Disclosures: Ariza Martinez, BS: No financial relationships or conflicts of interest

Objective: To determine socioeconomic, clinical, or functional factors as predictor of development of urge urinary incontinence in community dwelling Mexican Americans aged 65 years and older.

Design: A 20-year prospective cohort study Setting : Hispanic Established Population for the Epidemiologic Study of the Elderly survey conducted in the southwest United States (Texas, New Mexico, Colorado, Arizona, and California). Participants : : A population-based sample of 3,050 community dwelling Mexican American men and women aged 65 and older.

Interventions: not applicable

Main Outcome Measures: Socio-demographic factors, depressive symptoms (Center of Epidemiologic Studies Depression scale score ≥ 16), Performance-oriencted mobility assessment (POMA), maximal hand grip strength, mass index (BMI), and mini-mental state examination (MMSE) were assessed at baseline. Self-reports of various medical conditions and status were obtained during follow-up periods such as hypertension, cancer, previous heart attacks, diabetes, etc.

Results: Factors that were predictive for incontinence in the overall sample were time (OR=1.04, p-value 0.0261), arthritis (OR=1.61, p-value 0.0016), a higher BMI (OR=1.04, p-value 0.0123), depression (OR=1.04, p-value < 0.0001), previous history of heart attack (OR=1.61, p-value 0.0054), and physical ability (OR=.92, p-value < .0001). Conclusions: There are certain factors that are predictive of urinary incontinence in the Mexican American population. In women, we found BMI, arthritis, depression, and previous heart attacks to be predictive for women and only depression to be predictive in men.

Level of Evidence: Level II

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PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/factors-associated-with-urge-urinary-incontinence-among-older-mexican-american-age-75-years-and-older-gender-differences/