Association of multimorbidity with higher levels of urinary incontinence: a cross-sectional study of 23 089 individuals aged ≥15 years residing in Spain
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 multidi...
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| Veröffentlicht in: | British journal of general practice 2021-01, Vol.71 (702), p.e71-e77 |
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| creator | Jacob, Louis López-Sánchez, Guillermo Felipe Oh, Hans Shin, Jae Il Grabovac, Igor Soysal, Pinar Ilie, Petre Cristian Veronese, Nicola Koyanagi, Ai Smith, Lee |
| description | 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.
To examine the association between multimorbidity and UI in 23 089 individuals aged ≥15 years and residing in Spain.
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).
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.
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 ( |
| doi_str_mv | 10.3399/bjgp20X713921 |
| format | Article |
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To examine the association between multimorbidity and UI in 23 089 individuals aged ≥15 years and residing in Spain.
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).
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.
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 (
<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%,
<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,
<0.001).
In this large sample of Spanish individuals aged ≥15 years, suffering from multimorbidity was associated with a significantly higher level of UI.</description><identifier>ISSN: 0960-1643</identifier><identifier>EISSN: 1478-5242</identifier><identifier>DOI: 10.3399/bjgp20X713921</identifier><identifier>PMID: 33257465</identifier><language>eng</language><publisher>England: Royal College of General Practitioners</publisher><subject>Alcohol use ; Comorbidity ; Cross-Sectional Studies ; Female ; Humans ; Life Sciences ; Male ; Middle Aged ; Morbidity ; Multimorbidity ; Prevalence ; Smoking ; Spain - epidemiology ; Urinary incontinence ; Urinary Incontinence - epidemiology</subject><ispartof>British journal of general practice, 2021-01, Vol.71 (702), p.e71-e77</ispartof><rights>The Authors.</rights><rights>Copyright Royal College of General Practitioners Jan 2021</rights><rights>Attribution</rights><rights>The Authors 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-e2e0b2c5da413d3f33c411282a8516d32e1ab54f370e5b6c763dc744e41dfdba3</citedby><cites>FETCH-LOGICAL-c449t-e2e0b2c5da413d3f33c411282a8516d32e1ab54f370e5b6c763dc744e41dfdba3</cites><orcidid>0000-0001-9605-1467 ; 0000-0002-9328-289X ; 0000-0002-9897-5273 ; 0000-0003-1071-1239 ; 0000-0002-9565-5004 ; 0000-0002-5340-9833</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7716868/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7716868/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,883,27911,27912,53778,53780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33257465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03127519$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Jacob, Louis</creatorcontrib><creatorcontrib>López-Sánchez, Guillermo Felipe</creatorcontrib><creatorcontrib>Oh, Hans</creatorcontrib><creatorcontrib>Shin, Jae Il</creatorcontrib><creatorcontrib>Grabovac, Igor</creatorcontrib><creatorcontrib>Soysal, Pinar</creatorcontrib><creatorcontrib>Ilie, Petre Cristian</creatorcontrib><creatorcontrib>Veronese, Nicola</creatorcontrib><creatorcontrib>Koyanagi, Ai</creatorcontrib><creatorcontrib>Smith, Lee</creatorcontrib><title>Association of multimorbidity with higher levels of urinary incontinence: a cross-sectional study of 23 089 individuals aged ≥15 years residing in Spain</title><title>British journal of general practice</title><addtitle>Br J Gen Pract</addtitle><description>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.
To examine the association between multimorbidity and UI in 23 089 individuals aged ≥15 years and residing in Spain.
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).
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.
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 (
<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%,
<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,
<0.001).
