Health Care for the Older Person

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Prevalence of faecal incontinence in community-dwelling older people in Bali, Indonesia
(John Wiley & Sons, 2014-04-14) Suyasa, I Gede Putu Darma; Xiao, Lily Dongxia; Lynn, Penelope Ann; Skuza, Pawel Piotr; Paterson, Janice Betty
Aim To explore the prevalence rate of faecal incontinence in community-dwelling older people, associated factors, impact on quality of life and practices in managing faecal incontinence. Method Using a cross-sectional design, 600 older people aged 60+ were randomly selected from a population of 2916 in Bali, Indonesia using a simple random sampling technique. Three hundred and three participants were interviewed (response rate 51%). Results The prevalence of faecal incontinence was 22.4% (95% confidence interval (CI) 18.0–26.8). Self-reported constipation (odds ratio (OR) 3.68, 95% CI 1.87–7.24) and loose stools (OR 2.66, 95% CI 1.47–4.78) were significantly associated with faecal incontinence. There was a strong positive correlation between total bowel control score and total quality-of-life score (P < 0.001, rs = 0.61) indicating significant alterations in quality of life. The current management practices varied from changing diet, visiting health-care professionals, and using modern and traditional medicines. Conclusion Faecal incontinence is common among community-dwelling older people in Bali.