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Despite this established link, research on how women experience these coexisting conditions is lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to better understand how older women with both urgency urinary incontinence and an increased risk of falls perceive their urinary symptoms in relation to fall risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Mixed-methods study using concurrent triangulation design with qualitative interviews and quantitative patient-reported outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>English-speaking women aged 60 and older with urgency or mixed urinary incontinence who screened positive for fall risk were recruited through online advertising. Fall risk was assessed using the Centers for Disease Control and Prevention\u2019s Stopping Elderly Accidents, Deaths, and Injuries \u201c3 Key Questions.\u201d Semistructured interviews explored participants\u2019 perspectives on urinary symptoms, fall risk, and quality of life. Standardized measures included the Falls Efficacy Scale International, PROMIS Physical Function, The International Consultation on Incontinence Modular Questionnaire \u2013 Overactive Bladder symptom severity scale, The International Consultation on Incontinence Modular Questionnaire Lower Urinary Tract Symptoms Quality of Life Module, and Functional Comorbidity Index. Thematic analysis of interview transcripts was conducted using constant comparison. Multiple regression models examined associations between fear of falling, symptom severity, physical function, and urinary incontinence-related quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Sixty women responded to the online advertising for the study and completed the initial screening questionnaire. Twenty-five were enrolled and interviewed. Mean age was 68\u2009\u00b1\u20094.7. None were aware of linkages between urinary incontinence and falls. Their concerns about falling were unique to the experience of living with a urinary condition and often interacted with social stigma such as embarrassment from incontinence after a fall. Fear of falling was more strongly associated with urinary incontinence-related quality of life than symptom severity, physical functioning, or comorbid burden after adjusting for age (p\u2009&lt;\u20090.01). Fear of falling and symptom severity were the only factors significantly associated with urinary incontinence-related quality of life in regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is a need to better communicate to older women with urinary incontinence the known risk of falling associated with their urinary condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057251347079","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T02:32:25Z","timestamp":1750818745000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perspectives of older women with coexisting urinary incontinence and high fall risk"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5685-3227","authenticated-orcid":false,"given":"Steve R.","family":"Fisher","sequence":"first","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation Science, University of Texas Medical Branch at Galveston (UTMB), TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Villasante-Tezanos","sequence":"additional","affiliation":[{"name":"Office of Biostatistics, University of Texas Medical Branch at Galveston (UTMB), TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4823-7158","authenticated-orcid":false,"given":"Lindsay M.","family":"Allen","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation Science, University of Texas Medical Branch at Galveston (UTMB), TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn","family":"Utsey","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation Science, University of Texas Medical Branch at Galveston (UTMB), TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gokhan","family":"Kilic","sequence":"additional","affiliation":[{"name":"Female Pelvic Medicine and Reconstructive Surgery, Urogynecology, Department of Obstetrics and Gynecology, University of Texas Medical Branch at Galveston (UTMB), TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique R.","family":"Pappadis","sequence":"additional","affiliation":[{"name":"Department of Population Health and Health Disparities, University of Texas Medical Branch at Galveston (UTMB), TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.07601.x"},{"issue":"1","key":"e_1_3_3_3_2","first-page":"28","article-title":"Falls in the elderly secondary to urinary symptoms","volume":"18","author":"Soliman Y","year":"2016","unstructured":"Soliman Y, Meyer R, Baum N. 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