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Evaluating Racial/Ethnic Disparities in Lower Urinary Tract Symptoms in Men

2011; Lippincott Williams & Wilkins; Volume: 187; Issue: 1 Linguagem: Inglês

10.1016/j.juro.2011.09.043

1527-3792

Stephen K. Van Den Eeden, Jun Shan, Steven J. Jacobsen, David Aaronsen, Reina Haque, Virginia P. Quinn, Charles P. Quesenberry,

Prostate Cancer Diagnosis and Treatment

No AccessJournal of UrologyAdult Urology1 Jan 2012Evaluating Racial/Ethnic Disparities in Lower Urinary Tract Symptoms in Men Stephen K. Van Den Eeden, Jun Shan, Steven J. Jacobsen, David Aaronsen, Reina Haque, Virginia P. Quinn, Charles P. Quesenberry, and Urologic Diseases in America Projectd Stephen K. Van Den EedenStephen K. Van Den Eeden Division of Research, Kaiser Permanente Northern California, Oakland, California , Jun ShanJun Shan Division of Research, Kaiser Permanente Northern California, Oakland, California , Steven J. JacobsenSteven J. Jacobsen Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California , David AaronsenDavid Aaronsen Department of Urology, Kaiser Oakland Medical Center, Oakland, California , Reina HaqueReina Haque Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California , Virginia P. QuinnVirginia P. Quinn Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California , Charles P. QuesenberryCharles P. Quesenberry Division of Research, Kaiser Permanente Northern California, Oakland, California , and Urologic Diseases in America Projectd View All Author Informationhttps://doi.org/10.1016/j.juro.2011.09.043AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We examined whether there are racial/ethnic disparities in lower urinary tract symptoms in men. Materials and Methods: Racial/ethnic disparities were examined using the American Urological Association symptom index in 2 large cohorts, including the California Men's Health Study and the Research Program in Genes, Environment and Health. Prevalence and incidence were calculated in each age and race/ethnicity strata. Multivariate analysis was done to assess the association between race/ethnicity and lower urinary tract symptoms. Results: The lower urinary tract symptom prevalence increased with age in each racial/ethnic category (p <0.05). The mean ± SD age adjusted American Urological Association symptom index score for black, Hispanic, other/mixed, nonHispanic white and Asian men was 9.57 ± 5.83, 9.35 ± 6.30, 9.32 ± 6.22, 8.99 ± 5.89 and 8.41 ± 5.59, respectively. In multivariate models Hispanic and black men were at increased risk for moderate lower urinary tract symptoms than white men while only Hispanic men were at higher risk for severe lower urinary tract symptoms. Asian men were at lower risk for moderate or severe lower urinary tract symptoms than white men. The incident rate of lower urinary tract symptoms increased with increasing baseline age for almost all racial/ethnic groups (range 32% to 56%). Asian and Hispanic men were at lower risk for incident lower urinary tract symptoms than white men even after adjusting for sociodemographic factors, health related behaviors and comorbidity. Conclusions: Racial/ethnic disparities in lower urinary tract symptoms persist after accounting for putative and established risk factors. References 1 : Race/ethnicity, obesity, health related behaviors and the risk of symptomatic benign prostatic hyperplasia: results from the prostate cancer prevention trial. J Urol2007; 177: 1395. Link, Google Scholar 2 : Obesity and benign prostatic hyperplasia. Am J Epidemiol1994; 140: 989. Google Scholar 3 : Risk factors for clinical benign prostatic hyperplasia in a community-based population of healthy aging men. J Clin Epidemiol2001; 54: 935. Google Scholar 4 : Diabetes and benign prostatic hyperplasia: emerging clinical connections. Curr Urol Rep2009; 10: 267. Google Scholar 5 : Associations of obesity with lower urinary tract symptoms and noncancer prostate surgery in the Third National Health and Nutrition Examination Survey. Am J Epidemiol2004; 159: 390. 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Google Scholar © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byPatel P, Sweigert S, Nelson M, Gupta G, Baker M, Weaver F and McVary K (2020) Disparities in Benign Prostatic Hyperplasia Progression: Predictors of Presentation to the Emergency Department in Urinary RetentionJournal of Urology, VOL. 204, NO. 2, (332-336), Online publication date: 1-Aug-2020.Van Den Eeden S (2012) What Epidemiological Studies are Telling Us About Lower Urinary Tract Symptoms that Should Change PracticeJournal of Urology, VOL. 188, NO. 2, (353-354), Online publication date: 1-Aug-2012. Volume 187Issue 1January 2012Page: 185-189Supplementary Materials Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.Keywordsepidemiologycontinental population groupsurinary tractriskurination disordersMetricsAuthor Information Stephen K. Van Den Eeden Division of Research, Kaiser Permanente Northern California, Oakland, California More articles by this author Jun Shan Division of Research, Kaiser Permanente Northern California, Oakland, California More articles by this author Steven J. Jacobsen Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California Financial interest and/or other relationship with Merck and Beckman Coulter. More articles by this author David Aaronsen Department of Urology, Kaiser Oakland Medical Center, Oakland, California More articles by this author Reina Haque Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California More articles by this author Virginia P. Quinn Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California More articles by this author Charles P. Quesenberry Division of Research, Kaiser Permanente Northern California, Oakland, California More articles by this author Urologic Diseases in America Projectd More articles by this author Expand All Advertisement PDF downloadLoading ...