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Journal of Aging and Health
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Medication Use and Control of Urination Among Community-Dwelling Older Adults

Christine M. Ruby

Duke University Medical Center, Veterans Affairs Medical Center, University of North Carolina

Joseph T. Hanlon

Duke University Medical Center, Veterans Affairs Medical Center, University of North Carolina

Gerda G. Fillenbaum

Veterans Affairs Medical Center, Duke University Medical Center

Carl F. Pieper

Duke University Medical Center

Laurence G. Branch

Duke University Medical Center

Richard C. Bump

Duke University Medical Center

Objective: The purpose of this study is to evaluate whether the use of medications with urological activity (UA) is associated with self-reported difficulty in control of urination. Methods: This is a cross-sectional study using data from the Duke Established Populations for Epidemiologic Studies of the Elderly. Results: Difficulty holding urine was reported by 49.5% of men and 54.0% of the women. Overall, 50.9% of men and 72.7% of the women took one or more medications with UA. Multivariable logistic regression for men revealed that neither use of any medication with UA (Adjusted [Adj.] Odds Ratio [OR] 1.12, 95% confidence interval [CI] 0.84-1.50) nor the number of medications with UA used was associated with urinary difficulties (Adj. OR 1.08, 95% CI 0.97-1.21). For women, there was a significant association (p < .05) between use of any medication with UA and reported urinary difficulty (Adj. OR = 1.31, 95% CI = 1.05-1.62). Discussion: Medications with UA may be related to difficulty in controlling urine among community-dwelling elderly women.

Key Words: aged • urinary incontinence • medications • epidemiology

Journal of Aging and Health, Vol. 17, No. 5, 661-674 (2005)
DOI: 10.1177/0898264305279875
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