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Relationship between urinary incontinence and quality of life of older persons in Malaysia
Author(s) -
Taufik Ramli Muhd H,
Lodz Noor Aliza,
Abdul Aziz Fazly Azry,
Maw Pin Tan,
Alias Nazirah,
Abdul Mutalip Mohd Hatta,
Sahril Norhafizah,
Kassim Mohd Shaiful Azlan,
Mat Rifin Halizah,
Muhammad Eida Nurhadzira
Publication year - 2020
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.14028
Subject(s) - medicine , urinary incontinence , quality of life (healthcare) , gerontology , life expectancy , bayesian multivariate linear regression , autonomy , population , physical therapy , regression analysis , nursing , environmental health , surgery , machine learning , computer science , political science , law
Aims As the Malaysian population is aging rapidly, there is an urgent need for an effective management plan for healthy aging, to extend life expectancy and to improve quality of life (QoL). Urinary incontinence (UI), which is common in older persons, is often linked to reduced QoL. This study aimed to determine the effects of UI on QoL among older persons in Malaysia. Methods This study was based on data obtained from 3716 Malaysians aged ≥60 years as part of the National Health and Morbidity Survey (NHMS) 2018. QoL was measured using the Control, Autonomy, Self‐realization and Pleasure 19‐item (CASP‐19) questionnaire. UI was measured using the Questionnaire Urinary Incontinence Diagnosis (QUID) score. Association between UI and QoL were examined using linear regression analysis, after controlling socio‐demographic variables and comorbidities. Results Overall, the prevalence of UI was 5.2%. By subtypes, the prevalence of stress UI and urge UI were both 2.0%, while that of mixed UI was 1.3%. The UI group rated their lives more negatively in all four domains of QoL compared with non‐UI group. Those who were incontinent had lower standardized scores on control and autonomy domains of CASP‐19 as well as total score. Results from linear regression analysis indicated that UI had a significantly negative impact on control and autonomy domains of QoL after controlling for socio‐demographic factors and comorbidities. Conclusion UI contributes to a significant reduction on QoL of older persons. Healthcare providers need to be sensitive in evaluating and discussing UI, particularly with their older patients. Geriatr Gerontol Int 2020; 20: 38–42 .