title: Urinary incontinence among institutionalized oldest old Chinese men in Taiwan.
abstract: OBJECTIVE
  To explore prevalence and related factors for urinary incontinence (UI) among the oldest old institutionalized Chinese men in Taiwan.
  
  
  METHODS
  All residents living in Banciao Veterans Care Home were invited for study. UI was defined as urinary leakage at least once weekly. Additional data items from the Minimum Data Set (MDS Nursing Home Chinese Version 2.1) were used to explore impact associated with physical function, cognitive status and quality of life (social engagement, SocE). Depressive symptoms were screened by the Short Form Geriatric Depression Scale.
  
  
  RESULTS
  Data from 594 male residents (mean age: 80.9 +/- 5.3 years) were analyzed. Among all study subjects, 92.8% were functionally independent, 20.4% had certain cognitive impairment and 8.2% had depressive symptoms. The prevalence of UI in the Banciao Veterans Care Home was 10.1%. Compared with residents without UI, subjects with UI had poorer physical function, cognitive status, and more depressive symptoms. The mean SocE score was 1.5 +/- 1.3, and was similar between UI (+) and UI (-) subjects (1.4 +/- 1.2 vs. 1.6 +/- 1.3, P = 0.411). By multivariate logistic regression, poorer physical functional status, cognitive impairment and depressive symptoms were independent risk factors for UI (P < 0.05).
  
  
  CONCLUSIONS
  Poorer physical function, poorer cognitive status and depressive symptoms were all statistically significant independent risk factors for UI. However, SocE score (proxy indicator of quality of life) did not differ between subjects with and without UI. Further investigations are needed to evaluate the impact of UI on quality of life among oldest old institutionalized Chinese men in Taiwan.
authors.affiliation: Division of Allergy, Immunology and Rheumatology, Department of Internal Medicine, Taipei, Taiwan.
authors.forename: Yi-Ming
authors.initials: YM
authors.lastname: Chen
authors.forename: Shinn-Jang
authors.initials: SJ
authors.lastname: Hwang
authors.forename: Liang-Kung
authors.initials: LK
authors.lastname: Chen
authors.forename: Der-Yuan
authors.initials: DY
authors.lastname: Chen
authors.forename: Chung-Fu
authors.initials: CF
authors.lastname: Lan
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition / Q000502:physiology; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000150:complications / Q000523:psychology; D006801:Humans; D007297:Inpatients; D007326:Institutionalization; D016015:Logistic Models; D008297:Male; D009735:Nursing Homes; D011788:Quality of Life; D012307:Risk Factors; D012919:Social Behavior; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology; D014549:Urinary Incontinence / Q000453:epidemiology* / Q000523:psychology