Prevalence of Stress and Urge Urinary Incontinence and Its Associated Factors Among Elderly in Malaysia

Fazly Azry, Noor Aliza Lodz, Nazirah Alias, Aznuddin Ab Razak, Nik Adilah, Noor Ani Ahmad, Rajini Sooryanarayana, Tan Maw Pin: Prevalence of Stress and Urge Urinary Incontinence and Its Associated Factors Among Elderly in Malaysia. 2019, (Type: POSTER PRESENTATION; Organisation: Institute of Public Health, Ministry of Health, University of Malaya).

Abstract

INTRODUCTION: Urinary incontinence is considered a geriatric colossal. This study aims to determine the prevalence and associated factors for stress and urge urinary incontinence among older persons in Malaysia. METHODS: Data was extracted from Malaysia`s National Health and Morbidity Survey 2018 which comprised a representative nationwide sample. The Malay and English Language versions of the Questionnaire for Urinary Incontinence Diagnosis (QUID) was used to identify both stress and urge urinary incontinence which were administered through face to face interviews. The QUID contains three stress and three urge questions with a maximum score of 15 for each component. Cut off scores for stress and urge urinary incontinence were ?4 and ?6 respectively. Descriptive analyses and multiple linear regression were employed. RESULTS: 3716 individuals aged 60 years and above completed QUID. Overall prevalence of stress incontinence was 2.9% and urge incontinence was present in 3.4%. Univariate analysis revealed depression, age and female gender were associated with stress incontinence. Depression (aOR:3.92, 95%CI: 2.58, 5.97) and female gender (aOR:2.91, 95%CI: 1.88, 4.50) remained significant after adjustment of age in a multivariate model. Similarly, dementia, depression and increasing age were associated with increased of urge incontinence in univariate analyses. Dementia (aOR:1.92, 95%CI: 1.20, 3.06) and depression (aOR:4.83, 95%CI: 3.22, 7.25) remained significant after adjustment for age in a multivariate model. CONCLUSION: Risk factors for urinary incontinence differ according to stress or urge symptoms. However, depression is associated with both stress and urge incontinence. Effective treatment for urinary incontinence may also reduced the burden of depressive symptoms.

    BibTeX (Download)

    @proceedings{APCPH-2019-248,
    title = {Prevalence of Stress and Urge Urinary Incontinence and Its Associated Factors Among Elderly in Malaysia},
    author = {Fazly Azry and Noor Aliza Lodz and Nazirah Alias and Aznuddin Ab Razak and Nik Adilah and Noor Ani Ahmad and Rajini Sooryanarayana and Tan Maw Pin},
    year  = {2019},
    date = {2019-07-22},
    urldate = {2019-07-22},
    journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
    issue = {6},
    abstract = {INTRODUCTION: Urinary incontinence is considered a geriatric colossal. This study aims to determine the prevalence and associated factors for stress and urge urinary incontinence among older persons in Malaysia. METHODS: Data was extracted from Malaysia`s National Health and Morbidity Survey 2018 which comprised a representative nationwide sample. The Malay and English Language versions of the Questionnaire for Urinary Incontinence Diagnosis (QUID) was used to identify both stress and urge urinary incontinence which were administered through face to face interviews. The QUID contains three stress and three urge questions with a maximum score of 15 for each component. Cut off scores for stress and urge urinary incontinence were ?4 and ?6 respectively. Descriptive analyses and multiple linear regression were employed. RESULTS: 3716 individuals aged 60 years and above completed QUID. Overall prevalence of stress incontinence was 2.9% and urge incontinence was present in 3.4%. Univariate analysis revealed depression, age and female gender were associated with stress incontinence. Depression (aOR:3.92, 95%CI: 2.58, 5.97) and female gender (aOR:2.91, 95%CI: 1.88, 4.50) remained significant after adjustment of age in a multivariate model. Similarly, dementia, depression and increasing age were associated with increased of urge incontinence in univariate analyses. Dementia (aOR:1.92, 95%CI: 1.20, 3.06) and depression (aOR:4.83, 95%CI: 3.22, 7.25) remained significant after adjustment for age in a multivariate model. CONCLUSION: Risk factors for urinary incontinence differ according to stress or urge symptoms. However, depression is associated with both stress and urge incontinence. Effective treatment for urinary incontinence may also reduced the burden of depressive symptoms.},
    note = {Type: POSTER PRESENTATION; Organisation: Institute of Public Health, Ministry of Health, University of Malaya},
    keywords = {older persons, QUID questionnaire, urinary incontinence},
    pubstate = {published},
    tppubtype = {proceedings}
    }