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Table 2 Multivariate analysis of factors associated with urinary incontinence

From: Predictors of urinary incontinence in community-dwelling frail older adults with diabetes mellitus in a cross-sectional study

Characteristic

Never vs. Seldom/often incontinent

Never vs. often incontinent

Unadjusted OR (95% CI)

AdjustedaOR (95% CI)

Unadjusted OR (95% CI)

AdjustedaOR (95% CI)

Non-diabetes related factors

Demographics

Age

 <75

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 75-80

1.79 (1.37-2.35)

1.57 (1.17-2.11)

1.38 (0.94-2.01)

1.18 (0.73-1.89)

 80-85

2.61 (1.92-3.56)

2.11 (1.51-2.95)

2.84 (1.87-4.31)

2.35 (1.44-3.84)

 >85

4.75 (3.36-6.71)

3.13 (2.15-4.56)

3.76 (2.38-5.93)

2.29 (1.34-3.92)

Race/Ethnicity

 Asian

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 White

1.59 (0.99-2.55)

2.15 (1.28-3.59)

1.67 (0.93-3.01)

1.80 (0.93-3.48)

 African

1.29 (0.73-2.28)

2.12 (1.14-3.93)

1.76 (0.90-3.44)

2.43 (1.16-5.08)

 American/Other

 Latino

0.99 (0.64-1.53)

1.08 (0.67-1.75)

0.94 (0.51-1.70)

0.91 (0.49-1.70)

Gender

 Male

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 Female

1.55 (1.13-2.14)

1.27 (0.91-1.78)

1.38 (0.90-2.11)

0.95 (0.61-1.49)

Geriatric factors

Ambulation

 Independent

1.00 (Reference)

1.00(Reference)

1.00 (Reference)

1.00 (Reference)

 Dependentb

2.34 (1.98-2.76)

1.48 (1.19-1.84)

2.89 (2.31-3.61)

1.92 (1.37-2.67)

Transferring

 Independent

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 Dependentb

2.84 (2.35-3.44)

2.02 (1.58-2.58)

3.72 (2.92-4.75)

2.78 (1.99-3.89)

Cognitive Impairment

 Absent

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 Present

1.67 (1.40-1.99)

1.41 (1.15-1.73)

1.71 (1.37-2.13)

1.85 (1.39-2.46)

Other Medications

Loop or Thiazide Diuretic

 No

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 Yes

1.24 (0.93-1.65)

0.81 (0.57-1.15)

0.94 (0.66-1.36)

0.64 (0.39-1.04)

Other factors

Depressive Symptoms

 Absent

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 Present

0.91 (0.64-1.29)

0.97 (0.67-1.41)

0.78 (0.48-1.25)

0.75 (0.45-1.23)

Diabetes-related factors

Hemoglobin A1c Level

 <7

1.05 (0.89-1.23)

1.01 (0.84-1.22)

0.86 (0.71-1.05)

0.75 (0.57-1.00)

 7-7.9c

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 8-8.9

0.76 (0.63-0.91)

0.81 (0.65-1.01)

0.86 (0.69-1.08)

0.94 (0.69-1.29)

 ≥9

0.69 (0.55-0.87)

0.85 (0.65-1.11)

0.85 (0.64-1.12)

1.10 (0.74-1.63)

Diabetes Medications

 None

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 Oral Medications

1.66 (1.30-2.13)

1.81 (1.33-2.45)

1.50 (1.11-2.03)

1.79 (1.17-2.75)

 Insulin

2.30 (1.58-3.37)

2.62 (1.67-4.13)

2.33 (1.53-3.54)

3.41 (1.88-6.21)

Diabetes Complications

Renal

 Absent

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 Present

0.93 (0.68-1.26)

0.95 (0.68-1.33)

0.76 (0.51-1.13)

0.73 (0.46-1.14)

Ophthalmologic

 Absent

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 Present

0.82 (0.60-1.13)

1.00 (0.71-1.43)

0.70 (0.46-1.09)

0.68 (0.42-1.10)

Peripheral vascular

 Absent

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 Present

1.68 (1.08-2.61)

1.31 (0.81-2.10)

2.30 (1.38-3.83)

2.33 (1.35-4.02)

Neurological

 Absent

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

1.00 (Reference)

 Present

0.72 (0.51-1.02)

0.73 (0.49-1.08)

1.05 (0.68-1.65)

1.43 (0.87-2.36)

  1. aAdjusted for age, gender, Asian race, depression, cognitive impairment, use of thiazide or loop diuretics, diabetic medication use, diabetic complications (neurological, renal, ophthalmologic, peripheral vascular, other), and dependence in transferring and/or ambulating.
  2. bPartially or fully dependent.
  3. cHemoglobin A1c level of 7% to 7.9% was used as the reference since the AGS “Guideline for improving the care of older persons with diabetes mellitus” recommends <8% as appropriate target for glycemic control for “frail elders with limited life expectancy [24]”.