Sex Differences in Lower Urinary Tract Symptoms in Older Korean Adults Living in Rural Areas: Prevalence, Quality of Life, and Associated Factors
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Purpose: Urinary incontinence (UI) is associated with nursing home admission, functional decline, and risk of death among community-dwelling older adults. Little information, however, is available on sex differences in lower urinary tract symptoms (LUTS) in older Korean adults exclusively living in rural areas. This study examined sex-related differences in LUTS, factors associated with UI in older adults living in rural areas, and health-related quality of life (HRQoL) in incontinent older adults. Methods: This was a cross-sectional study in which face-to-face interviews were conducted at 15 rural community-health centres. A total of 323 older adults aged ≥65 years from rural areas of Korea participated. LUTS prevalence was evaluated and HRQoL was measured using the King’s Health Questionnaire. The chi-square test and t -test were used to examine sex differences in characteristics, LUTS, and HRQoL. Multivariable logistic regression was used to identify risk factors associated with UI. Results: Nocturia was the most prevalent symptom, affecting 87% of men and 86% of women. Women (53%) had significantly more UI of any kind than did men (35%) (P=0.007). Urgency UI was the most frequent type of UI in men, whereas stress UI was the most frequent in women. Regarding HRQoL, men had significantly higher scores in the domains of sleep/energy disturbances (P=0.032) than did women, and women reported greater effects from the severity of incontinence (P=0.001) than did men. Arthritis was the only factor associated with UI in men (odds ratio [OR], 6.88; 95% confidence interval [CI], 1.46– 32.36). However, women with diabetes mellitus were less likely to have UI than those without (OR, 0.43; 95% CI, 0.23–0.82). Conclusions: LUTS were found to be highly prevalent in community-dwelling older Korean adults in rural areas. Interventions to improve sleep and to reduce UI severity are needed for incontinent men and women, respectively.
Abstract
Purpose: Urinary incontinence (UI) is associated with nursing home admission, functional decline, and risk of death among community-dwelling older adults. Little information, however, is available on sex differences in lower urinary tract symptoms (LUTS) in older Korean adults exclusively living in rural areas. This study examined sex-related differences in LUTS, factors associated with UI in older adults living in rural areas, and health-related quality of life (HRQoL) in incontinent older adults. Methods: This was a cross-sectional study in which face-to-face interviews were conducted at 15 rural community-health centres. A total of 323 older adults aged ≥65 years from rural areas of Korea participated. LUTS prevalence was evaluated and HRQoL was measured using the King’s Health Questionnaire. The chi-square test and t -test were used to examine sex differences in characteristics, LUTS, and HRQoL. Multivariable logistic regression was used to identify risk factors associated with UI. Results: Nocturia was the most prevalent symptom, affecting 87% of men and 86% of women. Women (53%) had significantly more UI of any kind than did men (35%) (P=0.007). Urgency UI was the most frequent type of UI in men, whereas stress UI was the most frequent in women. Regarding HRQoL, men had significantly higher scores in the domains of sleep/energy disturbances (P=0.032) than did women, and women reported greater effects from the severity of incontinence (P=0.001) than did men. Arthritis was the only factor associated with UI in men (odds ratio [OR], 6.88; 95% confidence interval [CI], 1.46– 32.36). However, women with diabetes mellitus were less likely to have UI than those without (OR, 0.43; 95% CI, 0.23–0.82). Conclusions: LUTS were found to be highly prevalent in community-dwelling older Korean adults in rural areas. Interventions to improve sleep and to reduce UI severity are needed for incontinent men and women, respectively.
