Associations between Socioeconomic Status and Urge Urinary Incontinence: An Analysis of NHANES 2005 to 2016

No AccessJournal of UrologyAdult Urology1 Feb 2020Associations between Socioeconomic Status and Urge Urinary Incontinence: An Analysis of NHANES 2005 to 2016 Justin A. Lee, Tanya S. Johns, Michal L. Melamed, Laura Tellechea, Melissa Laudano, Joshua M. Stern, and Nitya E. Abraham Justin A. LeeJustin A. Lee Albert Einstein College of Medicine, Bronx, New York , Tanya S. JohnsTanya S. Johns Albert Einstein College of Medicine, Bronx, New York Departments of Medicine (Nephrology), Montefiore Medical Center, Bronx, New York , Michal L. MelamedMichal L. Melamed Albert Einstein College of Medicine, Bronx, New York Departments of Medicine (Nephrology), Montefiore Medical Center, Bronx, New York Departments of Epidemiology and Population Health, Montefiore Medical Center, Bronx, New York , Laura TellecheaLaura Tellechea Female Pelvic Medicine and Reconstructive Surgery Division, Department of Obstetrics and Gynecology, Montefiore Medical Center, Bronx, New York , Melissa LaudanoMelissa Laudano Albert Einstein College of Medicine, Bronx, New York Division of Urology, Montefiore Medical Center, Bronx, New York , Joshua M. SternJoshua M. Stern Albert Einstein College of Medicine, Bronx, New York Division of Urology, Montefiore Medical Center, Bronx, New York , and Nitya E. AbrahamNitya E. Abraham *Correspondence: Department of Urology, Montefiore Medical Center, 1250 Waters Pl., Bronx, New York 10461 E-mail Address: [email protected] Albert Einstein College of Medicine, Bronx, New York Division of Urology, Montefiore Medical Center, Bronx, New York View All Author Informationhttps://doi.org/10.1097/JU.0000000000000542AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Urge urinary incontinence significantly impacts quality of life. We investigated the association between urge urinary incontinence and socioeconomic status in a nationally representative adult population. Materials and Methods: We analyzed the 2005 to 2016 NHANES (National Health and Nutrition Examination Survey), a United States population based, cross-sectional study. Urge urinary incontinence was determined by self-report of leaking urine before reaching the toilet. Socioeconomic status was represented by the poverty income ratio, which reflects the family income relative to poverty thresholds specific to that year and household size. Survey weighted logistic regression models were used to analyze the relationship between socioeconomic status and the poverty income ratio. Multiplicative terms were applied to test for interaction in prespecified subgroups of interest. Results: A total of 25,553 participants were included in the final analysis, representing 180 million people in the United States. Of the participants 19.4% reported any urge urinary incontinence, 4.2% reported weekly urge urinary incontinence and 1.6% reported daily urge urinary incontinence. In the fully adjusted multivariable models those with a poverty income ratio less than 2.00 showed significantly higher odds of any urge urinary incontinence compared to the group with a poverty income ratio of 2.00 or greater (OR 1.17, 95% CI 1.05–1.30, p=0.003). There was increasing strength of association for weekly and daily urge urinary incontinence (OR 1.31, 95% CI 1.12–1.55, p <0.001, and OR 1.60, 95% CI 1.23–2.09, p=0.001, respectively). Individual interaction analyses revealed no significant effect of female gender, age greater than 50 years, body mass index 30 kg/m2 or greater, or less than a high school education on the association of urge urinary incontinence with the poverty income ratio. Conclusions: This study revealed a significant association between urge urinary incontinence and socioeconomic status after meaningful adjustment for covariates. Health care interventions targeting low socioeconomic status individuals with urge urinary incontinence are needed to address this disparity. References 1. : Global prevalence and economic burden of urgency urinary incontinence: a systematic review. Eur Urol 2014; 65: 79. 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No direct or indirect commercial, personal, academic, political, religious or ethical incentive is associated with publishing this article. © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByTellechea L, Zuo S, Kohn J, Fazzari M, Eisenberg R, Lee J, Laudano M, Chen C and Abraham N (2020) The Effect of Social Determinants of Health on Overactive Bladder Symptom SeverityJournal of Urology, VOL. 205, NO. 5, (1415-1420), Online publication date: 1-May-2021.Smith J (2019) This Month in Adult UrologyJournal of Urology, VOL. 203, NO. 2, (221-222), Online publication date: 1-Feb-2020. Volume 203Issue 2February 2020Page: 379-384Supplementary Materials Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.Keywordssocial determinants of healthurinary incontinenceepidemiologyurinary bladdersocioeconomic factorsurgeMetricsAuthor Information Justin A. Lee Albert Einstein College of Medicine, Bronx, New York More articles by this author Tanya S. Johns Albert Einstein College of Medicine, Bronx, New York Departments of Medicine (Nephrology), Montefiore Medical Center, Bronx, New York More articles by this author Michal L. Melamed Albert Einstein College of Medicine, Bronx, New York Departments of Medicine (Nephrology), Montefiore Medical Center, Bronx, New York Departments of Epidemiology and Population Health, Montefiore Medical Center, Bronx, New York More articles by this author Laura Tellechea Female Pelvic Medicine and Reconstructive Surgery Division, Department of Obstetrics and Gynecology, Montefiore Medical Center, Bronx, New York More articles by this author Melissa Laudano Albert Einstein College of Medicine, Bronx, New York Division of Urology, Montefiore Medical Center, Bronx, New York More articles by this author Joshua M. Stern Albert Einstein College of Medicine, Bronx, New York Division of Urology, Montefiore Medical Center, Bronx, New York More articles by this author Nitya E. Abraham Albert Einstein College of Medicine, Bronx, New York Division of Urology, Montefiore Medical Center, Bronx, New York *Correspondence: Department of Urology, Montefiore Medical Center, 1250 Waters Pl., Bronx, New York 10461 E-mail Address: [email protected] Financial interest and/or other relationship with Ipsen. More articles by this author Expand All The corresponding author certifies that, when applicable, a statement(s) has been included in the manuscript documenting institutional review board, ethics committee or ethical review board study approval; principles of Helsinki Declaration were followed in lieu of formal ethics committee approval; institutional animal care and use committee approval; all human subjects provided written informed consent with guarantees of confidentiality; IRB approved protocol number; animal approved project number. No direct or indirect commercial, personal, academic, political, religious or ethical incentive is associated with publishing this article. Advertisement Loading ...