Prevalence of incontinence by race and ethnicity of older people admitted to nursing homes

Journal of the American Medical Directors Association

Volumn 14, Issue 6, 2013, Pages 451.e1-451.e7

  Bliss, Donna Z ^a   Harms, Susan ^a,b   Garrard, Judith M ^c   Cunanan, Kristen ^d   Savik, Kay ^a   Gurvich, Olga ^a   Mueller, Christine ^a   Wyman, Jean F ^a   Eberly, Lynn E ^d   Virnig, Beth ^c  

^a UNIVERSITY OF MINNESOTA   (United States)

^b UNIVERSITY OF MINNESOTA   (United States)

^c UNIVERSITY OF MINNESOTA   (United States)

^d UNIVERSITY OF MINNESOTA   (United States)

Author keywords

Ethnicity; Incontinence; Nursing homes; Race

Indexed keywords

AGED; AMERICAN INDIAN; ARTICLE; ASIAN; COGNITION; CROSS-SECTIONAL STUDY; DAILY LIFE ACTIVITY; DECUBITUS; DESCRIPTIVE RESEARCH; ETHNIC GROUP; ETHNICITY; FECES INCONTINENCE; FEMALE; HISPANIC; HOSPITAL READMISSION; HUMAN; INCONTINENCE; MAJOR CLINICAL STUDY; MALE; NEGRO; NURSING HOME; PREVALENCE; RACE DIFFERENCE; URINE INCONTINENCE;

EID: 84878871230     PISSN: 15258610     EISSN: 15389375     Source Type: Journal    
DOI: 10.1016/j.jamda.2013.03.007     Document Type: Article

References (43)

