Observational studyJournal of advanced nursing2026
Individual and Institutional Factors Associated With Urinary Incontinence Among Nursing Home Residents: A Multilevel Analysis.
Observational study in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Sleep disturbance and risk of incident incontinence in middle-aged and older Chinese adults: a 4-year national cohort study.BMJ open · 2026Article
- Individual and Institutional Factors Associated With Urinary Incontinence Among Nursing Home Residents: A Multilevel Analysis.Journal of advanced nursing · 2026Observational
- Perspectives of frail older adults and family caregivers on Urinary Incontinence interventions: A qualitative study.PloS one · 2026Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
aims(1) To analyse individual and institutional-level factors associated with urinary incontinence in older adults living in nursing homes; (2) to estimate the prevalence of urinary, faecal and double incontinence in nursing home residents.
designCross-sectional study.
methodsResidents aged 65+ living in 22 nursing homes in Catalonia (Spain) were included. Descriptive, bivariate, and multilevel analyses were performed.
resultsThe final sample comprised 452 residents (75.9% female, mean age of 87.0 years). The prevalence of urinary, faecal and double incontinence was 77.5%, 46.1% and 45.7%, respectively. Urinary incontinence was statistically significantly associated with neurological conditions, moderate cognitive impairment, moderate dementia, severe cognitive impairment, very severe cognitive impairment and age.
conclusionApproximately three out of four nursing home residents suffered from urinary incontinence and almost half of the sample from faecal or double incontinence. Individual-level factors (cognition, neurological conditions and age) played a more important role than institutional-level factors for urinary incontinence. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: The findings of this study highlight the importance of individual-level interventions to prevent and manage urinary incontinence in nursing homes. IMPACT: In Catalonian nursing homes, individual factors such as cognitive impairment and neurological conditions were more strongly associated with urinary incontinence than institutional factors. This has implications for improving care provided to older adults, particularly those with dementia and neurological conditions. REPORTING
methodSTROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. PATIENT OR PUBLIC CONTRIBUTION: Nursing home residents were not involved in this study.
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