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Titolo:
TREATMENT SEEKING FOR URINARY-INCONTINENCE IN OLDER ADULTS
Autore:
BURGIO KL; IVES DG; LOCHER JL; ARENA VC; KULLER LH;
Indirizzi:
UNIV ALABAMA,SCH MED,DEPT MED,DIV GERONTOL GERIATR MED,135 HOLLY MEARS BLDG,920 19TH ST S BIRMINGHAM AL 35294 UNIV ALABAMA,CTR AGING BIRMINGHAM AL 00000 UNIV PITTSBURGH,GRAD SCH PUBL HLTH PITTSBURGH PA 00000
Titolo Testata:
Journal of the American Geriatrics Society
fascicolo: 2, volume: 42, anno: 1994,
pagine: 208 - 212
SICI:
0002-8614(1994)42:2<208:TSFUIO>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEALTH-SERVICES; PREVALENCE; SYMPTOMS; COMMUNITY; DISEASE; BELIEFS; WOMEN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social Sciences Citation Index
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
K.L. Burgio et al., "TREATMENT SEEKING FOR URINARY-INCONTINENCE IN OLDER ADULTS", Journal of the American Geriatrics Society, 42(2), 1994, pp. 208-212

Abstract

Objective: To examine treatment seeking for urinary incontinence among older adults and to identify characteristics associated with treatment-seeking behavior. Design: Survey. Setting: Five rural counties in northwestern Pennsylvania. Participants: 1104 community-dwelling ambulatory older adults aged 65 to 79 years with self-reported urinary incontinence. Participants were a subgroup of a large sample (n = 3884) whovolunteered for a study of health promotion services. Those who reported urinary incontinence within the past year, during an in-person health risk appraisal, were included in this analysis. Measurements: Reporting incontinence to the participant's physician was the main dependent measure. Main Results: 37.6% of the participants had told their physician about loss of urine. Reporting incontinence to a physician was strongly associated with severity of incontinence as indicated by eight measures (P < 0.001). Treatment seeking was also related to type of incontinence (P < 0.001), physical disability (P < 0.01), and the pattern of health care utilization (P < 0.01). In multiple logistic regression analyses, younger age, physical disability, and frequency of physical and rectal examinations had significant predictive value independent of severity. Not associated with treatment seeking were gender, marital status, income, employment status, educational level, and distance from health care provider. Conclusions: The majority of older adults with urinary incontinence do not report the condition to their doctor. Severity of incontinence, physical disability, and a pattern of regular health care utilization appear to be the strongest predictors of treatment-seeking behavior.

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Documento generato il 01/12/20 alle ore 08:14:26