1. Smith D.B., Feng Z., Fennell M.L., et al. Racial disparities in access to long-term care: The illusive pursuit of equity. J Health Polit Policy Law 2008, 33:861-881.
2. Feng Z., Fennell M.L., Tyler D.A., et al. The care span: Growth of racial and ethnic minorities in US nursing homes driven by demographics and possible disparities in options. Health Aff 2011, 30:1358-1365.
3. Armstrong M. Factors affecting the decision to place a relative with dementia into residential care. Nurs Stand 2000, 14:33-37.
4. Friedman S.M., Steinwachs D.M., Temkin-Greener H., Mukamel D.B. Informal caregivers and the risk of nursing home admission among individuals enrolled in the program of all-inclusive care for the elderly. Gerontol 2006, 46:456-463.
5. Morrison A., Levy R. Fraction of nursing home admissions attributable to urinary incontinence. Value in Health 2006, 9:272-274.
6. Nelson R., Furner S., Jesudason V. Fecal incontinence in Wisconsin nursing homes: Prevalence and associations. Dis Colon Rectum 1998, 41:1226-1229.
7. Bliss D.Z., Zehrer C., Savik K., et al. An economic evaluation of four skin damage prevention regimens in nursing home residents with incontinence: Economics of skin damage prevention. J Wound Ostomy Continence Nurs 2007, 34:143-152.
8. Offermans M.P., Du Moulin M.F., Hamers J.P., et al. Prevalence of urinary incontinence and associated risk factors in nursing home residents: A systematic review. Neurourol Urodyn 2009, 28:288-294.
9. Shamliyan T., Wyman J., Bliss D.Z., et al. Prevention of urinary and fecal incontinence in adults. Evid Rep Technol Assess (Full Rep) 2007, 161:1-379.
10. Boyington J.E., Howard D.L., Carter-Edwards L., et al. Differences in resident characteristics and prevalence of urinary incontinence in nursing homes in the southeastern United States. Nurs Res 2007, 56:97-107.
11. Jones AL, Sonnenfeld NL, Harris-Kojetin LD. Racial differences in functioning among elderly nursing home residents, 2004. Available at: 2009. Accessed May 1, 2012. http://www.cdc.gov/nchs/data/databriefs/db25.pdf.
12. Markland A.D., Goode P.S., Burgio K.L., et al. Correlates of urinary, fecal, and dual incontinence in older African-American and White men and women. J Am Geriatr Soc 2008, 56:285-290.
13. Thom D.H., van den Eeden S.K., Ragins A.I., et al. Differences in prevalence of urinary incontinence by race/ethnicity. J Urol 2006, 175:259-264.
14. Porell F.W., Miltiades H.B. Regional differences in functional status among the aged. Soc Sci Med 2002, 54:1181-1198.
15. Lin G. Regional assessment of elderly disability in the US. Soc Sci Med 2000, 50:1015-1024.
16. Boyle J.P., Honeycutt A.A., Narayan K.M., et al. Projection of diabetes burden through 2050: Impact of changing demography and disease prevalence in the US. Diabetes Care 2001, 24:1936-1940.
17. Diez-Roux A.V. Bringing context back into epidemiology: Variables and fallacies in multilevel analysis. Am J Public Health 1998, 88:216-222.
18. Krieger N., Waterman P.D., Chen J.T., et al. Monitoring socioeconomic inequalities in sexually transmitted infections, tuberculosis, and violence: Geocoding and choice of area-based socioeconomic measures-The public health disparities geocoding project (US). Public Health Reports 2003, 118:240-260.
19. O'Campo P. Invited commentary: Advancing theory and methods for multilevel models of residential neighborhoods and health. Am J Epidemiol 2003, 157:9-13.
20. Subramanian S.V. The relevance of multilevel statistical methods for identifying causal neighborhood effects. Soc Sci Med 2004, 58:1961-1967.
21. Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare 2003, Institute of Medicine, National Academy of Sciences, Washington DC.
22. House J.S., Lantz P.M., Herd P. Continuity and change in the social stratification of aging and health over the life course: Evidence from a nationally representative longitudinal study from 1986 to 2001/2002 (Americans' Changing Lives Study). J Gerontol B Psychol Sci Soc Sci 2005, 60:15-26.
23. Fennell M.L., Feng Z., Clark M.A., Mor V. Elderly Hispanics more likely to reside in poor-quality nursing homes. Health Aff 2010, 29:65-73.
24. Centers for Medicare & Medicaid Services. Nursing Home Data Compendium 2010 Edition. Available at: Accessed August 5, 2012. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandCompliance/downloads/nursinghomedatacompendium_508.pdf.
25. Crooks V.C., Schnelle J.F., Ouslander J.P., McNees M.P. Use of the Minimum Data Set to rate incontinence severity. J Am Geriatr Soc 1995, 43:1363-1369.
26. Morris J.N., Nonemaker S., Murphy K., et al. A commitment to change: Revision of HCFA's RAI. J Am Geriatr Soc 1997, 45:1011-1016.
27. U.S. Census Bureau. Census Regions and Divisions of the United States. Available at: Accessed August 11, 2012. http://www.census.gov/geo/www/us%20_regdiv.pdf.
28. Li Y., Yin J., Cai X., et al. Association of race and sites of care with pressure ulcers in high-risk nursing home residents. JAMA 2011, 306:179-186.
29. Savik K., Fan Q., Bliss D., Harms S. Preparing a large data set for analysis: Using the minimum data set to study perineal dermatitis. J Adv Nurs 2005, 52:399-409.
30. Morris J.N., Fries B.E., Morris S.A. Scaling ADLs within the MDS. J Gerontol A Biol Sci Med Sci 1999, 54:M546-M553.
31. Hartmaier S.L., Sloane P.D., Guess H.A., Koch G.G. The MDS Cognition Scale: A valid instrument for identifying and staging nursing home residents with dementia using the Minimum Data Set. J Am Geriatr Soc 1994, 42:1173-1179.
32. Hopper T., Bayles K.A., Harris F.P., Holland A. The relationship between minimum data set ratings and scores on measures of communication and hearing among nursing home residents with dementia. Am J Speech Lang Pathol 2001, 10:370-381.
33. Dosa D., Intrator O., McNicoll L., et al. Preliminary derivation of a Nursing Home Confusion Assessment Method based on data from the Minimum Data Set. J Am Geriatr Soc 2007, 55:1099-1105.
34. Burrows A.B., Morris J.N., Simon S.E., et al. Development of a minimum data set-based depression rating scale for use in nursing homes. Age Ageing 2000, 29:165-172.
35. Stevenson K.M., Brown R.L., Dahl J.L., et al. The Discomfort Behavior Scale: A measure of discomfort in the cognitively impaired based on the Minimum Data Set 2.0. Res Nurs Health 2006, 29:576-587.
36. Health Services Advisory Group. Percent of residents who are more depressed or anxious. Available at: Accessed May 5, 2012. http://nhqi.hsag.com/nhworkgroup_september06/Mood_Scale_Depression.pdf.
37. Charlson M.E., Pompei P., Ales K.L., MacKenzie C.R. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis 1987, 40:373-383.
38. Hirdes J.P., Frijters D.H., Teare G.F. The MDS-CHESS scale: A new measure to predict mortality in institutionalized older people. J Am Geriatr Soc 2003, 51:96-100.
39. Martin J.C., Engle V.F., Graney M.J. Health status gender differences of newly admitted black nursing home residents. J Am Geriatr Soc 1997, 45:166-173.
40. Gruneir A., Miller S.C., Feng Z., et al. Relationship between state Medicaid policies, nursing home racial composition, and the risk of hospitalization for black and white residents. Health Serv Res 2008, 43:869-881.
41. Schnelle J.F., Alessi C.A., Simmons S.F., et al. Translating clinical research into practice: A randomized controlled trial of exercise and incontinence care with nursing home residents. J Am Geriatr Soc 2002, 50:1476-1483.
42. Schnelle J.F., Leung F.W., Rao S.S., et al. A controlled trial of an intervention to improve urinary and fecal incontinence and constipation. J Am Geriatr Soc 2010, 58:1504-1511.
43. Gerardo M.P., Teno J.M., Mor V. Not so Black and White: Nursing home concentration of Hispanics associated with prevalence of pressure ulcers. J Am Med Dir Assoc 2009, 10:127-132.