Prevalence and correlates of prostatitis in the health professionals follow-up study cohort
Prevalence and correlates of prostatitis in the health professionals follow-up study cohort
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DOI：
10.1016/s0022-5347(05)65301-3
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发表时间：
2002-03-01
影响因子：
6.6
通讯作者：
Kawachi, I
中科院分区：
文献类型：
--
作者：
Collins, MM;Meigs, JB;Kawachi, I
目的：前列腺炎是一种不明确的疾病，其症状与良性前列腺增生（BPH）重叠。关于前列腺炎的患病率和相关性，以及区分前列腺炎和前列腺增生的因素，我们知之甚少。我们在全国范围内的健康男性样本中研究了这些问题。材料和方法：1992年，31,681名没有前列腺癌的美国卫生专业人员提供了泌尿科诊断、下尿路症状以及人口统计学、临床和生活方式因素的信息。我们计算了年龄校正后的比值比和预测前列腺炎病史的95%可信区间。我们还比较了前列腺炎患者和前列腺增生患者的特征。结果：自述前列腺炎史的患病率为16%。有前列腺增生史的男性患前列腺炎的几率是男性的7.7倍，有中度或重度下尿路症状的男性患前列腺炎的几率分别是男性的1.8倍和2.8倍，有性传播疾病史的男性患前列腺炎的几率是男性的1.8倍，有家庭或工作压力的男性患前列腺炎的几率是男性的1.5倍和1.2倍。2163名单独患有前列腺炎的男性比4575名单独患有前列腺增生的男性更年轻，尿路症状不那么严重（但症状模式相似）。结论：自我报告的前列腺炎在所有年龄段的健康男性中都很常见，但与自我报告的前列腺增生有相当大的重叠。前列腺炎有几个可识别的相关因素，可能有助于其识别。
Purpose: Prostatitis is an ill-defined condition whose symptoms overlap with benign prostatic hyperplasia (BPH). Little is known about the prevalence and correlates of prostatitis, or factors that distinguish prostatitis from BPH. We examined these issues in a large, nationwide sample of healthy men.Materials and Methods: In 1992, 31,681 United States health professionals without prostate cancer provided information on urological diagnoses, lower urinary tract symptoms, and demographic, clinical and lifestyle factors. We calculated age adjusted odds ratios and 95% confidence intervals for these correlates predicting a history of prostatitis. We also compared characteristics of men with prostatitis to those with BPH.Results: The prevalence of a self-reported history of prostatitis was 16%. Men reporting a history of BPH had 7.7-fold greater odds of a history of prostatitis, those with moderate or severe lower urinary tract symptoms had 1.8 and 2.8-fold greater odds, respectively, those with a history of sexually transmitted disease had 1.8-fold greater odds and those reporting stress at home or work had 1.5- and 1.2-fold greater odds, respectively. The 2,163 men with prostatitis alone were younger and had less severe urinary tract symptoms (but a similar pattern of symptoms) than the 4,575 men with BPH alone.Conclusions: Self-reported prostatitis was common among healthy men of all ages but there was considerable overlap with self-reported BPH. Prostatitis had several identifiable correlates that may aid in its recognition.