title: Prevention of Incontinence-Associated Skin Damage in Nursing Homes.
abstract: Racial/ethnic disparities in preventing health problems have been reported in nursing homes. Incontinence is common among nursing home residents and can result in inflammatory-type skin damage, referred to as incontinence-associated skin damage (IASD). Little is known about the prevention of IASD and whether there are racial/ethnic disparities in its prevention. This study assessed the proportion of older nursing home residents receiving IASD prevention after developing incontinence after admission ( n = 10,713) and whether there were racial/ethnic disparities in IASD prevention. Predictors of preventing IASD were also examined. Four national data sets provided potential predictors at multiple levels. Disparities were analyzed using the Peters-Belson method; predictors of preventing IASD were assessed using hierarchical logistic regression. Prevention of IASD was received by 0.12 of residents and no racial/ethnic disparities were found. Predictors of preventing IASD were primarily resident-level factors including limitations in activities of daily living, poor nutrition, and more oxygenation problems.
authors: 1 University of Minnesota School of Nursing, Minneapolis, MN, USA.
authors: Donna Z
authors: DZ
authors: Bliss
authors: 1 University of Minnesota School of Nursing, Minneapolis, MN, USA.
authors: Olga V
authors: OV
authors: Gurvich
authors: 1 University of Minnesota School of Nursing, Minneapolis, MN, USA.
authors: Michelle A
authors: MA
authors: Mathiason
authors: 2 School of Public Health Division of Biostatistics, University of Minnesota, Minneapolis, MN, USA.
authors: Lynn E
authors: LE
authors: Eberly
authors: 1 University of Minnesota School of Nursing, Minneapolis, MN, USA.
authors: Kay
authors: K
authors: Savik
authors: 1 University of Minnesota School of Nursing, Minneapolis, MN, USA.|3 College of Pharmacy, University of Minnesota, Minneapolis, MN, USA.
authors: Susan
authors: S
authors: Harms
authors: 1 University of Minnesota School of Nursing, Minneapolis, MN, USA.
authors: Christine
authors: C
authors: Mueller
authors: 1 University of Minnesota School of Nursing, Minneapolis, MN, USA.
authors: Jean F
authors: JF
authors: Wyman
authors: 4 School of Public Health Division of Health Services Research and Policy, University of Minnesota, Minneapolis, MN, USA.
authors: Beth
authors: B
authors: Virnig
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003872:Dermatitis / Q000209:etiology / Q000517:prevention & control*; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D009735:Nursing Homes; D044469:Racial Groups / Q000706:statistics & numerical data; D012307:Risk Factors; D014549:Urinary Incontinence / Q000150:complications*
keywords: dermatitis; disparities; incontinence; nursing homes