Background: The proportion of the elderly in Riau Province was 4.8% higher than that (4.2%) in 2011. Urinary incontinence (UI) is a common health problem among the elderly. This study aims to determine the prevalence and associated factors for UI among the elderly (≥60 years).

Methods: This cross-sectional study was conducted in 20 public health centers in Pekanbaru City in 2018. A total of 351 elderly meeting the inclusion criteria were enrolled. Gender, age, education, occupation, marital status, obesity, depression, cognitive impairment, smoking status, history of chronic cough, and history of lower abdominal surgery served as the independent variables and UI as the dependent variable. Data were collected through interviews facilitated by staff trained by the research team. Data were analyzed using multiple logistic regression with a predictive factor model to assess the relationship between the independent and dependent variables.

Results: The prevalence of UI was 6%, and the associated factors were chronic cough (prevalence odds ratio = 17.661; 95% CI: 6.380–48.884). Gender, age, education, and lower abdominal surgery were the confounding factors.

Conclusions: Health workers at the public health center of Pekanbaru should educate the community and the elderly about the potential causes, prevention, and treatment of UI.


  1. Junqueira JB, Santos VLCG. Urinary incontinence in hospital patients: Prevalence and associated factors. Rev Lat Am Enfermagem. 2018;25:e2970.
  2. Kılıç M. Incidence and risk factors of urinary incontinence in women visiting Family Health Centers. Springerplus. 2016;5:1331.
  3. Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric. 2019;22:217–22.
  4. Hung WW, Ross JS, Boockvar KS, Siu AL. Recent trends in chronic disease, impairment and disability among older adults in the United States. BMC Geriatr. 2011;11:47
  5. Xue K, Palmer MH, Zhou F. Prevalence and associated factors of urinary incontinence in women living in China: A literature review. BMC Urol. 2020;20:159.
  6. Sumardi R, Mochtar CA, Junizaf, Santoso BI, Setiati S, Nuhonni SA, et al. Prevalence of urinary incontinence, risk factors and its impact: Multivariate analysis from Indonesian nationwide survey. Acta Med Indones. 2014;46:175–82.
  7. Rijal C, Hakim S. Urinary incontinence in women living in nursing homes: Prevalence and risk factors. Indones J Obstet Gynecol. 2014;2:193–8.
  8. Batmani S, Jalali R, Mohammadi M, Bokaee S. Prevalence and factors related to urinary incontinence in older adults women worlwide: A comprehensive systematic review and meta-analysis of observational studies. BMC Geriatrics. 2021;21:212.
  9. Almisar H. Penduduk lanjut usia di Indonesia dan masalah kesejahteraanya. Jakarta: Kementerian Sosial Republik Indonesia, 2007.
  10. United Nation Development Programme. Human development report 2011 - sustainability and equity: A better future for all. New York: United Nation Development Programme, 2011.
  11. Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia. Situasi lanjut usia (lansia) di Indonesia. Indonesia: Pusat Data dan Informasi Kemenerian Kesehatan Republik Indonesia, 2016.
  12. Badan Pusat Statistik Provinsi Riau. Provinsi Riau dalam angka 2016. Indonesia: Badan Pusat Statistik Provinsi Riau; 2016.
  13. Avery JC, Stocks NP, Duggan P, Braunack-Mayer AJ, Taylor AW, Goldney RD, et al. Identifying the quality of life effects of urinary incontinence with depression in an Australian population. BMC Urol. 2013;13:11.
  14. Stickley A, Santini ZI, Koyanagi A. Urinary incontinence, mental health and loneliness among community-dwelling older adults in Ireland. BMC Urol. 2017;17:29.
  15. Park HJ, Choo SR, Kim SH, Lee HK, Son KY. Association between muscle loss and urinary incontinence in elderly Korean women. Korean J Fam Med. 2015;36:22–34.
  16. Evans DR, Segerstrom SC. Physical activity and depressive symptoms interact to predict executive functioning among community-dwelling older adults. Exp Aging Res. 2015;41:534–45.
  17. Kitamura K, Watanabe Y, Nakamura K, Takahashi A, Takachi R, Oshiki R, et al. Weight loss from 20 years of age is associated with cognitive impairment in middle-aged and elderly individuals. PLoS One. 2017;12:e0185960.
  18. Rinaldi M, Graffi G, Massa ER. Metabolic Syndrome and cognitive decline: The role of physical activity. Boll Soc Ital Biol Sper. 2013;86:54–7.
  19. Yuan J, Sun Y, Sang S, Pham JH, Kong WJ. The risk of cognitive impairment associated with hearing function in older adults: A pooled analysis of data from eleven studies. Sci Rep. 2018;8:2137.
  20. Virtuoso JF, Mazo GZ, Menezes EC. Urinary incontinence and perineal muscle function in physically active and sedentary elderly women. Braz J Phys Ther. 2011;15:310–7.
  21. Mayo Clinic. Urinary incontinence: Symptoms & Causes. United States: Mayo Foundation for Medical Education and Research; 2017.
  22. Johnson II TM, Ouslander JG. Incontinence. In: Halter JB, Ouslander JG, Tinetti ME, et al. Eds. Hazzard’s Geriatric Medicine and Gerontology. 6th ed. McGraw-Hill Medical, 2009, p. 717.
  23. Aoki Y, Brown HW, Brubaker L, Cornu JN, Daly JO, Cartwright R. Urinary incontinence in women. Nat Rev Dis Primers. 2017;3:17097.
  24. Wood LN, Anger JT. Urinary incontinence in women. BMJ. 2014;349:g4531.
  25. Dawson C, Whitfield H. ABC of urology: Urinary incontinence and urinary infection. BMJ. 1996;312:961–4.
  26. Thirugnanasothy S. Managing urinary incontinence in older people. BMJ. 2010;341:c3835.
  27. Yağmur Y, Ulukoca N. Urinary incontinence in hospital-based nurses working in Turkey. Int J Gynecol Obstet. 2010;108:224–7.
  28. Perera J, Kirthinanda DS, Wijeratne S, Wickramarachchi TK. Descriptive cross sectional study on prevalence, perceptions, predisposing factors and health seeking behaviour of women with stress urinary incontinence. BMC Womens Health. 2014;14:78.
  29. Al-Badr A, Brasha H, Al-Raddadi R, Noorwali F, Ross S. Prevalence of urinary incontinence among Saudi women. Int J Gynecol Obstet. 2012;117:160–3.
  30. Ofori AA, Osarfo J, Agbeno EK, Azanu WK, Opare-Addo HS. Prevalence and determinants of non-fistulous urinary incontinence among Ghanaian women seeking gynaecologic care at a teaching hospital. PLoS One. 2020;15:e0237518
  31. Liu B, Wang L, Huang SS, Wu Q, Wu DL. Prevalence and risk factors of urinary incontinence among Chinese women in Shanghai. Int J Clin Exp Med. 2014;7:686–96.
  32. Mota RL. Female urinary incontinence and sexuality. Int Braz J Urol. 2017;43:20–8.
  33. Swanson JG, Kaczorowski J, Skelly J, Finkelstein M. Urinary incontinence: Common problem among women over 45. Can Fam Physician. 2005;51:84–5.
  34. Gordis L. Epidemiology. 5th ed. Philadelphia: Elsevier Saunders; 2014.



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