Urinary incontinence knowledge and attitudes in São Paulo

Area of Science:

• Gerontology
• Public Health
• Urology

Background:

• Urinary incontinence affects 15-35% of older adults, posing significant social, hygienic, and economic burdens.
• Misinformation and underestimation contribute to the underdiagnosis and undertreatment of urinary incontinence.
• A comprehensive understanding of public knowledge and attitudes is essential for developing effective interventions.

Purpose of the Study:

• To assess knowledge and attitudes regarding urinary incontinence among community-dwelling older adults.
• To identify specific areas of misinformation concerning causes, effects, and treatments.
• To explore the relationship between demographics, education, and incontinence knowledge.

Main Methods:

• A study surveyed 400 community-dwelling residents aged 55 and older.
• Interviews assessed knowledge and attitudes across four key areas: treatment, causes, aging, and physician communication.
• Data analysis examined correct response rates and demographic differences.

Main Results:

• A significant majority of participants (over 70%) demonstrated incorrect knowledge regarding urinary incontinence.
• Most believed incontinence is an inevitable part of aging and showed limited awareness of available treatments (only 42% correct responses).
• Educational level and ethnicity were significantly associated with differences in knowledge about incontinence causes and treatments (P=0.001).

Conclusions:

• Widespread misinformation about urinary incontinence exists in the general older adult population.
• Current knowledge gaps highlight the urgent need for targeted educational interventions.
• Addressing misinformation is critical to improving the management and reducing the prevalence of uncontrolled urinary incontinence.