Schluter PJ, et al. - This study investigated if urinary incontinence (UI) was an independent risk factor for falls and hip fractures in community-dwelling older men and women with complex needs, after controlling for confounders. All community care recipients in New Zealand underwent standardized needs assessments using the Home Care International Residential Assessment Instrument (interRAI-HC). Data shed light on a prominent connection between UI with falls and differentially related by sex. UI was not associated with hip fractures. Findings demonstrated that UI served as a common independent risk factor for falls but not hip fractures. Variation was reported in the patterns between men and women with complex needs.