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Study objectives: Design and setting: Main results: Conclusion: Key words: urinary incontinence; dementia; institutionalization; community-institutional relations Urinary incontinence is a prevalent condition among the elderly, and is associated with age, dementia, and ambulatory function. Although incontinence is highly prevalent among institutionalized persons, the majority of persons with incontinence live in the community. Overall, 16.9% of the women and 8.0% of the men reported incontinence, the numbers for daily incontinence were 7.0% and 5.2% respectively. The prevalence increased by age, severity of dementia, and decreasing ambulatory function. It is calculated that 69% of elderly men and 73% of elderly women with any incontinence live in the community. 31% of the male and 32% of the female patients have some kind or severity of dementia, and 21% of the men and 27% of the women have decreased ambulatory function. One half of the persons with incontinence live in the community, with no cognitive or ambulatory impairment. Population based multi-centre survey with stratified random sampling all over Canada. Randomly selected persons aged 65 and over were interviewed. Those having cognitive impairment (n=1614), a randomly selected sample of those without (n=731) and an institutional sample (n=1255) underwent clinical assessment. Data from The Canadian Study of Health and Aging are analysed for prevalence of urinary incontinence, and its association with dementia, ambulatory function, and institutionalization. ABSTRACT

The prevalence of urinary incontinence in elderly Canadians and its association with dementia, ambulatory function, and institutionalization