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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
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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“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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Metadata
- 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
- 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 › Urology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Urology › 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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