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[A questionnaire survey on micturition problems among institutionalized elderly]
M Ando1, H Nagamatsu, A Tanizawa
1Department of Urology, Tokyo Medical and Dental University School of Medicine.
Summary
Many elderly in institutions experience micturition problems, with urinary incontinence affecting 15% of respondents. A significant number with objective incontinence denied its presence, indicating a higher latent incidence.
Area of Science:
- Gerontology
- Urology
- Public Health
Context:
- Focuses on institutionalized elderly individuals, a vulnerable population.
- Addresses common yet often underreported health issues in aging populations.
- Examines micturition problems and urinary incontinence prevalence in a specific demographic.
Purpose:
- To survey the prevalence of micturition problems and urinary incontinence among institutionalized elderly.
- To identify common types of micturition issues in elderly males and females.
- To assess the underreporting of urinary incontinence and the willingness of affected individuals to seek care.
Summary:
- A survey of 821 institutionalized elderly (average age 77) revealed micturition problems in 38% of males (difficulty) and 23% of females (frequency).
- Urinary incontinence was reported by 15% (8% men, 19% women), but over half with objective incontinence denied it.
- Many incontinent elderly (71%) were unwilling to receive medical care, suggesting a higher latent prevalence of urinary incontinence.
Impact:
- Highlights the significant prevalence of micturition issues and urinary incontinence in institutionalized elderly.
- Underscores the discrepancy between objective and reported incontinence, suggesting underdiagnosis and underreporting.
- Indicates a low intention for medical care among incontinent elderly, necessitating targeted interventions and awareness campaigns.