--- title: "Predictors of care in women with urinary incontinence. | Sutter Health" description: "UI is highly prevalent with only a minority of women seeking care. Factors associated with care include older age, parity (1+), # MD visits, urgency UI subtype." url: "https://www.sutterhealth.org/research/publications/predictors-of-care-in-women-with-urinary-incontinence-1055312738" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Predictors of care in women with urinary incontinence. # Predictors of care seeking in women with urinary incontinence. Minassian VA, Yan X, Lichtenfeld MJ, Sun H, & Stewart WF. _Neurourol Urodyn. 31(4):470-4. doi: 10.1002/nau.22235. Epub 2012 Feb 29._ 2012-04-01 ## Abstract AIMS: To determine predictors of health care utilization in women with urinary incontinence (UI) from the population to specialty care. METHODS: The General Longitudinal Overactive Bladder Evaluation-UI is a population-based study on the natural history of UI in women ≥40 years of age. Prevalence of UI was estimated using the Bladder Health Survey (BHS). Survey data were linked with electronic health records (EHRs) to examine factors associated with a clinical UI diagnosis using logistic regression. Risk factors analyzed included: UI symptoms, subtypes, bother, severity, duration, and effect on quality of life, and demographic and other health characteristics. All statistical tests were two-sided with a P-value < 0.05 being significant. RESULTS: The overall prevalence of any UI based on responses to the BHS was 1,618/4,064 (40%). Of the 1,618 women with UI, there were only 398 (25%) women with EHR (clinical) diagnosis of UI. Women with UI versus those without UI were more likely to be have a BMI >25 kg/m(2) (70% vs. 58%), more likely to be parous (91% vs. 87%) and college educated (54% vs. 46%), P < 0.001. After adjusting for confounders in the model, variables significantly associated with clinical UI diagnosis included: older age (OR = 1.96), higher parity (> 1 birth) (OR = 1.76), higher urgency UI (OR = 1.08), adaptive behavior (OR = 1.2), and UI bother scores (OR = 1.01), as well as more frequent outpatient visits (OR = 1.03), P < 0.05. CONCLUSIONS: UI is a highly prevalent condition with only a minority of women seeking care. Factors associated with health care utilization include older age, parity (1+), number of doctor visits, urgency UI subtype, UI bother, and impact on behavior. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/22378605) ![Xiaowei (Sherry) Yan, Ph.D.](https://dyn.mktgcdn.com/p/NTWox_hkmxIRiqJEc5PXKeBkfR_WMtpSQbEI4J69Xls/fit=crop,gravity=auto,dpr=2,width=188,height=250,quality=100) Xiaowei (Sherry) Yan, Ph.D. Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/xiaowei-sherry-yan-phd-1049681042) ## Research topics - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) - [Medical Informatics](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Medical+Informatics%5C%22%22) - [Urologic Diseases](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Urologic+Diseases%5C%22%22) - [Women's Health](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Women%27s+Health%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [The iceberg of health care utilization in women with urinary incontinence.](https://www.sutterhealth.org/research/publications/health-care-utilization-in-women-with-ui-is-low-1055312611) Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF. Int Urogynecol J. 23(8):1087-93. doi: 10.1007/s00192-012-1743-x. Epub 2012 Apr 12. 2012 Aug 01 - Publication ### [Clinical validation of the Bladder Health Survey for urinary incontinence in a population sample of women.](https://www.sutterhealth.org/research/publications/clinical-validation-of-bladder-health-survey-for-ui-1055312569) Minassian VA, Yan XS, Sun H, Platte RO, Stewart WF. Int Urogynecol J. 27(3):453-61. doi: 10.1007/s00192-015-2849-8. Epub 2015 Sep 19. 2016 Mar 01 - Publication ### [Tradeoffs of using administrative claims and medical records to identify the use of personalized medicine for patients with breast cancer.](https://www.sutterhealth.org/research/publications/identify-use-of-personalized-med-in-breast-cancer-1055312577) Liang SY, Phillips KA, Wang G, Keohane C, Armstrong J, Morris WM, Haas JS. Med Care. 49(6):e1-8. doi: 10.1097/MLR.0b013e318207e87e. 2011 Jun 01 - Publication ### [Physicians’ well-being linked to in-basket messages generated by algorithms In EHRs.](https://www.sutterhealth.org/research/publications/md-wellbeing-in-basket-messages-from-ehr-algorithms-1055312708) Tai-Seale M, Dillon EC, Yang Y, Nordgren R, Steinberg R, Nauenberg T, Lee TC, Meehan A, Li J, Chan AS, Frosch D. Health Aff. 38(7): https://doi.org/10.1377/hlthaff.2018.05509. 2019 Jul 01 - Publication ### [Physicians’ well-being linked to in-basket messages generated by algorithms In electronic health records.](https://www.sutterhealth.org/research/publications/md-well-being-and-in-basket-messages-from-ehr-algorithms-1055312699) Tai-Seale M, Dillon EC, Yang Y, Nordgren R, Steinberg R, Nauenberg T, Lee TC, Meehan A, Li J, Chan AS, Frosch D. Health Aff. 38(7): https://doi.org/10.1377/hlthaff.2018.05509. 2019 Jul 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/predictors-of-care-in-women-with-urinary-incontinence-1055312738#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Predictors of care in women with urinary incontinence."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/predictors-of-care-in-women-with-urinary-incontinence-1055312738#medicalscholarlyarticle","name":"Predictors of care seeking in women with urinary incontinence.","headline":"Predictors of care in women with urinary incontinence.","abstract":"AIMS: To determine predictors of health care utilization in women with urinary incontinence (UI) from the population to specialty care. METHODS: The General Longitudinal Overactive Bladder Evaluation-UI is a population-based study on the natural history of UI in women ≥40 years of age. Prevalence of UI was estimated using the Bladder Health Survey (BHS). Survey data were linked with electronic health records (EHRs) to examine factors associated with a clinical UI diagnosis using logistic regression. Risk factors analyzed included: UI symptoms, subtypes, bother, severity, duration, and effect on quality of life, and demographic and other health characteristics. All statistical tests were two-sided with a P-value \u003c 0.05 being significant. RESULTS: The overall prevalence of any UI based on responses to the BHS was 1,618/4,064 (40%). Of the 1,618 women with UI, there were only 398 (25%) women with EHR (clinical) diagnosis of UI. Women with UI versus those without UI were more likely to be have a BMI >25 kg/m(2) (70% vs. 58%), more likely to be parous (91% vs. 87%) and college educated (54% vs. 46%), P \u003c 0.001. After adjusting for confounders in the model, variables significantly associated with clinical UI diagnosis included: older age (OR = 1.96), higher parity (> 1 birth) (OR = 1.76), higher urgency UI (OR = 1.08), adaptive behavior (OR = 1.2), and UI bother scores (OR = 1.01), as well as more frequent outpatient visits (OR = 1.03), P \u003c 0.05. CONCLUSIONS: UI is a highly prevalent condition with only a minority of women seeking care. Factors associated with health care utilization include older age, parity (1+), number of doctor visits, urgency UI subtype, UI bother, and impact on behavior.","description":"UI is highly prevalent with only a minority of women seeking care. 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