0284/2021 - Efeito da incontinência urinária na autopercepção negativa da saúde e depressão em idosos: uma coorte de base populacional Effect of urinary incontinence on negative self-perception of health and depression in older adults: a population-based cohort
Objetivou-se medir a prevalência de autopercepção negativa da saúde e sintomas depressivos em idosossegundo a presença de incontinência urinária, após nove anos de acompanhamento. Trata-se de um estudo de coorte prospectivo de base populacional intitulado Saúde do Idoso Gaúcho de Bagé, do Rio Grande do Sul. Foram entrevistados 1.593 idosos no estudo de linha de base (2008) e 735 entre setembro de 2016 e agosto de 2017. A exposição “incontinência urinária (IU)” foi avaliada no estudo de linha de base e os desfechos “autopercepção negativa da saúde” e “sintomas depressivos” em 2016/17. A Razão de Odds e o Intervalo de Confiança de 95% foram calculados com Regressão Logística bruta e ajustada para variáveis demográficas, sociais, comportamentais e condições de saúde. A prevalência de IU foi 20,7% em 2008 e 24,5% em 2016/17; a incidência foi de 19,8%, sendo 23,8% entre as mulheres e 14,6% entre os homens (p=0,009). Idosos com IU no estudo de linha de base apresentaram 4,0 (IC95%:1,8-8,8) e 3,4 (IC95%:1,8-6,2) vezes maior chance de desenvolver autopercepção negativa da saúde e sintomas depressivos, respectivamente, após nove anos de acompanhamento, comparado àqueles sem IU. Os resultados evidenciam maior chance de problemas mentais entre idosos com IU.
We aim to measure the prevalence of negative self-perceived health and depressive symptoms in older adults according to the presence of urinary incontinence, after nine years of follow-up. This is a prospective population-based cohort study entitled Bagé Cohort Study of Ageing,Rio Grande do Sul. 1,593 older adults were interviewed in the baseline study (2008) and 735 between September 2016 and August 2017. The exposure “urinary incontinence (UI)” was assessed in the baseline study and the outcomes “negative self-perceived health” and “depressive symptoms” in 2016/17. Odds Ratio and 95% Confidence Interval were calculated by Logistic Regression and adjusted for demographic, social, behavioral and health conditions. The prevalence of UI was 20.7% in 2008 and 24.5% in 2016/17; the incidence was 19.8%, being 23.8% among women and 14.6% among men (p=0.009). Older adults with UI at the baseline study had 4.0 (IC95%:1.8-8.8) and 3.4 (IC95%:1.8-6.2) more chance to develop negative self-perception of health and depressive symptoms, respectively, after nine years of follow-up, compared to those without UI. The results show a greater chance of mental problems among older adults with UI.
Effect of urinary incontinence on negative self-perception of health and depression in older adults: a population-based cohort
Resumo (abstract):
We aim to measure the prevalence of negative self-perceived health and depressive symptoms in older adults according to the presence of urinary incontinence, after nine years of follow-up. This is a prospective population-based cohort study entitled Bagé Cohort Study of Ageing,Rio Grande do Sul. 1,593 older adults were interviewed in the baseline study (2008) and 735 between September 2016 and August 2017. The exposure “urinary incontinence (UI)” was assessed in the baseline study and the outcomes “negative self-perceived health” and “depressive symptoms” in 2016/17. Odds Ratio and 95% Confidence Interval were calculated by Logistic Regression and adjusted for demographic, social, behavioral and health conditions. The prevalence of UI was 20.7% in 2008 and 24.5% in 2016/17; the incidence was 19.8%, being 23.8% among women and 14.6% among men (p=0.009). Older adults with UI at the baseline study had 4.0 (IC95%:1.8-8.8) and 3.4 (IC95%:1.8-6.2) more chance to develop negative self-perception of health and depressive symptoms, respectively, after nine years of follow-up, compared to those without UI. The results show a greater chance of mental problems among older adults with UI.
Kessler, M., Volz, P. M., Bender, J. D., Nunes, B.P, Machado, K.P., Saes, M.O, Soares, MU, Facchini, L.A., Thumé, E.. Efeito da incontinência urinária na autopercepção negativa da saúde e depressão em idosos: uma coorte de base populacional. Cien Saude Colet [periódico na internet] (2021/ago). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/efeito-da-incontinencia-urinaria-na-autopercepcao-negativa-da-saude-e-depressao-em-idosos-uma-coorte-de-base-populacional/18183?id=18183
