Prevalence of urinary Incontinence and its associated factors among elderly in primary health clinics in Kuantan, Pahang.

Introduction: Urinary incontinence is a major and common problem involving elderly population worldwide. It is often underreported and underestimated and presents a social, economic and health problems. The purpose of this study is to investigate the prevalence and its associated factors among elderly population in primary health clinics in Kuantan, Pahang. Materials and Methods: A cross-sectional study conducted in 6 primary health clinics in Kuantan Pahang that were selected using simple random sampling. 314 participants were selected using consecutive sampling Methods. The inclusion criteria were Malaysian citizens aged 60 years and above, who able to understand Bahasa Malaysia with no exclusion criteria. The participants that were selected were personally interviewed using validated Malay questionnaires that consisted of sociodemographic profiles, International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-SF) and Geriatric Depression Scale (GDS-15). Results: The statistical analyses were done using chi�squared test of independence then proceed with linear regression and binary logistic regression. The prevalence of urinary incontinence was 12.1% with the mean age was 69.13 years old (SD= 7.19). The majority of participants were women (59.6%) and Malays (80.3%). The significant factors associated with urinary incontinence were age (AOR=1.07, CI=1.01-1.14, p-value=0.01), constipation (AOR= 8.67, CI=2.27-33.04, p-value=0.002), neurological disease (AOR =65.90, CI=20.89-207.93, P value=<0.001) and benign prostatic hyperplasia (AOR=23.49, CI=1.76-313.20, P value=0.017), significant P value