Racial Differences in the Prevalence of Overactive Bladder in the United States From the Epidemiology of LUTS (EpiLUTS) Study
Racial Differences in the Prevalence of Overactive Bladder in the United States From the Epidemiology of LUTS (EpiLUTS) Study
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DOI：
10.1016/j.urology.2011.09.010
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发表时间：
2012-01-01
期刊：
影响因子：
2.1
通讯作者：
Kaplan, Steven A.
中科院分区：
文献类型：
--
作者：
Coyne, Karin S.;Margolis, Mary Kay;Kaplan, Steven A.
目的评估美国男性和女性膀胱过度活动症(OAB)的患病率，以确定是否存在种族差异。方法对EpiLUTS(下尿路症状流行病学)调查的数据进行二次分析，EpiLUTS是一项基于互联网的横断面、具有人口代表性的流行病学调查，在美国、英国和瑞典进行。这些分析仅限于美国40岁及以上的男性和女性的数据。OAB的存在被定义为经历尿急或尿失禁。OAB症状的病例定义被归类为至少“有时”发生。按种族估计OAB的患病率。对每一性别进行Logistic回归分析，以检验种族在OAB状态中的作用，控制危险因素和并存情况。结果美国的应答率为59.6%。共有9237名男性和10407名女性自认自己的种族，并被纳入分析样本。OAB的患病率至少“有时”在亚裔男性中为26%，在非裔美国男性中为33%。同样，OAB的患病率在亚裔女性中最低(27%)，在非裔美国女性中最高(46%)。种族对男性OAB有预测作用，但对女性没有预测作用。结论在不同种族中，男性OAB患病率为26-33%，女性为27-46%。非裔美国人和西班牙裔美国人对男性的OAB有预测作用，但对女性则不然。泌尿外科79：95-101,2012。(C)2012年爱思唯尔公司。
OBJECTIVES To estimate the prevalence of overactive bladder (OAB) in men and women in the United States (US) to determine whether there were racial differences.METHODS This was a secondary analysis of data from the EpiLUTS (Epidemiology of Lower Urinary Tract Symptoms) survey, an Internet-based cross-sectional, population-representative epidemiologic survey conducted in the US, UK, and Sweden. These analyses were limited to the data of men and women aged 40 and older from the US. The presence of OAB was defined as experiencing urinary urgency or urinary urgency incontinence. Case definitions of OAB symptoms were categorized as occurring at least "sometimes." Prevalence rates of OAB were estimated by race. Logistic regression analyses were conducted for each gender to examine the role of race on OAB status, controlling for risk factors and comorbid conditions.RESULTS The response rate in the US was 59.6%. A total of 9237 men and 10,407 women self-identified their race and were included in the analytic sample. The prevalence of OAB at least "sometimes" ranged from 26% in Asian men to 33% in African American men. Similarly, the prevalence of OAB at least "sometimes" was lowest in Asian women (27%) and highest in African American women (46%). Race was predictive of OAB in men but not for women.CONCLUSIONS The prevalence of OAB ranged from 26-33% across races for men and from 27-46% across races for women. African American and Hispanic race is predictive of OAB for men but not for women. UROLOGY 79: 95-101, 2012. (C) 2012 Elsevier Inc.