Prevalence of and Risk Factors for Urine Leakage in a Racially and Ethnically Diverse Population of Adults: The Boston Area Community Health (BACH) Survey

Tennstedt, S. L.; Link, C. L.; Steers, W. D.; McKinlay, J. B.

doi:10.1093/aje/kwm356

Cited by 222Urinary Bladder and Prostate ResearchPelvic floor disorders treatmentsUrinary Tract Infections Management

Prevalence of and Risk Factors for Urine Leakage in a Racially and Ethnically Diverse Population of Adults: The Boston Area Community Health (BACH) Survey

Tennstedt, S. L., Link, C. L., Steers, W. D., McKinlay, J. B.·2008·American Journal of Epidemiology

DOI 10.1093/aje/kwm356

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Abstract

Most epidemiologic studies of urine leakage in the United States report on women and White populations. In this study, the authors determined the prevalence of urine leakage across genders and racial/ethnic groups in a population-based sample of 5,506 adults aged 30-79 years and identified factors related to leakage within genders and racial/ethnic groups. The prevalence of weekly urine leakage was 8% overall, 10.4% in women, and 5.3% in men. White women (11.7%) were more likely than Black (9.4%) and Hispanic (7.3%) women to report weekly leakage and to report stress-type (35.4% vs. 9.4% and 14.5%, respectively) and urge-type (13.4% vs. 3.3% and 10.8%, respectively) leakage. Rates and leakage types for men did not vary by race/ethnicity. For women, central obesity, asthma, and arthritis increased the odds of weekly leakage. For men, the odds of leakage increased for Blacks and Whites at ages 50 and 60 years, respectively, and for Hispanics of higher social class. For both genders, various comorbid conditions, including heart disease, asthma, and depression, increased the odds of leakage in varying racial/ethnic groups. The authors conclude that types of and risk factors for urine leakage vary by gender and racial/ethnic group.

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Prior studies disagree on which specific comorbidities are linked to UI, but a greater number of comorbidities is associated with worsening incontinence.
“These studies show that while there is lack of consistency across studies as to which specific co-morbidities are associated with urinary incontinence, increasing number of co-morbidities is associated with worsening incontinence.”
From Urinary incontinence and disability in community-dwelling women: A cross-sectional study: Urinary Incontinence and Disability in Ambulatory Women (2015) · cites this paper as [17]

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The Effects of Severity of Urine Leakage on Quality of Life in Hispanic, White, and Black Men and Women: The Boston Community Health Survey
Tennstedt, S. L., Chiu, G. R., Link, C. L., Litman, H. J., Kusek, J. W., & McKinlay, J. B. (2009) · Urology · doi:10.1016/j.urology.2009.08.019 · Cited by 28 · see citing works
Self-citation
Establishing the Prevalence of Incontinence Study: Racial Differences in Women’s Patterns of Urinary Incontinence
Fenner, D. E., Trowbridge, E. R., Patel, D. L., Fultz, N. H., Miller, J. M., Howard, D., & DeLancey, J. O. L. (2008) · The Journal of Urology · doi:10.1016/j.juro.2007.11.051 · Cited by 92 · see citing works

Authors: Tennstedt, S. L., Link, C. L., Steers, W. D., & McKinlay, J. B.
Affiliations: New England Research Institutes (US)
University of Virginia Health System (US)
Venue: American Journal of Epidemiology
Publisher: Oxford University Press (OUP)
Published: 2008-01-07
Volume: 167
Issue: 4
Pages: 390-399
ISSN: 0002-9262 (ISSN-L)
1476-6256
DOI: 10.1093/aje/kwm356
OpenAlex: W2098468480
Cited by: 222
References: 58
Citations by year: 2026: 2 · 2025: 5 · 2024: 8 · 2023: 13 · 2022: 13 · 2021: 9 · 2020: 10 · 2019: 10 · 2018: 15 · 2017: 10 · 2016: 9 · 2015: 12 · 2014: 13 · 2013: 20 · 2012: 17
FWCI: 22.11
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Epidemiology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Diabetes and Digestive and Kidney Diseases (DK56842)
Topics: Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Health Sciences › Medicine › Epidemiology › Urinary Tract Infections Management
Keywords: urinary incontinence, prevalence, risk factors, racial and ethnic differences, gender differences, stress urinary incontinence, urge urinary incontinence, abdominal obesity, asthma, arthritis, comorbidities, social class, adults
MeSH terms: Adult, Age Factors, Aged, Arthritis, Asthma, Black or African American, Boston, Depression, Female, Health Surveys, Heart Diseases, Hispanic or Latino, Humans, Male, Middle Aged, Obesity, Surveys and Questionnaires, Regression Analysis, Risk Factors, Sex Factors, Urinary Incontinence, Prevalence, Cluster Analysis, Odds Ratio, White People

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Prevalence of and Risk Factors for Urine Leakage in a Racially and Ethnically Diverse Population of Adults: The Boston Area Community Health (BACH) Survey

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