In this large sample of Spanish individuals aged ≥15 years, suffering from multimorbidity was associated with a significantly higher level of UI.</description><subject>Alcohol use</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Multimorbidity</subject><subject>Prevalence</subject><subject>Smoking</subject><subject>Spain - epidemiology</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - epidemiology</subject><issn>0960-1643</issn><issn>1478-5242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdks-KFDEQh4Mo7rh69CoBL3pozb9Ouj0sDIu6woAHFbw16aS6O0NPMibdI_MIvoJ3X8wnMe2si7unQPLVV6nih9BTSl5xXtev222_Z-Srorxm9B5aUaGqomSC3UcrUktSUCn4GXqU0pYQxiQlD9EZ56xUQpYr9HOdUjBOTy54HDq8m8fJ7UJsnXXTEX9304AH1w8Q8QgHGNMCzdF5HY_YeRP85Dx4A2-wxiaGlIoEZrHpEadptselgHFMqjrz1h2cnXXW6B4s_v3jFy3xEXRMOELKPX2fKfxpr51_jB50mYQn1-c5-vLu7efLq2Lz8f2Hy_WmMELUUwEMSMtMabWg3PKOcyMoZRXTVUml5QyobkvRcUWgbKVRklujhABBbWdbzc_Rxcm7n9sdWAN-inps9tHt8pBN0K65_eLd0PTh0ChFZSWrLHh5Egx3yq7Wm2a5I5wyVdL6QDP74rpZDN9mSFOzc8nAOGoPYU4NE1ISkb08o8_voNswx7zXhapozVQlSKaKE_V3-RG6mx9Q0iwJaW4lJPPP_p_2hv4XCf4HbA-6Ig</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Jacob, Louis</creator><creator>López-Sánchez, Guillermo Felipe</creator><creator>Oh, Hans</creator><creator>Shin, Jae Il</creator><creator>Grabovac, Igor</creator><creator>Soysal, Pinar</creator><creator>Ilie, Petre Cristian</creator><creator>Veronese, Nicola</creator><creator>Koyanagi, Ai</creator><creator>Smith, Lee</creator><general>Royal College of General Practitioners</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><scope>1XC</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9605-1467</orcidid><orcidid>https://orcid.org/0000-0002-9328-289X</orcidid><orcidid>https://orcid.org/0000-0002-9897-5273</orcidid><orcidid>https://orcid.org/0000-0003-1071-1239</orcidid><orcidid>https://orcid.org/0000-0002-9565-5004</orcidid><orcidid>https://orcid.org/0000-0002-5340-9833</orcidid></search><sort><creationdate>20210101</creationdate><title>Association of multimorbidity with higher levels of urinary incontinence: a cross-sectional study of 23 089 individuals aged ≥15 years residing in Spain</title><author>Jacob, Louis ; López-Sánchez, Guillermo Felipe ; Oh, Hans ; Shin, Jae Il ; Grabovac, Igor ; Soysal, Pinar ; Ilie, Petre Cristian ; Veronese, Nicola ; Koyanagi, Ai ; Smith, Lee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c449t-e2e0b2c5da413d3f33c411282a8516d32e1ab54f370e5b6c763dc744e41dfdba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Alcohol use</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Multimorbidity</topic><topic>Prevalence</topic><topic>Smoking</topic><topic>Spain - epidemiology</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jacob, Louis</creatorcontrib><creatorcontrib>López-Sánchez, Guillermo Felipe</creatorcontrib><creatorcontrib>Oh, Hans</creatorcontrib><creatorcontrib>Shin, Jae Il</creatorcontrib><creatorcontrib>Grabovac, Igor</creatorcontrib><creatorcontrib>Soysal, Pinar</creatorcontrib><creatorcontrib>Ilie, Petre Cristian</creatorcontrib><creatorcontrib>Veronese, Nicola</creatorcontrib><creatorcontrib>Koyanagi, Ai</creatorcontrib><creatorcontrib>Smith, Lee</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of general practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jacob, Louis</au><au>López-Sánchez, Guillermo Felipe</au><au>Oh, Hans</au><au>Shin, Jae Il</au><au>Grabovac, Igor</au><au>Soysal, Pinar</au><au>Ilie, Petre Cristian</au><au>Veronese, Nicola</au><au>Koyanagi, Ai</au><au>Smith, Lee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of multimorbidity with higher levels of urinary incontinence: a cross-sectional study of 23 089 individuals aged ≥15 years residing in Spain</atitle><jtitle>British journal of general practice</jtitle><addtitle>Br J Gen Pract</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>71</volume><issue>702</issue><spage>e71</spage><epage>e77</epage><pages>e71-e77</pages><issn>0960-1643</issn><eissn>1478-5242</eissn><abstract>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.
To examine the association between multimorbidity and UI in 23 089 individuals aged ≥15 years and residing in Spain.
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).
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.
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 (
<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%,
<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,
<0.001).
In this large sample of Spanish individuals aged ≥15 years, suffering from multimorbidity was associated with a significantly higher level of UI.</abstract><cop>England</cop><pub>Royal College of General Practitioners</pub><pmid>33257465</pmid><doi>10.3399/bjgp20X713921</doi><orcidid>https://orcid.org/0000-0001-9605-1467</orcidid><orcidid>https://orcid.org/0000-0002-9328-289X</orcidid><orcidid>https://orcid.org/0000-0002-9897-5273</orcidid><orcidid>https://orcid.org/0000-0003-1071-1239</orcidid><orcidid>https://orcid.org/0000-0002-9565-5004</orcidid><orcidid>https://orcid.org/0000-0002-5340-9833</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; PubMed Central; Alma/SFX Local Collection |
| subjects | Alcohol use Comorbidity Cross-Sectional Studies Female Humans Life Sciences Male Middle Aged Morbidity Multimorbidity Prevalence Smoking Spain - epidemiology Urinary incontinence Urinary Incontinence - epidemiology |
| title | Association of multimorbidity with higher levels of urinary incontinence: a cross-sectional study of 23 089 individuals aged ≥15 years residing in Spain |
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