Am J Epidemiol 2003; 157:906-914.
Copyright © 2003 by Johns
Hopkins Bloomberg School of Public Health
ORIGINAL CONTRIBUTIONS |
Risk Factors for Lower Urinary Tract Symptoms in a Population-based Sample of African-American Men
1 Ruttenberg Cancer Center, Mt. Sinai School of Medicine, New York, NY.
2 Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI.
3 Department of Urology, University of Michigan, Ann Arbor, MI.
4 Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI.
5 Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI.
Previous epidemiologic studies evaluating risk factors for lower urinary tract symptoms (LUTS) have focused on White populations. Between September 1996 and January 1998, in a population-based sample of African-American men aged 40–79 years in Flint, Michigan, the authors assessed the role of putative sociodemographic, lifestyle, and medical history risk factors in moderate to severe LUTS, including the subcategories of obstructive and irritative symptoms. After the exclusion of men with prostate cancer or prior prostate surgery and men who were taking alpha-blockers for urinary tract symptoms, 708 participants provided responses to a structured interviewer-administered questionnaire. After multivariable adjustment, current and former smokers were at increased risk of moderate to severe LUTS, including obstructive symptoms. Heavy alcohol consumption and a history of hypertension or diabetes were positively associated with LUTS, and high income (
$30,000) was inversely associated with LUTS and with obstructive and irritative symptoms. A history of heart disease was positively associated with LUTS and with irritative symptoms. To the authors’ knowledge, this was the first population-based study undertaken in African-American men to evaluate putative risk factors for moderate to severe LUTS, including subcategories of obstructive and irritative urinary symptoms. These results describe associations with specific lifestyle and medical history risk factors.
hyperplasia; men; risk factors; urinary tract
Abbreviations: Abbreviations: BPH, benign prostatic hyperplasia; CI, confidence interval; LUTS, lower urinary tract symptoms; OR, odds ratio.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  A. V. Sarma, J. P. Burke, D. J. Jacobson, M. E. McGree, J. St. Sauver, C. J. Girman, M. M. Lieber, W. Herman, J. Macoska, J. E. Montie, et al. Associations Between Diabetes and Clinical Markers of Benign Prostatic Hyperplasia Among Community-Dwelling Black and White Men Diabetes Care, March 1, 2008; 31(3): 476 - 482. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. Kupelian, J. T. Wei, M. P. O'Leary, J. W. Kusek, H. J. Litman, C. L. Link, J. B. McKinlay, and for the BACH Survey Investigators Prevalence of Lower Urinary Tract Symptoms and Effect on Quality of Life in a Racially and Ethnically Diverse Random Sample: The Boston Area Community Health (BACH) Survey Arch Intern Med, November 27, 2006; 166(21): 2381 - 2387. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Sutcliffe, E. Giovannucci, A. M. De Marzo, W. C. Willett, and E. A. Platz Sexually Transmitted Infections, Prostatitis, Ejaculation Frequency, and the Odds of Lower Urinary Tract Symptoms Am. J. Epidemiol., November 1, 2005; 162(9): 898 - 906. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Brown, H. Wessells, M. B. Chancellor, S. S. Howards, W. E. Stamm, A. E. Stapleton, W. D. Steers, S. K. Van Den Eeden, and K. T. McVary Urologic Complications of Diabetes Diabetes Care, January 1, 2005; 28(1): 177 - 185. [Full Text] [PDF]
|
|