Prevalence of faecal incontinence in community-dwelling older people in Bali, Indonesia.
OBJECTIVE
To explore the prevalence rate of faecal incontinence in community-dwelling older people, associated factors, impact on quality of life and practices in managing faecal incontinence.


METHODS
Using a cross-sectional design, 600 older people aged 60+ were randomly selected from a population of 2916 in Bali, Indonesia using a simple random sampling technique. Three hundred and three participants were interviewed (response rate 51%).


RESULTS
The prevalence of faecal incontinence was 22.4% (95% confidence interval (CI) 18.0-26.8). Self-reported constipation (odds ratio (OR) 3.68, 95% CI 1.87-7.24) and loose stools (OR 2.66, 95% CI 1.47-4.78) were significantly associated with faecal incontinence. There was a strong positive correlation between total bowel control score and total quality-of-life score (P < 0.001, rs = 0.61) indicating significant alterations in quality of life. The current management practices varied from changing diet, visiting health-care professionals, and using modern and traditional medicines.


CONCLUSIONS
Faecal incontinence is common among community-dwelling older people in Bali.
Stikes Bali, Denpasar, Bali, Indonesia.|School of Nursing and Midwifery, Flinders University, Bedford Park, South Australia, Australia.
I Gede Putu Darma
IG
Suyasa
School of Nursing and Midwifery, Flinders University, Bedford Park, South Australia, Australia.
Lily Dongxia
LD
Xiao
Silver Chain Group, Adelaide, South Australia, Australia.
Penelope Ann
PA
Lynn
eResearch@Flinders, Flinders University, Bedford Park, South Australia, Australia.
Pawel Piotr
PP
Skuza
School of Nursing and Midwifery, Flinders University, Bedford Park, South Australia, Australia.
Jan
J
Paterson
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D003672:Defecation; D005242:Fecal Incontinence / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology / Q000523:psychology; D005260:Female; D006306:Health Surveys; D006801:Humans; D057187:Independent Living; D007214:Indonesia / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D015995:Prevalence; D011788:Quality of Life; D012307:Risk Factors; D011795:Surveys and Questionnaires
Indonesia; epidemiology; faecal incontinence; quality of life; risk factor.