Journal Article


Urinary, bowel and sexual health in older men from Northern Ireland

Abstract

Objectives: To provide data on the prevalence of urinary, bowel and sexual dysfunction in Northern Ireland (NI), to act as a baseline for studies of prostate cancer outcomes and to aid service provision within the general population. Subjects and Methods: A cross-sectional postal survey of 10 000 men aged ≥40 years in NI was conducted and age-matched to the distribution of men living with prostate cancer. The EuroQoL five Dimensions five Levels (EQ-5D-5L) and 26-item Expanded Prostate Cancer Composite (EPIC-26) instruments were used to enable comparisons with prostate cancer outcome studies. Whilst representative of the prostate cancer survivor population, the age-distribution of the sample differs from the general population, thus data were generalised to the NI population by excluding those aged 40–59 years and applying survey weights. Results are presented as proportions reporting problems along with mean composite scores, with differences by respondent characteristics assessed using chi-squared tests, analysis of variance, and multivariable log-linear regression. Results: Amongst men aged ≥60 years, 32.8% reported sexual dysfunction, 9.3% urinary dysfunction, and 6.5% bowel dysfunction. In all, 38.1% reported at least one problem and 2.1% all three. Worse outcome was associated with increasing number of long-term conditions, low physical activity, and higher body mass index (BMI). Urinary incontinence, urinary irritation/obstruction, and sexual dysfunction increased with age; whilst urinary incontinence, bowel, and sexual dysfunction were more common among the unemployed. Conclusion: These data provide an insight into sensitive issues seldom reported by elderly men, which result in poor general health, but could be addressed given adequate service provision. The relationship between these problems, raised BMI and low physical activity offers the prospect of additional health gain by addressing public health issues such as obesity. The results provide essential contemporary population data against which outcomes for those living with prostate cancer can be compared. They will facilitate greater understanding of the true impact of specific treatments such as surgical interventions, pelvic radiation or androgen-deprivation therapy.

Attached files

Authors

DW, Donnelly
C, Donnelly
T, Kearney
Weller, David
Sharp, Linda
Downing, Amy
Wilding, Sarah
Wright, Penny
Kind, Paul
Catto, James W.F.
Cross, William R.
Mason, Malcolm D.
McCaughan, Eilis
Wagland, Richard
Watson, Eila
Mottram, Rebecca
Allen, Majorie
Butcher, Hugh
Hounsome, Luke
Selby, Peter
Huws, Dyfed
Brewster, David H.
McNair, Emma
Rivas, Carol
Nayoan, Johana
Horton, Mike
Matheson, Lauren
Glaser, Adam W.
Gavin, Anna

Oxford Brookes departments

Faculty of Health and Life Sciences\Oxford School of Nursing and Midwifery\Department of Midwifery, Community and Public Health

Dates

Year of publication: 2018
Date of RADAR deposit: 2018-05-11


Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License


Related resources

This RADAR resource is the Version of Record of Urinary, bowel and sexual health in older men from Northern Ireland

Details

  • Owner: Daniel Croft
  • Collection: Outputs
  • Version: 1 (show all)
  • Status: Live