Incidence and remission of urinary incontinence in a community-based population of women ≥ 50 years.
OBJECTIVE
The objective of the study was to determine incidence, remission, and predictors of change in urinary incontinence in women ≥ 50 in a racially diverse population.


METHODS
Subjects were women ≥ 50 with 4-year follow-up incontinence information in the Health and Retirement Study. Women with Any UI (AUI) and Severe UI (SVUI) were evaluated. Repeated measures logistic regression determined predictors of progression to and improvement of SVUI.


RESULTS
Women (11,591) were evaluated. AUI 4-year cumulative incidence was 12.7-33.8% (fifth vs. ninth decades). SVUI incidence was lower but also increased with age. Among the predictors of improvement in SVUI were age (ninth vs. fifth decade odds ratios (OR) = 6.06) and ethnicity (Black vs. White OR = 0.57). Improvement of SVUI (45.8% overall) decreased with age (ninth vs. fifth decade OR = 0.12).


CONCLUSIONS
SVUI incidence increased and remission decreased with age. Ethnicity and age predicted SVUI progression while age predicted improvement. Rates of the latter were high, particularly in younger patients.
Komesu
Yuko M
YM
Division of Female Pelvic Floor Disorders, Department of Obstetrics & Gynecology, University of New Mexico, Albuquerque, NM 87131-5286, USA. ykomesu@salud.unm.edu
Rogers
Rebecca G
RG
Schrader
Ronald M
RM
Lewis
Cindi M
CM
D000367:Age Factors; D044383:Black People / Q000706:statistics & numerical data*; D018450:Disease Progression; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008137:Longitudinal Studies; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D012075:Remission, Spontaneous; D012720:Severity of Illness Index; D014481:United States / Q000453:epidemiology; D014549:Urinary Incontinence / Q000453:epidemiology* / Q000208:ethnology; D044465:White People / Q000706:statistics & numerical data*; D001741:Black or African American