title: Urinary incontinence in primary care: a comparison of older African-American and Caucasian women.
abstract: Urinary incontinence is a common problem for aging women. Little is known about urinary incontinence in nonwhite populations. A telephone survey was used to compare the prevalence and severity of urinary incontinence as well as common risk factors for urinary incontinence in 194 African-American (AA) and Caucasian (C) women over the age of 50 who made a visit to a primary care practice within the prior 2 years. A high prevalence of UI was found among these women (62%AA, 67%C), though no significant difference was noted among the two groups. More Caucasian women than African-American women reported symptoms of stress incontinence. For both groups, the use of HRT was associated with reporting urinary incontinence. Higher body mass index and prior hysterectomy was associated with urinary incontinence for African-American women only. For both groups, low rates of 'botheredness' (28%AA, 32%C) and treatment seeking (39%AA, 52%C) were found.
authors.affiliation: Departments of Family Medicine and Obstetrics/Gynecology, Jefferson Medical College, Philadelphia, PA, USA.
authors.forename: Karen D
authors.initials: KD
authors.lastname: Novielli
authors.forename: Zachary
authors.initials: Z
authors.lastname: Simpson
authors.forename: Ginger
authors.initials: G
authors.lastname: Hua
authors.forename: James J
authors.initials: JJ
authors.lastname: Diamond
authors.forename: Carmen
authors.initials: C
authors.lastname: Sultana
authors.forename: Nina
authors.initials: N
authors.lastname: Paynter
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data*; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D010865:Pilot Projects; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011336:Probability; D012042:Registries; D012307:Risk Factors; D012720:Severity of Illness Index; D014481:United States / Q000453:epidemiology; D014549:Urinary Incontinence / Q000175:diagnosis / Q000453:epidemiology*; D044465:White People / Q000706:statistics & numerical data*