OBJECTIVES: To determine whether continence status is associated with sexual activity in older women. DESIGN: Cross-sectional postal survey. SETTING: Random selection from a list of respondents to a Canada Post survey. PARTICIPANTS: Community-dwelling women aged 55 to 95. MEASUREMENTS: The International Consultation on Incontinence Questionnaire Short Form measured the presence, severity, and type of incontinence. Sexual activity and marital status were assessed using single close-ended questions. The Medical Outcomes Study 12-item Short-Form Health Survey was used to query physical and mental health status. RESULTS: Data from 2,361 women (mean age 71) were available for analysis. Thirty-nine percent reported urinary incontinence (UI), and 27% were sexually active. UI was associated with sexual activity in crude logistic analyses (odds ratio (OR)=0.82, 95% confidence interval (CI)=0.68-0.98) but not in multivariate models adjusted for physical and mental health. Marital status and age were the strongest predictors of sexual activity (OR 8.94, 95% CI=6.89-11.60 for married women; OR=3.09, 95% CI=2.57-3.73 for age <or=70), with significant relationships also observed with physical and mental health (OR=1.04, 95% CI=1.03-1.04 and OR=1.02, 95% CI=1.01-1.04, respectively). Frequency of UI was not related to being sexually active, although greater amounts of urine loss, stress incontinence, and nocturnal incontinence were independently associated with sexual activity (OR=0.53, 95% CI=0.33-0.85; OR=1.40 95% CI=1.01-1.94; and OR=0.24, 95% CI=0.10-0.61, respectively). CONCLUSION: Many older women remain sexually active as they age regardless of continence status. Caution should be exercised in interpreting intervention studies aimed at improving sexual function in incontinent older women if marital status and physical and mental health are not considered.
OBJECTIVES: To determine whether continence status is associated with sexual activity in older women. DESIGN: Cross-sectional postal survey. SETTING: Random selection from a list of respondents to a Canada Post survey. PARTICIPANTS: Community-dwelling women aged 55 to 95. MEASUREMENTS: The International Consultation on Incontinence Questionnaire Short Form measured the presence, severity, and type of incontinence. Sexual activity and marital status were assessed using single close-ended questions. The Medical Outcomes Study 12-item Short-Form Health Survey was used to query physical and mental health status. RESULTS: Data from 2,361 women (mean age 71) were available for analysis. Thirty-nine percent reported urinary incontinence (UI), and 27% were sexually active. UI was associated with sexual activity in crude logistic analyses (odds ratio (OR)=0.82, 95% confidence interval (CI)=0.68-0.98) but not in multivariate models adjusted for physical and mental health. Marital status and age were the strongest predictors of sexual activity (OR 8.94, 95% CI=6.89-11.60 for married women; OR=3.09, 95% CI=2.57-3.73 for age <or=70), with significant relationships also observed with physical and mental health (OR=1.04, 95% CI=1.03-1.04 and OR=1.02, 95% CI=1.01-1.04, respectively). Frequency of UI was not related to being sexually active, although greater amounts of urine loss, stress incontinence, and nocturnal incontinence were independently associated with sexual activity (OR=0.53, 95% CI=0.33-0.85; OR=1.40 95% CI=1.01-1.94; and OR=0.24, 95% CI=0.10-0.61, respectively). CONCLUSION: Many older women remain sexually active as they age regardless of continence status. Caution should be exercised in interpreting intervention studies aimed at improving sexual function in incontinent older women if marital status and physical and mental health are not considered.
Authors: Ayesha A Appa; Jennifer Creasman; Jeanette S Brown; Stephen K Van Den Eeden; David H Thom; Leslee L Subak; Alison J Huang Journal: J Sex Med Date: 2014-08-22 Impact factor: 3.802
Authors: Nagambika Munaganuru; Stephen K Van Den Eeden; Jennifer Creasman; Leslee L Subak; Lisa Strano-Paul; Alison J Huang Journal: Am J Obstet Gynecol Date: 2017-06-08 Impact factor: 8.661
Authors: Alison J Huang; Leslee L Subak; David H Thom; Stephen K Van Den Eeden; Arona I Ragins; Miriam Kuppermann; Hui Shen; Jeanette S Brown Journal: J Am Geriatr Soc Date: 2009-06-24 Impact factor: 5.562