{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:27:00Z","timestamp":1740104820536,"version":"3.37.3"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T00:00:00Z","timestamp":1694044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate the association between multimorbidity and urinary incontinence (UI) among community living older adults with complex needs in sex\u2010specific crude and adjusted analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Since 2012 in Aotearoa | New Zealand (NZ) all community\u2010living older people with complex needs who require publicly funded assistance undergo a comprehensive standardized geriatric needs assessment using the interRAI\u2010HC instrument. Consenting adults aged \u226565 years who undertook this assessment between July 5, 2012 and December 31, 2020 were investigated. Multimorbidity was defined as having \u22652 chronic conditions. Recent bladder incontinence episodes were elicited and UI dichotomized into continent and incontinent groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 140\u2009401 participants with an average age of 82.0 years (range: 65\u2013107 years), of whom 85\u2009746 (61.1%) were female. Overall, 36\u2009185 (42.2%) females and 17\u2009988 (32.9%) males reported UI. Participants had a median of 3 (range: 0\u201312) chronic conditions, with 109\u2009135 (77.9%) classified as having multimorbidity. In adjusted modified Poisson regression analyses, the prevalence ratio for UI was 1.21 (95% confidence interval [CI]: 1.19, 1.24) times higher in females and 1.18 (95% CI: 1.14, 1.22) times higher for males with multimorbidity compared to those without multimorbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although significant, the estimated sex\u2010specific effect sizes were modest for the association between multimorbidity and UI in this population. However, despite using the comprehensive interRAI\u2010HC instrument, several potentially core chronic conditions were not adequately captured. Although increasingly recognized as an important and growing public health issue, capturing all relevant chronic conditions challenges many epidemiological investigations into multimorbidity.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25279","type":"journal-article","created":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T09:34:52Z","timestamp":1694079292000},"page":"1745-1755","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multimorbidity associated with urinary incontinence among older women and men with complex needs in Aotearoa | New Zealand"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6799-6779","authenticated-orcid":false,"given":"Philip J.","family":"Schluter","sequence":"first","affiliation":[{"name":"Te Kaupeka Oranga, Faculty of Health, Te Whare W\u0101nanga o Waitaha University of Canterbury, \u014ctautahi Christchurch Aotearoa New Zealand"},{"name":"School of 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