Unreported urinary incontinence: population-based prevalence and factors associated with non-reporting of symptoms in co
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RESEARCH PAPER
Unreported urinary incontinence: population‑based prevalence and factors associated with non‑reporting of symptoms in community‑dwelling people ≥ 50 years Rachel Sullivan2 · Triona McNicholas1,2 · Paul Claffey2 · Rose Anne Kenny1,2,3 · Robert Briggs1,2,3 Received: 18 June 2020 / Accepted: 24 September 2020 © European Geriatric Medicine Society 2020
Key summary points Aim To ascertain the prevalence of unreported urinary incontinence (UI) in a large sample of older adults, to profile factors associated with under-reporting of UI and the association of unreported UI with self-rated quality of life. Findings Almost 40% of older people with UI had not reported their symptoms to a healthcare professional. On average those who did not report UI had visited their GP 4 times in the prior 12 months. Unreported UI was independently associated with poorer quality of life. Message This study highlights the importance of asking specifically about symptoms of UI as part of comprehensive assessment of the older adult in and emphasises the need for increased education and awareness for older people around the importance of seeking help and reporting UI. Abstract Purpose Concerns exist around under-detection and under-treatment of urinary incontinence (UI) in specific patient groups, particularly older people. The aim of this study is to ascertain the prevalence of unreported UI in a large sample of older adults, to profile factors associated with under-reporting of UI and the association of unreported UI with quality of life (QOL). Methods This study was embedded within the Irish Longitudinal Study on Ageing, involving a population-representative sample of almost 7,000 older adults (55% female, mean age 65 years). UI was defined as involuntary loss of urine from the bladder occurring on average at least twice per month. Unreported UI had not yet been reported to a healthcare professional. QOL was measured using the Control, Autonomy, Self-realisation and Pleasure-19 Scale (CASP-19). Results Almost 40% (285/750) of participants with UI had not reported symptoms to a healthcare professional despite visiting their general practitioner (GP) on average over 4 times in the last year. Logistic regression modelling demonstrated that under-reporting of UI was associated with female sex, taking
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