The association of abuse and symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome: Results from the Boston Area Community Health survey
The association of abuse and symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome: Results from the Boston Area Community Health survey
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DOI：
10.1007/s11606-007-0341-y
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发表时间：
2007-11-01
影响因子：
5.7
通讯作者：
McKinlay, John B.
中科院分区：
文献类型：
--
作者：
Hu, Jim C.;Link, Carol L.;McKinlay, John B.
目的：确定报告的性、身体或精神虐待对慢性前列腺炎/慢性盆腔疼痛综合征（CP/CPPS）症状的影响，并确定种族/民族对这些模式的影响。方法：波士顿地区社区卫生（BACH）调查采用多阶段分层整群抽样，随机抽取波士顿市5506名年龄在30-79岁之间的成年人。巴赫招募了2301名男性（700名黑人，766名西班牙裔，835名白人）。访谈者回答的问题近似于美国国立卫生研究院慢性前列腺炎症状指数（CPSI），并通过会阴和/或射精疼痛的定义和CPSI疼痛评分4+来测量提示CP/CPPS的症状。在家访期间，从一份有效的自我管理问卷中获得有关以前虐待的问题。使用逻辑回归来确定虐待对男性出现CP/CPPS症状可能性的影响。结果：提示CP/CPPS症状的患病率为6.5%。报告遭受过性、身体或精神虐待的男性出现CP/CPPS症状的几率增加（1.7-3.3）。先前的虐待增加了CPSI的疼痛和泌尿评分。结论：提示CP/CPPS的症状在社区男性人群中并不罕见。对于表现出CP/CPPS症状的男性，临床医生可能希望考虑进行滥用筛查。
OBJECTIVE: To determine the effect of reported sexual, physical, or emotional abuse on the symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and to determine the effect of race/ethnicity on these patterns.METHODS: The Boston Area Community Health (BACH) survey used a multi-stage stratified cluster sample to randomly sample 5,506 adults aged 30-79 from the city of Boston. BACH recruited 2,301 men (700 Black, 766 Hispanic, and 835 White). Interviewers administered questions approximating the National Institutes of Health chronic prostatitis symptom index (CPSI), and symptoms suggestive of CP/CPPS were measured by the definition of perineal and/or ejaculatory pain and CPSI pain score of 4+. Questions about previous abuse were obtained from a validated self-administered questionnaire during the home visit. Logistic regression was used to determine the effect of abuse on the likelihood of a man having symptoms suggestive of CP/CPPS.RESULTS: The prevalence of symptoms suggestive of CP/CPPS was 6.5%. Men who reported having experienced sexual, physical, or emotional abuse had increased odds (1.7-3.3) for symptoms suggestive of CP/CPPS. Previous abuse increased both the pain and urinary scores from the CPSI.CONCLUSION: Symptoms suggestive of CP/CPPS are not uncommon in a community-based population of men. For men presenting with symptoms suggestive of CP/CPPS, clinicians may wish to consider screening for abuse.