Depression among older people living in the community with urinary, fecal, and double incontinence in Bali, Indonesia: a secondary data analysis

Depression and incontinence in older people living at home have become a global issue; however, the research around this area is limited in Indonesia. This study aimed to determine the prevalence of depression among older people with Urinary Incontinence (UI), Fecal Incontinence (FI), and Double Incontinence (DI) in Indonesia. This study used data from a community project dataset for case management processes in older people in an urban area of Bali in 2022. The dataset used was 970 older people aged 60+. We measured six variables in our study: age, gender, depression, UI, FI, and DI. A multivariate logistic regression analysis was conducted to explore the determinants of depression in older people. Most respondents were female (55.3%). Findings showed that the prevalence of depression, urinary, fecal, and double incontinence were 8.0%, 4.7%, 9.1%, and 2.8%, respectively. Depression was associated with age and all types of incontinence, but not gender. Logistic regression showed that the strongest predictor of depression in older people was FI (OR 3.151), followed by age, with OR 2.243. Nurses and other health workers should conduct more active screening for depression and incontinence for better management of these global health issues.