Urinary incontinence in primary care: a comparison of older African-American and Caucasian women

Urinary incontinence is a common problem for aging women. Little is known about urinary incontinence in nonwhite populations. A telephone survey was used to compare the prevalence and severity of urinary incontinence as well as common risk factors for urinary incontinence in 194 African-American (AA...

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Bibliographic Details
Published in:International urology and nephrology 2003, Vol.35 (3), p.423-428
Main Authors: Novielli, Karen D, Simpson, Zachary, Hua, Ginger, Diamond, James J, Sultana, Carmen, Paynter, Nina
Format: Article
Language:English
Subjects:
African Americans - statistics & numerical data
Age Distribution
Aged
Aged, 80 and over
European Continental Ancestry Group - statistics & numerical data
Female
Geriatric Assessment
Humans
Pilot Projects
Prevalence
Primary Health Care - statistics & numerical data
Probability
Registries
Risk Factors
Severity of Illness Index
United States - epidemiology
Urinary Incontinence - diagnosis
Urinary Incontinence - epidemiology
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Summary:Urinary incontinence is a common problem for aging women. Little is known about urinary incontinence in nonwhite populations. A telephone survey was used to compare the prevalence and severity of urinary incontinence as well as common risk factors for urinary incontinence in 194 African-American (AA) and Caucasian (C) women over the age of 50 who made a visit to a primary care practice within the prior 2 years. A high prevalence of UI was found among these women (62%AA, 67%C), though no significant difference was noted among the two groups. More Caucasian women than African-American women reported symptoms of stress incontinence. For both groups, the use of HRT was associated with reporting urinary incontinence. Higher body mass index and prior hysterectomy was associated with urinary incontinence for African-American women only. For both groups, low rates of 'botheredness' (28%AA, 32%C) and treatment seeking (39%AA, 52%C) were found.
ISSN:0301-1623
1573-2584
DOI:10.1023/B:UROL.0000022868.73066.9a