J Korean Acad Community Health Nurs.  2019 Jun;30(2):109-118. 10.12799/jkachn.2019.30.2.109.

Influencing Factors on the Urinary Incontinence Related Quality of Life in Older Rural Women Aged 60 or Over

  • 1Professor, Department of Nursing, Gangneung-Wonju National University, Wonju, Korea.
  • 2Associate Professor, Department of Nursing, Gangneung-Wonju National University, Wonju, Korea. suna73@gwnu.ac.kr


The purpose of this study is to identify factors affecting the quality of life among community-dwelling older women with urinary incontinence (UI).
A cross-sectional study was conducted with 475 women aged 60 or over who were recruited from 10 primary health care facilities in rural Korea. Data were collected using a structured questionnaire consisting of socio-demographic, health-related, and UI-related characteristics. The quality of life was assessed using Incontinence Quality of Life (I-QOL). SPSS/WIN 23.0 program was used to analyze descriptive statistics, χ2 test, t-test, ANOVA, Pearson's Correlation, and hierarchical regression.
Of 475 subjects, 180 (37.9%) had urinary incontinence. The mean scores of I-QOL of women with and without UI were 76.87 and 94.77, respectively. The results of hierarchical regression analysis show that the Questionnaire for Urinary Incontinence Diagnosis total score was the greatest influencing factor, followed by age and the International Consultation on Incontinence Questionnaire-Short Form total score.
The study revealed that factors related to UI symptoms are more likely to have impact on the quality of life in women with UI. It suggests that early detection or management of UI is important in improving the quality of life of women with UI.


Urinary incontinence; Women; Quality of life

MeSH Terms

Cross-Sectional Studies
Primary Health Care
Quality of Life*
Urinary Incontinence*


