BACKGROUND In view of population aging, a better knowledge of factors influencing the type of long-term care (LTC) among older adults is necessary. Previous studies reported a close relationship between incontinence and institutionalization, but little is known on opinions of older citizens regarding the most appropriate place of care. This study aimed at evaluating the impact of urine and/or fecal incontinence on preferences of community-dwelling older citizens. METHODS We derived data from the Lausanne cohort 65+, a population-based study of individuals aged from 68 to 82 years. A total of 2974 community-dwelling persons were interviewed in 2017 on the most appropriate place of LTC delivery for three vignettes displaying a fixed level of disability with varying degrees of incontinence (none, urinary, urinary and fecal). Multinomial logistic regression analyses explored the effect of respondents' characteristics on their opinion according to Andersen's model. RESULTS The level of incontinence described in vignettes strongly determined the likelihood of considering institutional care as most appropriate. Respondents' characteristics such as age, gender, educational level, being a caregiver, knowledge of shelter housing or feeling supported by family influenced LTC choices. Self-reported incontinence and other indicators of respondents' need, however, had no significant independent effect. CONCLUSION Among older community-dwelling citizens, urinary and fecal incontinence play a decisive role in the perception of a need for institutionalization. Prevention and early initiation of support for sufferers may be a key to prevent this need and ensure familiar surrounding as long as possible.

中文翻译：

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尿液和混合尿失禁对长期护理偏爱的影响：一项对居住在社区的老年人的小插图调查研究。

背景技术鉴于人口老龄化，需要对影响老年人中的长期护理（LTC）类型的因素的更好的了解。先前的研究报告了失禁与机构化之间的密切关系，但对于老年人在最合适的护理地点上的看法知之甚少。这项研究旨在评估尿液和/或大便失禁对社区居民老年人偏好的影响。方法我们从洛桑队列65岁以上人群中获得数据，洛桑队列65岁以上人群是基于人群的68岁至82岁人群的研究。2017年，共有2974名社区居民接受了LTC交付的最合适地点的三个小插曲，这些小插曲显示出固定水平的残疾和不同程度的大小便失禁（无，尿，尿和粪便）。多项逻辑回归分析根据安德森（Andersen）模型探索了受访者特征对其意见的影响。结果小插曲中描述的失禁程度强烈地决定了考虑最适当的机构护理的可能性。受访者的特征（例如年龄，性别，学历，保姆，住房知识或家庭支持的感觉）影响了LTC的选择。自我报告的失禁和其他受访者需求指标没有明显的独立影响。结论在老年社区居民中，尿失禁和粪便失禁在认识到需要制度化方面起着决定性作用。