Community-based prevalence of anal incontinence

Article Abstract:

Approximately 2% of the US population may suffer from anal incontinence. In 1993, researchers interviewed 2,570 households with 6,959 members to determine the rate, characteristics, and management of anal incontinence. Of these, 153 people representing 2.2% of the population had anal incontinence. Sixty-three percent of incontinent people were women and 30% were older than age 65. Among incontinent people, 36% were unable to control solid feces, 54% could not control diarrhea, and 60% lacked control over gas. Ten percent had more than one episode of incontinence per week. The female gender, physical limitations, age older than 65 years, and poor health were independent risk factors for anal incontinence. Common incontinence coping mechanisms included limiting activity, seeing a physician, and wearing protective undergarments. Two people planned to move into a nursing home because of incontinence.

Demographic aspects, Fecal incontinence

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The physician's role in health promotion revisited - a survey of primary care practitioners

Article Abstract:

Physicians be may taking a more active role in promoting healthy behavior in their patients, according to a recent survey. In 1994, researchers surveyed 418 physicians, predominantly internists, as to the importance of various types of lifestyle advice to patients. Results were compared to physician attitudes culled from a 1981 survey. The 1994 data included more women physicians, fewer general practitioners, and a younger group in general. Physicians reported giving specific advice on smoking cessation, using seat belts, moderate alcohol use, avoiding saturated fats, and regular exercise. In 1994, more physicians asked routine questions about smoking, alcohol, exercise, and diet. Confidence about the power to change patient behavior varied somewhat, depending on the subject. Physicians felt least equipped to deal with illegal drugs, depression, diet and stress in patients.

Practice, Surveys, Health promotion, Patient education, Physicians (General practice), General practitioners

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