{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T08:14:10Z","timestamp":1790324050392,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Absorbent products are widely used to manage incontinence. However, the circumstances under which they are used and whether burden differs by product type remain unclear. We conducted a population\u2010based study to evaluate the association between incontinence\u2010related quality of life (QOL) and absorbent product use and to compare burden across product types.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included independent, community\u2010dwelling older adults aged \u2265\u200975\u2009years in Japan. Incontinence status and absorbent product use were assessed using a self\u2010reported questionnaire. Incontinence\u2010related QOL and the burden of absorbent product use were evaluated using the one\u2010item Quality of Life Disease Impact Scale. Logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the association between incontinence\u2010related QOL and absorbent product use. Linear regression models were used to evaluate the burden across product types.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 3120 participants (median age, 79\u2009years; interquartile range, 76\u201383), 43.1% reported any incontinence, including urinary incontinence (40.8%) and fecal incontinence (12.6%). Absorbent products were used by 14.7% of participants. Reduced incontinence\u2010related QOL was associated with absorbent product use (OR: 2.02, 95% CI: 1.65\u20132.47;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), independent of incontinence frequency. Compared with pants\u2010type products, flat\u2010type products tended to be associated with greater burden (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20091.56, 95% CI: \u22120.089 to 3.21;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.064), and a similar tendency was observed among participants with fecal incontinence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Clinicians need to understand that absorbent product use reflects not only symptom frequency but also the impact of incontinence on QOL. Appropriate product selection based on individual incontinence characteristics may help reduce burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70853","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T07:57:31Z","timestamp":1790323051000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Absorbent Product Use and Quality of Life in Community\u2010Dwelling Older Adults"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5103-0814","authenticated-orcid":false,"given":"Hiroaki","family":"Nakagawa","sequence":"first","affiliation":[{"name":"Center for Innovative Research for Communities and Clinical Excellence (CiRC<sup>2<\/sup>LE) Fukushima Medical University Hospital  Fukushima City Fukushima Japan"},{"name":"Center for General Internal Medicine and Family Medicine Fukushima Medical University  Fukushima City Fukushima Japan"},{"name":"Department of General Internal Medicine and Family Medicine Fukushima Medical University  Fukushima City Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajime","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Center for Innovative Research for Communities and Clinical Excellence (CiRC<sup>2<\/sup>LE) Fukushima Medical University Hospital  Fukushima City Fukushima Japan"},{"name":"Section of Clinical Epidemiology, Department of Community Medicine, Graduate School of Medicine Kyoto University  Kyoto City Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0659-2417","authenticated-orcid":false,"given":"Akihiro","family":"Ozaka","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Shirakawa Satellite for Teaching and Research (STAR) Fukushima Medical University  Shirakawa City Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5144-6585","authenticated-orcid":false,"given":"Ryohei","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Center for Innovative Research for Communities and Clinical Excellence (CiRC<sup>2<\/sup>LE) Fukushima Medical University Hospital  Fukushima City Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6744-5931","authenticated-orcid":false,"given":"Sho","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Center for Innovative Research for Communities and Clinical Excellence (CiRC<sup>2<\/sup>LE) Fukushima Medical University Hospital  Fukushima City Fukushima Japan"},{"name":"Section of Clinical Epidemiology, Department of Community Medicine, Graduate School of Medicine Kyoto University  Kyoto City Kyoto Japan"},{"name":"Department of General Medicine, Iwase Satellite for Teaching and Research 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