缺乏生活意义（生き甲斐）与尿失禁和大便失禁均显著相关。在使用逻辑回归的多因素分析中，年龄大于75岁、总体健康状况差和中风是任何类型失禁的独立危险因素。糖尿病是孤立性大便失禁的独立危险因素，痴呆和不参与社会活动是双重失禁的独立危险因素。
尿失禁和大便失禁在日本社区的高龄人群中普遍存在，且与健康和心理社会状况高度相关。
