An absorbent article for incontinence comprising a front-surface sheet and a back-surface sheet with an absorber interposed therebetween, wherein the absorbent article for incontinence is an absorbent article for incontinence for medium or larger volume, which absorbs a urine volume of 20 cc or more; and the front-surface sheet is obtained by applying a water repellent agent to a spunlace nonwoven fabric made of 100% by weight of cotton fiber, an application amount of the water repellent agent being 0.3 parts by weight or more and 3.0 parts by weight or less relative to 100 parts by weight of cotton fiber; has many openings penetrating from front to back in a region that includes an excretion hole corresponding part and is 15% or more of a length of the absorber in a longitudinal direction of the absorbent article for incontinence and 50% or more of a width of the absorber in a width direction of the absorbent article for incontinence; and forms a skin-contact surface on which a recessed groove in the form of a center emboss is provided in a center portion in the width direction including a urination hole part; the absorber comprises a pulp fiber that does not include synthetic fiber and a superabsorbent polymer in a ratio of the pulp fiber: the superabsorbent polymer as 0 to 70% by weight: 100 to 30% by weight, a basis weight of the pulp fiber is 0 to 800 g/m 2 and a basis weight of the superabsorbent polymer is 85 to 800 g/m 2; and the front-surface sheet has a diffusion area of liquid of 2000 mm 2 or less based on a diffusivity test below; wherein, in the diffusivity test: two sheets of qualitative filter paper cut into a size of 100 mm × 100 mm are stacked on each other, and a front-surface sheet sample cut into a width of 80 mm × a length of 100 mm is placed thereon; 1 ml of tap water dyed blue is dropped using a pipette from a position 5 mm high from a surface of the front-surface sheet sample; after allowing to stand for 5 minutes, measurement of a diffusion area of a blue-dyed portion that spreads in the front-surface sheet sample is performed; and the measurement is performed three times and an average value thereof is calculated. wherein the absorbent article for incontinence is an absorbent article for incontinence for medium or larger volume, which absorbs a urine volume of 20 cc or more; and the front-surface sheet is obtained by applying a water repellent agent to a spunlace nonwoven fabric made of 100% by weight of cotton fiber, an application amount of the water repellent agent being 0.3 parts by weight or more and 3.0 parts by weight or less relative to 100 parts by weight of cotton fiber; has many openings penetrating from front to back in a region that includes an excretion hole corresponding part and is 15% or more of a length of the absorber in a longitudinal direction of the absorbent article for incontinence and 50% or more of a width of the absorber in a width direction of the absorbent article for incontinence; and forms a skin-contact surface on which a recessed groove in the form of a center emboss is provided in a center portion in the width direction including a urination hole part; the absorber comprises a pulp fiber that does not include synthetic fiber and a superabsorbent polymer in a ratio of the pulp fiber: the superabsorbent polymer as 0 to 70% by weight: 100 to 30% by weight, a basis weight of the pulp fiber is 0 to 800 g/m 2 and a basis weight of the superabsorbent polymer is 85 to 800 g/m 2; and the front-surface sheet has a diffusion area of liquid of 2000 mm 2 or less based on a diffusivity test below; wherein, in the diffusivity test: two sheets of qualitative filter paper cut into a size of 100 mm × 100 mm are stacked on each other, and a front-surface sheet sample cut into a width of 80 mm × a length of 100 mm is placed thereon; 1 ml of tap water dyed blue is dropped using a pipette from a position 5 mm high from a surface of the front-surface sheet sample; after allowing to stand for 5 minutes, measurement of a diffusion area of a blue-dyed portion that spreads in the front-surface sheet sample is performed; and the measurement is performed three times and an average value thereof is calculated. two sheets of qualitative filter paper cut into a size of 100 mm × 100 mm are stacked on each other, and a front-surface sheet sample cut into a width of 80 mm × a length of 100 mm is placed thereon; 1 ml of tap water dyed blue is dropped using a pipette from a position 5 mm high from a surface of the front-surface sheet sample; after allowing to stand for 5 minutes, measurement of a diffusion area of a blue-dyed portion that spreads in the front-surface sheet sample is performed; and the measurement is performed three times and an average value thereof is calculated.