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Differences in resident characteristics and prevalence of urinary incontinence in nursing homes in the southeastern United States.
Nurs Res. 2007 Mar-Apr; 56(2):97-107.NR

Abstract

BACKGROUND

Relatively little is known about differences in the prevalence of urinary incontinence (UI) by race and region in the United States.

OBJECTIVES

To use the 1999-2002 Centers for Medicare and Medicaid Services (CMS) Minimum Data Set (MDS), Atlanta Region, to investigate the prevalence of UI among African American and Caucasian residents of nursing homes (NH) in the southeastern United States.

METHODS

A repeated-measures, two time-period design was employed. Data for 95,911 residents in 7,640 NH were extracted using the study's inclusion and exclusion criteria. Residents' admission and annual assessment records were accessed; UI presence and relevant indicators were captured; and admission and postadmission UI prevalence rates were determined by region, state, race, and gender. Logistic regression, adjusting for residents' demographics, morbidity status, bed mobility, and cognitive and functional statuses, was conducted also.

RESULTS

The majority of residents were Caucasian (82.4%) and women (76.5%) with mean (+/-SD) age of 82.7 +/- 7.58 years. Regional UI prevalence was 65.4% at admission and 74.3% postadmission. Postadmission, 73.5% of Caucasian and 78.1% of African Americans were incontinent. Similarly, 72.2% of men and 75% of women were incontinent. For African Americans postadmission, adjusted odds of UI were OR = 1.07 (95% CI: 1.01, 1.14).

DISCUSSION

Prevalence of UI was high in this region and the odds of UI was significantly higher among African Americans in two of eight states, suggesting racial disparity in this condition in these states. Factors contributing to this disparity should be explored to increase quality care to vulnerable populations.

Authors+Show Affiliations

The Institute for Health, Social and Community Research, Shaw University, Raleigh, North Carolina 27601, USA. jboyington@shawu.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

17356440

Citation

Boyington, Josephine E A., et al. "Differences in Resident Characteristics and Prevalence of Urinary Incontinence in Nursing Homes in the Southeastern United States." Nursing Research, vol. 56, no. 2, 2007, pp. 97-107.
Boyington JE, Howard DL, Carter-Edwards L, et al. Differences in resident characteristics and prevalence of urinary incontinence in nursing homes in the southeastern United States. Nurs Res. 2007;56(2):97-107.
Boyington, J. E., Howard, D. L., Carter-Edwards, L., Gooden, K. M., Erdem, N., Jallah, Y., & Busby-Whitehead, J. (2007). Differences in resident characteristics and prevalence of urinary incontinence in nursing homes in the southeastern United States. Nursing Research, 56(2), 97-107.
Boyington JE, et al. Differences in Resident Characteristics and Prevalence of Urinary Incontinence in Nursing Homes in the Southeastern United States. Nurs Res. 2007 Mar-Apr;56(2):97-107. PubMed PMID: 17356440.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differences in resident characteristics and prevalence of urinary incontinence in nursing homes in the southeastern United States. AU - Boyington,Josephine E A, AU - Howard,Daniel L, AU - Carter-Edwards,Lori, AU - Gooden,Kyna M, AU - Erdem,Nurum, AU - Jallah,Yhenneko, AU - Busby-Whitehead,Jan, PY - 2007/3/16/pubmed PY - 2007/4/21/medline PY - 2007/3/16/entrez SP - 97 EP - 107 JF - Nursing research JO - Nurs Res VL - 56 IS - 2 N2 - BACKGROUND: Relatively little is known about differences in the prevalence of urinary incontinence (UI) by race and region in the United States. OBJECTIVES: To use the 1999-2002 Centers for Medicare and Medicaid Services (CMS) Minimum Data Set (MDS), Atlanta Region, to investigate the prevalence of UI among African American and Caucasian residents of nursing homes (NH) in the southeastern United States. METHODS: A repeated-measures, two time-period design was employed. Data for 95,911 residents in 7,640 NH were extracted using the study's inclusion and exclusion criteria. Residents' admission and annual assessment records were accessed; UI presence and relevant indicators were captured; and admission and postadmission UI prevalence rates were determined by region, state, race, and gender. Logistic regression, adjusting for residents' demographics, morbidity status, bed mobility, and cognitive and functional statuses, was conducted also. RESULTS: The majority of residents were Caucasian (82.4%) and women (76.5%) with mean (+/-SD) age of 82.7 +/- 7.58 years. Regional UI prevalence was 65.4% at admission and 74.3% postadmission. Postadmission, 73.5% of Caucasian and 78.1% of African Americans were incontinent. Similarly, 72.2% of men and 75% of women were incontinent. For African Americans postadmission, adjusted odds of UI were OR = 1.07 (95% CI: 1.01, 1.14). DISCUSSION: Prevalence of UI was high in this region and the odds of UI was significantly higher among African Americans in two of eight states, suggesting racial disparity in this condition in these states. Factors contributing to this disparity should be explored to increase quality care to vulnerable populations. SN - 0029-6562 UR - https://www.unboundmedicine.com/medline/citation/17356440/Differences_in_resident_characteristics_and_prevalence_of_urinary_incontinence_in_nursing_homes_in_the_southeastern_United_States_ L2 - https://doi.org/10.1097/01.NNR.0000263969.08878.51 DB - PRIME DP - Unbound Medicine ER -