J Med Assoc Thai 1998; 81 (3):160

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Urinary Incontinence in Thai Elderly Living in Klong Toey Slum
Jitapunkul S Mail, Khovidhunkit W

Seven hundred and three non-institutionalized Thai elderly living in Klong Toey slum
were interviewed at home about their urinary symptoms and 114 cases of established urinary
incontinence were identified. The prevalence of established urinary incontinence was 16.2 per
cent. The commonest type is pure urge incontinence (58.8% ). 24.4 per cent of male subjects
with established incontinence had symptoms of outlet obstruction. 54.4 per cent of subjects were
classified as severely incontinent. More than 50 per cent had at least one psychological impact
and 7.9 per cent reported that their social lives were severely affected. Only 8.8 per cent had sought
medical help before and only 30 per cent were willing to attend a specialist at a university hospital.
The attitude of the elderly, the carers and medical doctors toward urinary incontinence
has to be corrected. Urinary incontinence should be a public health issue in Thailand and there
may be considerable scope for the provision of incontinence service at the primary health care
level.

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