title: Sociodemographic and health indicators of older women with urinary incontinence: 2010 National Survey of Residential Care Facilities.
abstract: OBJECTIVE
  To describe the relationship between sociodemographic characteristics, health status, and urinary incontinence (UI) in older women (≥ 65) living in residential care facilities (RCFs).
  
  
  METHODS
  Cross-sectional, retrospective survey of a population-based sample, the 2010 National Survey of Residential Care Facilities (NSRCF).
  
  
  METHODS
  United States.
  
  
  METHODS
  Participants in the 2010 NSRCF (N = 8,094).
  
  
  METHODS
  Sociodemographic and health indicators associated with UI.
  
  
  RESULTS
  Data from 4,930 women were available for analysis, 44.6% of whom had UI. Statistically significant differences were found between the samples of continent women and incontinent women in marital status (P = .001), educational level (P = .04), and length of stay (P = .03). Significant differences were also found between continent and incontinent women in activity of daily living (ADL) scores (P < .001), overall health status (P < .001), and comorbidities (P < .001). The strongest association was severe impairment in ADLs (adjusted odds ratio (OR) = 21.59, 95% confidence interval (CI) = 16.07-29.01), followed by moderate impairment in ADLs (OR = 3.41, 95% CI = 2.61-4.44).
  
  
  CONCLUSIONS
  UI is highly prevalent in older women residing in RCFs and is associated with severe impairment in ADLs. A comprehensive assessment including physical function status or early detection in physically functional impairment in RCFs is suggested to prevent or delay onset of or improve existing UI.
authors.affiliation: Byrdine F. Lewis School of Nursing and Health Professions, Georgia State University, Atlanta, Georgia.
authors.forename: Jennie C
authors.initials: JC
authors.lastname: De Gagne
authors.affiliation: Department of Nursing, Gangneung-Wonju National University, Wonju, South Korea.
authors.forename: Aeyoung
authors.initials: A
authors.lastname: So
authors.affiliation: Department of Nursing, Institute of Health Science, Inje University, Busan, South Korea.
authors.forename: Jina
authors.initials: J
authors.lastname: Oh
authors.affiliation: School of Nursing, University of North Carolina, Chapel Hill, North Carolina.
authors.forename: Sunah
authors.initials: S
authors.lastname: Park
authors.affiliation: School of Nursing, University of North Carolina, Chapel Hill, North Carolina.
authors.forename: Mary H
authors.initials: MH
authors.lastname: Palmer
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006304:Health Status; D006801:Humans; D012112:Residential Facilities / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D014549:Urinary Incontinence / Q000453:epidemiology*