학술논문

The Spectrum of Bladder Health: The Relationship Between Lower Urinary Tract Symptoms and Interference with Activities
Document Type
article
Source
Journal of Women's Health. 28(6)
Subject
Health Services and Systems
Public Health
Health Sciences
Clinical Research
Urologic Diseases
Prevention
Renal and urogenital
Good Health and Well Being
Adult
Aged
Boston
Dysuria
Female
Health Surveys
Humans
Lower Urinary Tract Symptoms
Middle Aged
Nocturia
Prevalence
Quality of Life
Risk Factors
Surveys and Questionnaires
Urinary Bladder
Urinary Bladder
Overactive
Urinary Incontinence
prevention
incontinence
public health
health promotion
Prevention of Lower Urinary Tract Symptoms Research Consortium
Medical and Health Sciences
Biomedical and clinical sciences
Health sciences
Language
Abstract
Background: Little research to date has focused on lower urinary tract symptom (LUTS) prevention and bladder health promotion in women. To address this gap, the Prevention of LUTS Research Consortium developed the following working bladder health definition: "A complete state of physical, mental, and social well-being related to bladder function [that] permits daily activities [and] allows optimal well-being." To begin to inform and quantify this definition, we used data from the Boston Area Community Health Survey, drawing upon its rare collection of information on LUTS and LUTS-specific interference with activities. Methods: At baseline, participants reported their frequency of 15 LUTS and interference with 7 activities. Prevalence ratios (PRs) were calculated by generalized linear models with robust variance estimation, adjusting for LUTS risk factors and individual LUTS. Results: Of the 3169 eligible participants, 17.5% reported no LUTS or interference, whereas the remaining 82.5% reported some frequency of LUTS/interference: 15.1% rarely; 21.7% a few times; 22.6% fairly often/usually; and 22.9% almost always. LUTS independently associated with interference were urgency incontinence, any incontinence, urgency, nocturia, perceived frequency, and urinating again after