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American Journal of Epidemiology Advance Access originally published online on January 7, 2008
American Journal of Epidemiology 2008 167(4):400-403; doi:10.1093/aje/kwm352
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American Journal of Epidemiology © The Author 2008. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

Invited Commentary

Invited Commentary: The Contribution of the BACH Survey to the Epidemiology of Urinary Incontinence

David H. Thom

From the Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, San Francisco, CA

Correspondence to Dr. David H. Thom, Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, Building 80/83, San Francisco, CA 94110 (e-mail: dthom{at}fcm.ucsf.edu).

Received for publication August 3, 2007. Accepted for publication October 12, 2007.

Despite a substantial number of epidemiologic studies of urinary incontinence over the past two decades, relatively little is known about urinary incontinence in non-White women or in men. By enrolling White, Black, and Hispanic men and women, the Boston Area Community Health (BACH) Survey has added to our limited knowledge of incontinence in these groups. In general, the results from BACH, reported in the current issue of the American Journal of Epidemiology (Tennstedt et al., Am J Epidemiol 2008;167:390–399), confirm prior findings in women while extending our knowledge of the prevalence of and risk factors for incontinence in men. Interpretation of the BACH Survey results must be tempered by the low enrollment rate (less than 25% of eligible community members). The associations between cardiovascular disease and incontinence reported for some gender/race-ethnicity subgroups should be considered exploratory.

prevalence; urinary incontinence

Abbreviations: BACH, Boston Area Community Health


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Related articles in Am. J. Epidemiol.:

Prevalence of and Risk Factors for Urine Leakage in a Racially and Ethnically Diverse Population of Adults: The Boston Area Community Health (BACH) Survey
Sharon L. Tennstedt, Carol L. Link, William D. Steers, and John B. McKinlay
Am. J. Epidemiol. 2008 167: 390-399. [Abstract] [Full Text]  



This article has been cited by other articles:


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C. W. McGrother, M. M. K. Donaldson, and J. R. Thompson
RE: "PREVALENCE OF AND RISK FACTORS FOR URINE LEAKAGE IN A RACIALLY AND ETHNICALLY DIVERSE POPULATION OF ADULTS: THE BOSTON AREA COMMUNITY HEALTH (BACH) SURVEY"
Am. J. Epidemiol., July 15, 2008; 168(2): 234 - 234.
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D. H. Thom
THE AUTHOR OF THE INVITED COMMENTARY REPLIES
Am. J. Epidemiol., July 15, 2008; 168(2): 235 - 236.
[Full Text] [PDF]

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 Am J EpidemiolHome page
S. L. Tennstedt, C. L. Link, W. D. Steers, and J. B. McKinlay
Tennstedt et al. Respond to "BACH and the Epidemiology of Urinary Incontinence"
Am. J. Epidemiol., February 15, 2008; 167(4): 404 - 405.
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