참고문헌 (26)
- [URL]
- Irwin DE, "Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study", Eur Urol, 50, pp.1306~1314 (2006)[DOI]
- Lee YS, "Prevalence of overactive bladder, urinary incontinence, and lower urinary tract symptoms: results of Korean EPIC study", World J Urol, 29, pp.185~190 (2011)[DOI]
- Abrams P, "The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society", Urology, 61, pp.37~49 (2003)[DOI]
- Holroyd-Leduc JM, "Urinary incontinence and its association with death, nursing home admission, and functional decline", J Am Geriatr Soc, 52, pp.712~718 (2004)[DOI]
- Coyne KS, "The impact on health-related quality of life of stress, urge and mixed urinary incontinence", BJU Int, 92, pp.731~735 (2003)[DOI]
- Tae Hui Kim, "Korean Version of Mini Mental Status Examination for Dementia Screening and Its Short Form", PSYCHIATRY INVESTIGATION, 7(2), pp.102~108 (2010), 대한신경정신의학회
- 오승준, "King's Health Questionnaire의 한국어 번역 및 번역본의 언어 타당도", Investigative and Clinical Urology, 46(5), pp.438~450 (2005), 대한비뇨의학회
- Kelleher CJ, "A new questionnaire to assess the quality of life of urinary incontinent women", Br J Obstet Gynaecol, 104, pp.1374~1379 (1997)[DOI]
- Zhang L, "A populationbased survey of the prevalence, potential risk factors, and symptom- specific bother of lower urinary tract symptoms in adult chinese women", Eur Urol, 68, pp.97~112 (2015)[DOI]
- Gavira Iglesias FJ, "Prevalence and psychosocial impact of urinary incontinence in older people of a Spanish rural population", J Gerontol A Biol Sci Med Sci, 55, pp.M207~M214 (2000)[DOI]
- Maggi S, "Prevalence rate of urinary incontinence in community-dwelling elderly individuals: the Veneto study", J Gerontol A Biol Sci Med Sci, 56, pp.M14~M18 (2001)[DOI]
- Tennstedt SL, "Prevalence of and risk factors for urine leakage in a racially and ethnically diverse population of adults: the Boston Area Community Health (BACH) Survey", Am J Epidemiol, 167, pp.390~399 (2008)[DOI]
- Kwong PW, "Urinary incontinence and quality of life among older community-dwelling Australian men: the CHAMP study", Age Ageing, 39, pp.349~354 (2010)[DOI]
- Jackson RA, "Urinary incontinence in elderly women: findings from the Health, Aging, and Body Composition Study", Obstet Gynecol, 104, pp.301~307 (2004)[DOI]
- Schreiber Pedersen L, "Predictors and reasons for help-seeking behavior among women with urinary incontinence", Int Urogynecol J, 29, pp.521~530 (2018)
- Hawkins K, "The prevalence of urinary incontinence and its burden on the quality of life among older adults with medicare supplement insurance", Qual Life Res, 20, pp.723~732 (2011)[DOI]
- Kasikci M, "Prevalence of urinary incontinence in older Turkish women, risk factors, and effect on activities of daily living", Arch Gerontol Geriatr, 61, pp.217~223 (2015)[DOI]
- Teo JS, "Do sleep problems or urinary incontinence predict falls in elderly women?", Aust J Physiother, 52, pp.19~24 (2006)[DOI]
- 박정옥, "Factors Associated With Self-reported and Medically Diagnosed Urinary Incontinence Among Community-Dwelling Older Women In Korea", International Neurourology Journal, 19(2), pp.99~106 (2015), 대한배뇨장애요실금학회
- Okamura K, "Reliability and validity of the King's Health Questionnaire for lower urinary tract symptoms in both genders", BJU Int, 103, pp.1673~1678 (2009)[DOI]
- Obayashi K, "Quantitative association between nocturnal voiding frequency and objective sleep quality in the general elderly population: the HEIJO-KYO cohort", Sleep Med, 16, pp.577~582 (2015)[DOI]
- Asplund R, "Obesity in elderly people with nocturia: cause or consequence?", Can J Urol, 14, pp.3424~3428 (2007)
- Cameron AP, "Baseline lower urinary tract symptoms in patients enrolled in LURN: a prospective, observational cohort study", J Urol, 199, pp.1023~1031 (2018)[DOI]
- Polit DF, "Nursing research: generating and assessing evidence for nursing practice" (2017), Wolters Kluwer
- Chiarelli P, "Urinary incontinence: the last taboo?", Aust J Rural Health, 12, pp.277~278 (2004)[DOI]