Prevention of Incontinence-Associated Skin Damage in Nursing Homes: Disparities and Predictors

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5 Scopus citations


Racial/ethnic disparities in preventing health problems have been reported in nursing homes. Incontinence is common among nursing home residents and can result in inflammatory-type skin damage, referred to as incontinence-associated skin damage (IASD). Little is known about the prevention of IASD and whether there are racial/ethnic disparities in its prevention. This study assessed the proportion of older nursing home residents receiving IASD prevention after developing incontinence after admission (n = 10,713) and whether there were racial/ethnic disparities in IASD prevention. Predictors of preventing IASD were also examined. Four national data sets provided potential predictors at multiple levels. Disparities were analyzed using the Peters–Belson method; predictors of preventing IASD were assessed using hierarchical logistic regression. Prevention of IASD was received by 0.12 of residents and no racial/ethnic disparities were found. Predictors of preventing IASD were primarily resident-level factors including limitations in activities of daily living, poor nutrition, and more oxygenation problems.

Original languageEnglish (US)
Pages (from-to)643-659
Number of pages17
JournalWestern journal of nursing research
Issue number5
StatePublished - May 1 2017

Bibliographical note

Publisher Copyright:
© 2016, © The Author(s) 2016.


  • dermatitis
  • disparities
  • incontinence
  • nursing homes


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