Publication: Association of multimorbidity with higher levels of urinary incontinence: a cross-sectional study of 23 089 individuals aged ≥15 years residing in Spain
Authors
López Sánchez, Guillermo Felipe ; Jacob, Louis ; Oh, Hans ; Il Shin, Jae ; Grabovac, Igor ; Soysal, Pinar ; Ilie, Petre Cristian ; Veronese, Nicola ; Koyanagi, Ai ; Smith, Lee
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Publisher
Royal College of General Practitioners
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DOI
https://doi.org/10.3399/bjgp20X713921
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info:eu-repo/semantics/article
Description
Abstract
Background
One can assume a relatively high prevalence
of urinary incontinence (UI) in people with
multimorbidity. However, literature in this area
is scarce. There is a need for further robust
research to aid GPs to identify patients at a
particular risk for UI, and to initiate the early
treatment and multidisciplinary management
of this condition.
Aim
To examine the association between
multimorbidity and UI in 23 089 individuals aged
≥15 years and residing in Spain.
Design and setting
This study used data from the Spanish National
Health Survey 2017, a cross-sectional sample
of 23 089 participants aged ≥15 years residing
in Spain (54.1% female; mean [standard
deviation] age = 53.4 [18.9] years).
Method
UI and 30 other physical and mental chronic
conditions were self-reported. Multimorbidity
was defined as the presence of ≥2 physical and/
or mental chronic conditions (excluding UI).
Control variables included sex, age, marital
status, education, smoking, and alcohol
consumption. Multivariable logistic regression
analyses were conducted to assess the
association between multimorbidity and UI.
Results
The prevalence of UI was 5.9% in this sample.
UI was more frequent in the presence than
in the absence of each one of the 30 chronic
conditions (P<0.001). The proportion of people
with UI was also higher in the multimorbidity
than in the no-multimorbidity group (9.8%
versus 0.7%, P<0.001). After adjusting for
several potential confounders (that is, sex,
age, marital status, education, smoking, and
alcohol), there was a significant and positive
relationship between multimorbidity and UI
(odds ratio = 5.02, 95% confidence interval
[CI] = 3.89 to 6.59, P<0.001).
Conclusion
In this large sample of Spanish individuals aged
≥15 years, suffering from multimorbidity was
associated with a significantly higher level of UI.
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Citation
Louis Jacob, Guillermo Felipe López-Sánchez, Hans Oh, Jae Il Shin, Igor Grabovac, Pinar Soysal, Petre Cristian Ilie, Nicola Veronese, Ai Koyanagi and Lee Smith
British Journal of General Practice 2021; vol. 71 no. 702 e71-e77. DOI: https://doi.org/10.3399/bjgp20X713921
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