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Quality of Life Research
Gepubliceerd in: Quality of Life Research 5/2011

01-06-2011

The prevalence of urinary incontinence and its burden on the quality of life among older adults with medicare supplement insurance

Auteurs: Kevin Hawkins, Janet Pernarelli, Ronald J. Ozminkowski, Ming Bai, Stephanie J. Gaston, Cynthia Hommer, Richard J. Migliori, Charlotte S. Yeh

Gepubliceerd in: Quality of Life Research | Uitgave 5/2011

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Abstract

Purpose

Estimate the prevalence and burden of urinary incontinence (UI) on the quality of life (QOL) among adults (65 or older) with Medigap insurance.

Methods

Data were obtained from the health update survey (HUS), which contains questions on demographics, comorbid conditions, and the Veteran’s RAND 12-item health status survey. The mail survey was fielded on a random sample of 15,000 insureds from 10 states in 2008. Respondents were divided into those with UI and others, based on their response to a question about leaking urine during the last six months. Univariate and multivariate analyses were conducted to estimate the likelihood of UI and its impact on QOL while controlling for respondent demographics and comorbid conditions.

Results

Of the 5,530 eligible respondents, 37.5% reported having UI. The strongest predictors of UI were female gender, advancing age, and obesity. All the QOL estimates were significantly lower for those with UI (P < 0.001). Further, UI had a stronger influence on QOL than did diabetes, cancer, and arthritis, particularly from a mental health standpoint.

Conclusions

Consistent with other Medicare populations (e.g. Medicare managed care), UI was common in Medigap insureds, strongly associated with lower QOL affecting mental, physical, and social well-being, and is often untreated.
vorige artikel Self-rated health as a tool for estimating health-adjusted life expectancy among patients newly diagnosed with localized prostate cancer: a preliminary study
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Metagegevens
Titel
The prevalence of urinary incontinence and its burden on the quality of life among older adults with medicare supplement insurance
Auteurs
Kevin Hawkins
Janet Pernarelli
Ronald J. Ozminkowski
Ming Bai
Stephanie J. Gaston
Cynthia Hommer
Richard J. Migliori
Charlotte S. Yeh
Publicatiedatum
01-06-2011
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 5/2011
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9808-0

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