Race as a predictor of urinary incontinence and pelvic organ prolapse
Race as a predictor of urinary incontinence and pelvic organ prolapse
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DOI：
10.1067/mob.2001.114914
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发表时间：
2001-07-01
影响因子：
9.8
通讯作者：
Mallett, VT
中科院分区：
文献类型：
--
作者：
Graham, CA;Mallett, VT
目的：这项研究的目的是评估种族对非裔美国人和高加索人对尿失禁和脱垂的标准化评估结果的影响。研究：这是对183名非裔美国人和132名高加索人的分析的分析。与尿失禁，骨盆器官脱垂或两者相关。分子分别诊断出22％，30％，16％和32％ ，相比之下，高加索受试者的46％，13％，11％和31％（p = .001）。盆腔器官脱垂的存在或严重程度没有显着的种族差异。随着使用逐步的逻辑回归比较尿失禁的危险因素，高加索种族是真正的压力尿失禁的最重要预测指标（优势比2.21; 95％置信区间1.31-3.73），非裔美国人种族是唯一的重要预测指标。迫害者的不稳定性（几率2.6; 95％置信区间1.45-4.80）。结论：在该人群中，非裔美国人和高加索妇女之间的尿失禁风险因素和条件有显着差异。危险因素的种族差异以及尿失禁亚型的流行率可能对诊断和预防尿失禁具有重要意义。
OBJECTIVE: The purpose of this study was to assess the effect of race on the results of a standardized evaluation of urinary incontinence and prolapse in African Americans and Caucasians.STUDY DESIGN: This was an analysis of 183 African Americans and 132 Caucasians referred consecutively for symptoms associated with urinary incontinence, pelvic organ prolapse, or both.RESULTS: Genuine stress incontinence, detrusor instability, mixed incontinence, or other condition was diagnosed in 22%, 30%, 16%, and 32% of the African-American subjects, respectively, compared with 46%, 13%, 11%, and 31% of the Caucasian subjects (P = .001). There was no significant racial difference in the presence or severity of pelvic organ prolapse. With the use of stepwise logistic regression to compare risk factors for incontinence, Caucasian race was the most significant predictor of genuine stress incontinence (odds ratio 2.21; 95% confidence interval 1.31-3.73), and African-American race was the only significant predictor of detrusor instability (odds ratio 2.6; 95% confidence interval 1.45-4.80).CONCLUSION: Risk factors for and conditions of urinary incontinence differed significantly between African-American and Caucasian women in this population. Racial differences in risk factors and in prevalence of incontinence subtypes may have importance for the diagnosis and prevention of urinary incontinence.