Associations Between Unmet Social Needs and Overactive Bladder.
Associations Between Unmet Social Needs and Overactive Bladder.
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DOI：
10.1097/ju.0000000000002841
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发表时间：
2022-11
影响因子：
6.6
通讯作者：
Reynolds, W. Stuart
中科院分区：
文献类型：
--
作者：
Sebesta, Elisabeth M. M.;Gleicher, Stephanie;Kaufman, Melissa R. R.;Dmochowski, Roger R. R.;Reynolds, W. Stuart
关键词：
人们对健康的社会决定因素如何解释社会条件与健康之间的关系越来越感兴趣。膀胱过度活动症在美国很常见，造成了重大的公共卫生负担。本研究的目的是评估膀胱过度活动症是否与未满足的社会需求在一个大的，横断面样本的患者。以社区为基础的成人样本通过电子方式招募，以完成有关临床和人口统计学信息、泌尿系统症状和未满足的社会需求的问卷。多变量逻辑回归用于评估膀胱过度活动症和多种未满足的社会需求之间的关联。3，617名参与者的平均年龄为47.9±17.3岁。大多数参与者被确定为白色，非西班牙裔（83.5%）和女性（77.6%）。共有1，391名患者（38.5%）被发现患有膀胱过度活动症。膀胱过度活动症的存在与许多未满足的社会需求相关，包括住房不稳定、食品不安全、担心公用事业、缺乏交通、跳过医疗预约、需要法律的帮助、人际关系压力、担心家中的厕所和管道以及缺乏社会支持。多变量分析调整多个协变量，膀胱过度活动症和社会需求之间的所有关联仍然显着。多种未满足的社会需求与膀胱过度活动症相关，这可能对膀胱过度活动症患者的整体管理产生影响。重要的是，提供者要考虑患者这些未满足的社会需求，因为强调和解决这些因素有望有助于改善膀胱过度活动症患者的护理。
There is growing interest in how social determinants of health may explain relationships between social conditions and health. Overactive bladder is common in the United States, posing a significant public health burden. It was the goal of the present study to assess whether overactive bladder was associated with unmet social needs in a large, cross-sectional sample of patients. A community-based sample of adults was recruited electronically to complete questionnaires on clinical and demographic information, urinary symptoms and unmet social needs. Multivariable logistic regression was used to assess for association between overactive bladder and multiple unmet social needs. The sample of 3,617 participants had a mean±SD age of 47.9±17.3 years. The majority of participants identified as White, non-Hispanic (83.5%), and female (77.6%). A total of 1,391 patients (38.5%) were found to have overactive bladder. The presence of overactive bladder was associated with numerous unmet social needs, including housing instability, food insecurity, worry about utilities, lack of transportation, skipping medical appointments, needing legal help, stress in personal relationships, worry about toilet access and plumbing at home, and lack of social supports. On multivariable analysis adjusting for multiple covariates, all associations between overactive bladder and social needs remained significant. Multiple unmet social needs were associated with overactive bladder, which may have implications for the overall management of overactive bladder patients. It is important for providers to consider these unmet social needs of patients, as highlighting and addressing these factors hopefully can help improve care of individuals with overactive bladder.