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Association between schizophrenia and urinary incontinence: A population-based study.

Wen-Yu Hsu1, Chih-Hsin Muo2, Szu-Pin Ma3

  • 1Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan; Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan.

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Summary

Patients with schizophrenia have a significantly higher risk of urinary incontinence (UI) compared to the general population. This increased susceptibility, particularly in males and younger individuals, highlights the need for targeted interventions.

Keywords:
AntipsychoticsIncidenceNational Health Insurance Research Database (NHIRD)Odds ratioSchizophreniaUrinary incontinence (UI)

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Area of Science:

  • Psychiatry
  • Urology
  • Epidemiology

Background:

  • Urinary incontinence (UI) is the involuntary loss of urine, posing hygiene and social challenges.
  • The incidence of UI in schizophrenia patients compared to the general population is not well-established.

Purpose of the Study:

  • To investigate the association between schizophrenia and the risk of developing urinary incontinence.
  • To compare UI incidence between schizophrenia patients and a matched non-schizophrenia cohort.

Main Methods:

  • Utilized Taiwan National Health Insurance Research Database (2005-2011) for patient selection.
  • Employed logistic regression models to analyze UI risk, adjusting for sex, age, and comorbidities.

Main Results:

  • Schizophrenia patients exhibited a 1.78-fold higher adjusted odds ratio for UI.
  • Male and younger schizophrenia patients showed increased susceptibility to UI.

Conclusions:

  • Schizophrenia is associated with a higher risk of urinary incontinence compared to the general population.
  • Early diagnosis and intervention for UI in schizophrenia patients can improve quality of life.