{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:39:58Z","timestamp":1774435198788,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2006,7,24]],"date-time":"2006-07-24T00:00:00Z","timestamp":1153699200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:p>\n                    <jats:bold>OBJECTIVES:<\/jats:bold>\n                    To determine whether continence status is associated with sexual activity in older women.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>DESIGN:<\/jats:bold>\n                    Cross\u2010sectional postal survey.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>SETTING:<\/jats:bold>\n                    Random selection from a list of respondents to a Canada Post survey.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>PARTICIPANTS:<\/jats:bold>\n                    Community\u2010dwelling women aged 55 to 95.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>MEASUREMENTS:<\/jats:bold>\n                    The International Consultation on Incontinence Questionnaire Short Form measured the presence, severity, and type of incontinence. Sexual activity and marital status were assessed using single close\u2010ended questions. The Medical Outcomes Study 12\u2010item Short\u2010Form Health Survey was used to query physical and mental health status.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>RESULTS:<\/jats:bold>\n                    Data from 2,361 women (mean age 71) were available for analysis. Thirty\u2010nine percent reported urinary incontinence (UI), and 27% were sexually active. UI was associated with sexual activity in crude logistic analyses (odds ratio (OR)=0.82, 95% confidence interval (CI)=0.68\u20130.98) but not in multivariate models adjusted for physical and mental health. Marital status and age were the strongest predictors of sexual activity (OR 8.94, 95% CI=6.89\u201311.60 for married women; OR=3.09, 95% CI=2.57\u20133.73 for age \u226470), with significant relationships also observed with physical and mental health (OR=1.04, 95% CI=1.03\u20131.04 and OR=1.02, 95% CI=1.01\u20131.04, respectively). Frequency of UI was not related to being sexually active, although greater amounts of urine loss, stress incontinence, and nocturnal incontinence were independently associated with sexual activity (OR=0.53, 95% CI=0.33\u20130.85; OR=1.40 95% CI=1.01\u20131.94; and OR=0.24, 95% CI=0.10\u20130.61, respectively).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>CONCLUSION:<\/jats:bold>\n                    Many older women remain sexually active as they age regardless of continence status. Caution should be exercised in interpreting intervention studies aimed at improving sexual function in incontinent older women if marital status and physical and mental health are not considered.\n                  <\/jats:p>","DOI":"10.1111\/j.1532-5415.2006.00827.x","type":"journal-article","created":{"date-parts":[[2006,7,24]],"date-time":"2006-07-24T04:01:36Z","timestamp":1153713696000},"page":"1220-1224","source":"Crossref","is-referenced-by-count":38,"title":["The Relationship Between Sexual Activity and Urinary Incontinence in Older Women"],"prefix":"10.1111","volume":"54","author":[{"given":"Cara","family":"Tannenbaum","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques","family":"Corcos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Assalian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,7,24]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"473","article-title":"Variation in estimates of urinary incontinence prevalence in the community","volume":"46","author":"Thom D.","year":"1998","journal-title":"Effects of differences in definition, population characteristics, and study type"},{"key":"e_1_2_6_3_2","first-page":"467","article-title":"Urinary incontinence in a community\u2010based cohort","volume":"46","author":"Roberts RO","year":"1998","journal-title":"Prevalence and healthcare-seeking"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2001.49179.x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50115.x"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1998.tb03802.x"},{"key":"e_1_2_6_7_2","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1037\/0882-7974.3.2.115","article-title":"Urinary incontinence and psychological distress among older adults","volume":"3","author":"Herzog AR","year":"1988","journal-title":"Psychol Aging"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1990.00390130161026"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200303000-00008"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.11.017"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001920170012"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1979.tb10616.x"},{"key":"e_1_2_6_13_2","first-page":"679","article-title":"Effect of urinary incontinence on sexual activity in women","volume":"38","author":"Clark A","year":"1993","journal-title":"J Reprod Med"},{"key":"e_1_2_6_14_2","first-page":"642","article-title":"Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence","volume":"45","author":"Salonia A","year":"2004","journal-title":"Results of a cross-sectional study"},{"key":"e_1_2_6_15_2","first-page":"751","article-title":"Experience of an incontinence clinic for older women","volume":"10","author":"Tannenbaum C","year":"2001","journal-title":"No apparent age limit for potential physical and psychological benefits"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-003-1071-2"},{"key":"e_1_2_6_17_2","first-page":"313","article-title":"Lycklama \u00e0 Nijeholt AAB. 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