Objective: To determine whether mortality is independently associated
with urinary incontinence. Design: 6-year prospective study that start
ed in 1983/84. Setting: A Midwestern County. Participants: Probability
sample of 1956 community-residing persons 60 years of age and older i
n 1983/84. Measurements: The independent variables of urinary incontin
ence, its types and severity, were measured by survey self-report, whi
ch was validated with clinical exams. The control variables of age, ed
ucation, and health status were also self-reported. The dependent vari
able of death was established during follow-up interviews from reports
of previously designated contact persons. Results: Neither incontinen
ce status nor its severity level or types were found to be positively
associated with 6-year mortality in logistic regression analyses that
adjusted for age, education, and health status. Conclusion: Whereas ur
inary incontinence can be an embarrassing and socially debilitating co
ndition, it does not itself predict or contribute to mortality.