title: Attitudes toward urinary incontinence among community nurses and community-dwelling older people.
abstract: OBJECTIVE
  The purpose of this study was to describe attitudes toward urinary incontinence among nurses and community-dwelling older people.
  
  
  METHODS
  Random samples of 100 community-dwelling persons older than 60 years and 100 nurses practicing in community health service centers were invited to participate in the study set in Shanghai, People's Republic of China.
  
  
  METHODS
  A descriptive cross-sectional design was used to gather self-report data for this study.
  
  
  METHODS
  The UI Attitude Scale (UIAS) was used to measure attitudes toward UI.
  
  
  RESULTS
  The response rate was 100% for all groups. Most respondents indicated that family support was important in dealing with UI (98% nurses, 83% older people), and UI is preventable (63% nurses, 56% older people). Nurses were more likely to perceive that UI can be effectively treated (92% vs 76% older people, P = .002), managed (91% vs 76% older people, P = .004) and hinders social interactions (88% vs 73% older people, P = .007) than community-dwelling adults. Older persons were more likely to perceive UI as shameful (32% vs 6% nurses, P = .000), their own fault (44% vs 4% nurse, P = .000), and frustrating to be taken care of (54% vs 15% nurses, P = .000). Older persons with UI were more unwilling to talk about incontinence(45% vs 17% nurses, P .000), and more often considered UI not serious enough to warrant treatment (29% vs 2% nurses, P = .000).
  
  
  CONCLUSIONS
  The findings indicated a greater need for community education program on UI among community nurses and older people in China. Strategies to alter attitudes toward UI should be explored.
authors.affiliation: School of Health Sciences, Macao polytechnic Institute, Macao. hbyuan@ipm.edu.mo
authors.forename: Hao Bin
authors.initials: HB
authors.lastname: Yuan
authors.forename: Beverly A
authors.initials: BA
authors.lastname: Williams
authors.forename: Ming
authors.initials: M
authors.lastname: Liu
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D005260:Female; D015577:Geriatric Assessment; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D057187:Independent Living; D008256:Macau; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners; D012111:Residence Characteristics; D018570:Risk Assessment; D012648:Self Care / Q000379:methods*; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000451:nursing* / Q000523:psychology*