URINARY-INCONTINENCE IN A COMMUNITY-BASED COHORT - PREVALENCE AND HEALTH-CARE-SEEKING

OBJECTIVE: To estimate the prevalence of urinary incontinence and to a ssess care-seeking behavior for urinary symptoms among community-dwell ing people. DESIGN: A community-based cross-sectional study. SETTING: Randomly selected men and women from Olmsted County, Minnesota. PARTIC IPANTS: Two cohorts, one comprised of both men (n = 778) and women (n = 762) 50 years of age or older and a second comprised of men aged 40 years or older (n = 2150). MEASUREMENTS: Participants completed questi onnaires assessing urinary incontinence in the previous 12 months, the number of days leaked, the amount leaked, and healthcare-seeking meas ures for urinary symptoms. RESULTS: In the first cohort, the prevalenc e of incontinence was 24% in men and 49% in women; 29% of men and 13% of women with incontinence had sought care for urinary symptoms. Urina ry incontinence was more strongly associated with care-seeking measure s for urinary symptoms in men (Odds Ratio (OR) = 4.3, 95% Confidence I nterval (CI) = 2.4, 8.0) than in women (OR = 2.1, 95% CI = 1.2, 3.9). Moderate or severe urinary incontinence was associated significantly w ith care-seeking for urinary symptoms (OR = 10.5, 95% CI = 5.6, 19.8). In the second cohort, the prevalence of urinary incontinence was 17.3 %; 8.5% of men with incontinence had sought care for urinary symptoms. Men with incontinence were 1.2 times (95% CI =.8, 1.9) as likely to s eek care for urinary symptoms as men without incontinence. CONCLUSION: Our findings indicate that although urinary incontinence is relativel y common in the community, care-seeking for urinary symptoms among per sons with urinary incontinence is low, particularly among women, for w hom the prevalence exceeds 40% between the ages of 50 and 70 years. Th ese findings suggest that strategies to promote care-seeking for incon tinence need to be investigated and employed in the community.