Interpersonal Stressors and Resources for Support: Associations with Lower Urinary Tract Symptoms and Impact Among Women.
Interpersonal Stressors and Resources for Support: Associations with Lower Urinary Tract Symptoms and Impact Among Women.
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人际压力源和支持资源：与下尿路症状的关联及其对女性的影响。
DOI：
10.1089/jwh.2022.0483
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Markland,AlayneD
中科院分区：
文献类型：
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作者：
Brady,SonyaS;Arguedas,Andrés;Huling,JaredD;Shan,Liang;Lewis,CoraE;Fok,CynthiaS;VanDenEeden,StephenK;Markland,AlayneD
背景：本研究利用冠状动脉风险发展的年轻人（CARDIA）的数据，以探讨妇女的感知情感支持和人际压力是否与下尿路症状（LUTS）和他们的影响quality of life. Materials and Methods：情感支持进行了评估，在基线/年0（1985 - 86），年2（1987 - 88），年15（2000 - 01），年20（2005 - 06）;人际压力进行了评估，在年15和20。在2012 - 13年，LUTS和影响进行了评估。LUTS/影响类别（一个复合变量，范围从膀胱健康到轻度，中度和严重的LUTS/影响）回归的轨迹组的情感支持，从0年到20年。另外，LUTS/影响回归平均情感支持和人际压力在15 - 20年。分析调整了年龄，种族，教育和奇偶性（n = 1004）。结果：在比较妇女的支持轨迹从0年到20年一贯高，妇女的支持一贯低的赔率超过四倍（比值比[OR]= 4.22; 95%置信区间[CI]= 2.78 - 6.42）被归类为一个更沉重的LUTS/影响类别。15 - 20岁之间的平均支持和人际压力与较低的几率独立相关（OR = 0.59; 95% CI = 0.44 - 0.77）和更大的几率（OR = 1.52; 95%CI = 1.19 - 1.94），被归类为更沉重的LUTS/影响类别。在CARDIA队列中，1985 - 86年和2005 - 06年之间评估的女性人际关系质量与2012 - 13年评估的LUTS/影响相关。需要在多个时间点收集LUTS/影响数据的额外研究，以测试情感支持和人际压力与LUTS/影响的潜在双向关联，以及潜在的关联机制。
Background:This study utilizes Coronary Artery Risk Development in Young Adults (CARDIA) data to examine whether women's perceived emotional support and interpersonal stressors are associated with lower urinary tract symptoms (LUTS) and their impact on quality of life.Materials and Methods:Emotional support was assessed at baseline/year 0 (1985–86), year 2 (1987–88), year 15 (2000–01), and year 20 (2005–06); interpersonal stressors were assessed at years 15 and 20. In 2012–13, LUTS and impact were assessed. LUTS/impact category (a composite variable ranging from bladder health to mild, moderate, and severe LUTS/impact) was regressed on trajectory groups of emotional support from years 0 to 20. Separately, LUTS/impact was regressed on mean emotional support and interpersonal stressors across years 15–20. Analyses were adjusted for age, race, education, and parity (n= 1004).Results:In comparison to women whose support trajectory from years 0 to 20 was consistently high, women whose support was consistently low had over four times the odds (odds ratio [OR] = 4.22; 95% confidence interval [CI] = 2.78–6.42) of being classified into a more burdensome LUTS/impact category. Mean support and interpersonal stressors across years 15–20 were independently associated with lower odds (OR = 0.59; 95% CI = 0.44–0.77) and greater odds (OR = 1.52; 95% CI = 1.19–1.94), respectively, of being classified into a more burdensome LUTS/impact category.Conclusions:In the CARDIA cohort, quality of women's interpersonal relationships, assessed between 1985–86 and 2005–06, was associated with LUTS/impact assessed in 2012–13. Additional research collecting LUTS/impact data at multiple time points is needed to test potential bidirectional associations of emotional support and interpersonal stressors with LUTS/impact, as well as potential mechanisms of association.