OBJECTIVE: The purpose of this study was to determine the prevalence of fecal incontinence (FI) and associated risk factors in a broad age range of community-dwelling women. STUDY DESIGN: This was a population-based, age-stratified postal survey of 6000 women aged 30 to 90 years enrolled in a large HMO in Washington State. Sample was linked to longitudinal automated medical data. FI was defined as loss of liquid or solid stool at least monthly. RESULTS: The response rate was 64%. The prevalence of FI was 7.2%; prevalence increased notably with age. Women with FI reported significant lifestyle alteration and functional disability. Older age (adjusted odds ratio [OR] 2.11-2.22), major depression (OR 2.73), urinary incontinence (OR 2.32), medical comorbidity (OR 1.76-2.58), and operative vaginal delivery (OR 1.52) were significantly associated with increased odds of FI. CONCLUSION: In this large report of US community-dwelling women, FI was a prevalent condition. Age, major depression, urinary incontinence, medical illness, and operative vaginal delivery were strongly associated with likelihood of FI.
OBJECTIVE: The purpose of this study was to determine the prevalence of fecal incontinence (FI) and associated risk factors in a broad age range of community-dwelling women. STUDY DESIGN: This was a population-based, age-stratified postal survey of 6000 women aged 30 to 90 years enrolled in a large HMO in Washington State. Sample was linked to longitudinal automated medical data. FI was defined as loss of liquid or solid stool at least monthly. RESULTS: The response rate was 64%. The prevalence of FI was 7.2%; prevalence increased notably with age. Women with FI reported significant lifestyle alteration and functional disability. Older age (adjusted odds ratio [OR] 2.11-2.22), major depression (OR 2.73), urinary incontinence (OR 2.32), medical comorbidity (OR 1.76-2.58), and operative vaginal delivery (OR 1.52) were significantly associated with increased odds of FI. CONCLUSION: In this large report of US community-dwelling women, FI was a prevalent condition. Age, major depression, urinary incontinence, medical illness, and operative vaginal delivery were strongly associated with likelihood of FI.
Authors: Christina Lewicky-Gaupp; Cynthia Brincat; Aisha Yousuf; Divya A Patel; John O L Delancey; Dee E Fenner Journal: Am J Obstet Gynecol Date: 2010-05 Impact factor: 8.661
Authors: Alayne D Markland; Patricia S Goode; Kathryn L Burgio; David T Redden; Holly E Richter; Patricia Sawyer; Richard M Allman Journal: J Am Geriatr Soc Date: 2010-06-01 Impact factor: 5.562
Authors: Shreya Raghavan; Eiichi A Miyasaka; Robert R Gilmont; Sita Somara; Daniel H Teitelbaum; Khalil N Bitar Journal: Surgery Date: 2013-12-27 Impact factor: 3.982
Authors: Barbara L Robinson; Catherine A Matthews; Olafur S Palsson; Elizabeth Geller; Marsha Turner; Brent Parnell; Andrea Crane; Mary Jannelli; Ellen Wells; Annamarie Connolly; Feng-Chang Lin; William E Whitehead Journal: Female Pelvic Med Reconstr Surg Date: 2013 Jan-Feb Impact factor: 2.091
Authors: Mary K Townsend; Catherine A Matthews; William E Whitehead; Francine Grodstein Journal: Am J Gastroenterol Date: 2012-10-23 Impact factor: 10.864