Prevalence and Conditions of Urinary Incontinence among the Elderly

Abstract

In Japan, elderly disorders and diseases have markedly increased in recent years, because of rapid aging and an increasing number of older persons. The situation is creating serious social and community problems. These disorders, particularly dysuria and urinary incontinence (UI), disturb the quality of life (QOL) in latelife. Few reports on UI have been published, but precise investigation into the community level remains to be made. Our presentation is the development, implementation and evaluation of elderly UI in Kumamoto Prefecture. This study includes 2,304 people (male: 856, female: 1,448), over 65 years of age, living in two different communities; one is an urban (K) and the other is a typical rural area (S). The rate of UI was in homebound elderly persons, male: 4.7%, female: 11.3%, and in nursing home residents, male: 16.2%, female: 23.2%. The condition of UI was: almost Urinary Urgency in male (61.5%), and Stress Incontinence (such as, caused by coughing, sneezing, and exercise) in female (46.3%). The influence of UI on the activity of daily life was investigated. Most of the male cases were giving concerns for family and community. In contrast, females hesited to participate in group excursions and outdoor exercise, and had a tendency to live alone or indoors. However, most persons (81.5%) with UI did not visit a physician. From this investigation, we conclude that a community health care program and public support system are essential for proper understanding and solution of the elderly UI problem.

Keywords

Urinary Incontinence - Quality of Live - Community Health Care

• REFERENCES

• 1 National Institutes of Health. Urinary incontinence in adults. Conn Med 1989; 53: 534-42.
• 2 Thomas TM, Plymat KR, Blani J. et al. Prevalence of urinary incontinence. Br Med J 1980; 281: 1243-5.
• 3 Vetter NJ, Jones DA, Victor CR. Urinary incontinence in the elderly at home. Lancet 1981; 2: 1275-7.
• 4 Diokno AC, Brock BM, Brown MB. et al. Prevalence of urinary incontinence and other urological symptoms in the non institutionalized elderly. J Urol 1986; 136: 1022-5.
• 5 Koyano W, Shibata H, Haga H, Suyama Y. Incontinence and its outcome in the elderly living at home, five-year follow up. Jap J Public Health 1986; 33: 11-6.