Measuring the urologic iceberg: Design and implementation of the Boston Area Community Health (BACH) survey
Measuring the urologic iceberg: Design and implementation of the Boston Area Community Health (BACH) survey
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DOI：
10.1016/j.eururo.2007.03.013
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发表时间：
2007-08-01
期刊：
影响因子：
23.4
通讯作者：
Link, Carol L.
中科院分区：
文献类型：
--
作者：
McKinlay, John B.;Link, Carol L.
目的：描述波士顿地区社区健康（BACH）调查，这是一项由美国国立卫生研究院支持的流行病学研究，研究表明以下泌尿系统疾病的症状：尿失禁、良性前列腺增生、间质性膀胱炎、膀胱源性慢性盆腔痛、前列腺炎、性腺功能减退、勃起功能障碍和女性性功能障碍。BACH采用两阶段分层集群设计，招募了5506名基于社区的随机样本，分为男性（2301）和女性（3205），三个种族/民族（黑人、西班牙裔和白色）和四个年龄组（30-39岁、40-49岁、50-59岁、60-79岁）。使用经验证的问卷收集泌尿系统症状、合并症、处方药和非处方药、生殖史、生活质量、卫生保健利用、体力活动、抑郁症状、人际压力、吸烟、饮酒、液体摄入、营养、绝经状态、性活动、滥用、人体测量学等信息（测量的身高、体重、臀围和腰围、脉搏率、血压）和社会人口统计学，包括原籍国、婚姻状况、就业状况和收入。从68%的所有subjects.Results的血液样本收集：一个大的代表性的社区为基础的样本被成功招募，以提供横截面和最终纵向数据，以解决重要的泌尿科questions.Conclusions：BACH有特点区分它从大多数其他流行病学研究在泌尿科。它使用了一个随机的社区为基础的样本的人谁是种族/民族多样化，包括广泛的年龄范围（30-79岁）。它包括男性和女性。该研究侧重于症状，而不是预先定义的疾病状况，它是多学科的，它的目的是成为纵向。(C)2007年欧洲泌尿外科协会。Elsevier B. V.出版，保留所有权利。
Objectives: To describe the Boston Area Community Health (BACH) survey, a National Institutes of He alth- supported epidemiological study of symptoms suggestive of the following urologic conditions: urinary incontinence, benign prostatic hyperplasia, interstitial cystitis, chronic pelvic pain of bladder origin, prostatitis, hypogonadism, erectile dysfunction, and female sexual dysfunction.Methods: BACH used a two-stage stratified cluster design to recruit a community-based random sample of 5506, divided between males (2301) and females (3205), three racial/ethnic groups (black, Hispanic, and white), and four age groups (30-39, 40-49, 50-59, 60-79 yr). Validated questionnaires were used to collect information on urologic symptoms, comorbidities, prescribed and over-the-counter medications, reproductive history, quality of life, health care utilization, physical activity, depressive symptoms, interpersonal stress, smoking, alcohol use, fluid intake, nutrition, menopausal status, sexual activity, abuse, anthropometrics (measured height, weight, hip and waist circumference, pulse rate, blood pressure), and sociodemographics including country of origin, marital status, employment status, and income. Blood samples were collected from 68% of all subjects.Results: A large representative community-based sample was successfully recruited to provide both cross-sectional and eventually longitudinal data to address important urologic questions.Conclusions: BACH has features distinguishing it from most other epidemiological studies in urology. It uses a random community-based sample of people who are racially/ethnically diverse and includes a broad age range (30-79 yr). It includes both males and females The study focuses on symptoms rather than variably defined disease conditions, it is multidisciplinary, and it is designed to become longitudinal. (C) 2007 European Association of Urology. Published by Elsevier B.V. All rights reserved.