1. Schreiber Pedersen L, Lose G, Høybye MT, Elsner S, Waldmann A, Rudnicki M. Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark. Acta obstetricia et gynecologica Scandinavica. 2017; 96(8):939–948. DOI: 10.1111/aogs.13149.
2. Yoon HS, Kwon IS, Bae NK, Cho YC. Prevalence of urinary incontinence and its related factors among the rural residing elderlies. Journal of Agricultural Medicine and Community Health. 2009; 34(1):76–86. DOI: 10.5393/jamch.2009.34.1.076.
3. Lee JW, Song MS. Associated factors of urinary incontinence among community dwelling women beneficiaries of long-term care insurance. Journal of the Korean Geriatrics Society. 2015; 35(1):119–133.
4. Shin A. Strongly worn incontinence panties, 'Defend heroes' campaign [Internet]. Seoul: Money Today;2014. cited 2014 November 7. Available from: http://news.mt.co.kr/mtview.php?no=2014110709192498417&outlink=1&ref=http%3A%2F%2Fsearch.naver.com.
5. Statistics Korea. The survey on the actual conditions of older person in Korea [Internet]. Seoul: Statistics Korea;2014. cited 2018 October 27. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117071_2014N024.
6. Statistics Korea. Farm and farm population [Internet]. Seoul: Statistics Korea;2014. cited 2019 January 30. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2745.
7. So A, De Gagne JC, Palmer MH. Prevalence of urinary incontinence in older Korean women. International Journal of Urological Nursing. 2012; 6(2):51–59. DOI: 10.1111/j.1749-771X.2012.01147.x.
8. Yip SO, Dick MA, McPencow AM, Martin DK, Ciarleglio MM, Erekson EA. The association between urinary and fecal incontinence and social isolation in older women. American Journal of Obstetrics & Gynecology. 2013; 208(2):146. DOI: 10.1016/j.ajog.2012.11.010.
9. Kim YH, Han JS. Factors related to the quality of sleep in the elderly women. Journal of Korea Academia-Industrial cooperation Society. 2011; 12(10):4467–4474. DOI: 10.5762/KAIS.2011.12.10.4467.
10. Kwon BE, Kim GY, Son YJ, Roh YS, You MA. Quality of life of women with urinary incontinence: A systematic literature review. International Neurourology Journal. 2010; 14(3):133–138. DOI: 10.5213/inj.2010.14.3.133.
11. Wan X, Wu C, Xu D, Huang L, Wang K. Toileting behaviours and lower urinary tract symptoms among female nurses: A cross-sectional questionnaire survey. International Journal of Nursing Studies. 2016; 65:1–7. DOI: 10.1016/j.ijnurstu.2016.10.005.
12. Wang K, Palmer MH. Development and validation of an instrument to assess women's toileting behavior related to urinary incontinence. Nursing Research. 2011; 60(3):158–164. DOI: 10.1097/NNR.0b013e3182159cc7.
13. Health status of the rural elderly and policy issues. Research Report. Seoul: Korea Rural Economic Institute;2013. 12. 30. Report No.:R699.
14. Ryu KS, Jee YJ, Kim YH. A study on urinary incontinence, quality of life, and depression of the elderly. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2018; 8(6):725–734.
15. Fernandes S, Coutinho EC, Duarte JC, Nelas PAB, Chaves C, Amaral O. Quality of life in women with urinary incontinence. Journal of Nursing Referência. 2015; 4(5):93–99. DOI: 10.12707/RIV14042.
16. Bradley CS, Rahn DD, Nygaard IE, Barber MD, Nager CW, Kenton KS, et al. The questionnaire for urinary incontinence diagnosis (QUID): Validity and responsiveness to change in women undergoing non-surgical therapies for treatment of stress predominant urinary incontinence. Neurourology and Urodynamics. 2010; 29(5):727–734. DOI: 10.1002/nau.20818.
17. Lubben J, Blozik E, Gillmann G, Iliffe S, von Renteln Kruse W, Beck JC, et al. Performance of an abbreviated version of the Lubben social network scale among three European community-dwelling older adult populations. Gerontologist. 2006; 46(4):503–513. DOI: 10.1093/geront/46.4.503.
18. Hong M, Casado BL, Harrington D. Validation of Korean versions of the Lubben social network scales in Korean Americans. Clinical Gerontologists. 2011; 34:319–334. DOI: 10.1080/07317115.2011.572534.
19. Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: A brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourology and Urodynamics. 2004; 23(4):322–330. DOI: 10.1002/nau.20041.
20. Angelini KJ, Newman DK, Palmer MH. Psychometric evaluation of the toileting behaviors: women's elimination behaviors scale in a sample of college women. Female Pelvic Medicine & Reconstructive Surgery. 2019; Forthcoming. DOI: 10.1097/SPV.0000000000000711.
21. Patrick DL, Martin ML, Bushnell DM, Yalcin I, Wagner TH, Buesching DP. Quality of life of women with urinary incontinence: Further development of the incontinence quality of life instrument (I-QOL). Urology. 1999; 53(1):71–76. DOI: 10.1016/s0090-4295(98)00454-3.
22. Song HJ. A study of urinary incontinence: Its prevalence and its effect on the quality of life [dissertation]. [Seoul]: Catholic University;2001. 48.
23. Park JK. Frailty and its related factors in the vulnerable elderly woman by urinary incontinence. Journal of the Korea Gerontological Society. 2017; 37(4):893–907.
24. Willis-Gray MG, Wu JM, Sripad A, Newman D, Palmer MH. Toileting behaviors in women presenting to a urogynecology clinic. Urologic Nursing. 2017; 37(5):251–265. DOI: 10.7257/1053-816x.2017.37.5.251.
25. Akkus Y, Pinar G. Evaluation of the prevalence, type, severity, and risk factors of urinary incontinence and its impact on quality of life among women in Turkey. International Urogynecology Journal. 2016; 27(6):887–893. DOI: 10.1007/s00192-015-2904-5.
26. Brazell HD, O'Sullivan DM, Lasala CA. Does the impact of urinary incontinence on quality of life differ based on age? International Urogynecology Journal. 2013; 24(12):2077–2080. DOI: 10.1007/s00192-012-2005-7.
Full Text Links
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr