Relationship of Lifestyle and Clinical Factors to Lower Urinary Tract Symptoms: Results from Boston Area Community Health Survey

Objectives Because lifestyle factors and comorbidities can influence lower urinary tract symptoms (LUTS) by sex and race/ethnicity differently, we investigated these associations in the Boston Area Community Health survey. Methods Using a multistage stratified cluster random sample, 5506 adults aged...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2007-11, Vol.70 (5), p.916-921
Main Authors: Litman, Heather J, Steers, William D, Wei, John T, Kupelian, Varant, Link, Carol L, McKinlay, John B
Format: Article
Language:English
Subjects:
Adult
African Americans
Age Distribution
Aged
Biological and medical sciences
Boston
European Continental Ancestry Group
Female
Health Surveys
Hispanic Americans
Humans
Life Style
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Prostatism - epidemiology
Sex Distribution
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
Urologic Diseases - epidemiology
Urology
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Summary:Objectives Because lifestyle factors and comorbidities can influence lower urinary tract symptoms (LUTS) by sex and race/ethnicity differently, we investigated these associations in the Boston Area Community Health survey. Methods Using a multistage stratified cluster random sample, 5506 adults aged 30 to 79 years were enrolled (2301 men, 3205 women, 1770 blacks, 1877 Hispanics, and 1859 whites). Adiposity, lifestyle factors, comorbidities (cardiovascular diseases, diabetes, high blood pressure, high cholesterol, depressive symptoms, previous urinary tract infections) were considered in predicting the odds of LUTS (American Urological Association Symptom Index of 8 or greater) by sex and race/ethnicity. Results The prevalence of LUTS was 18.7%, with similar rates by sex (men 18.7%, women 18.6%) and race/ethnicity (black 19.3%, Hispanic 16.2%, white 18.9%); however, the prevalence did increase substantially with age. Depressive symptoms were associated with increased odds of LUTS across all sex and racial/ethnic groups. The overall odds ratio was 2.4 (95% confidence interval 1.9 to 3.2, P
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2007.06.1117