کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3876560 1598991 2008 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Health Seeking Behavior for Lower Urinary Tract Symptoms in Black Men
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های کلیوی
پیش نمایش صفحه اول مقاله
Health Seeking Behavior for Lower Urinary Tract Symptoms in Black Men
چکیده انگلیسی

PurposeThe clinical manifestations of benign prostatic hyperplasia that are more likely to bring black men in for care have not been well characterized. We examined associations between lower urinary tract symptom severity measures and subsequent health care seeking behavior in a population based sample of black men.Materials and MethodsIn 2000, 165 black men from Genesee County, Michigan who were 40 to 79 years old without a history of prostate cancer/surgery provided information on lower urinary tract symptoms and health care seeking behaviors. The associations between physician visits regarding lower urinary tract symptoms and symptom frequency, perceived bother, impact on daily activities and quality of life were examined, controlling for age and sociodemographic characteristics.ResultsOverall 22.2% of men sought medical advice for lower urinary tract symptoms. Men with moderate/severe symptom severity and associated bother had 4.9 and 3.0-fold increased odds, respectively, of having sought medical care for their symptoms compared to those with mild/no symptom severity or bother. Greater increases in physician visits were observed for increases in benign prostatic hyperplasia impact (OR 5.7, 95% CI 1.9–17.1), quality of life (OR 5.2, 95% CI 2.2–12.2) and worsening symptoms (OR 3.8, 95% CI 1.6–8.7). Health care seeking was associated with irritative and obstructive symptom severity (OR 1.4, 95% CI 1.2–1.6 and OR 1.2, 95% CI 1.1–1.3, respectively).ConclusionsIn this population based study of black American men we found that worsening urinary symptoms, associated bother, impact and quality of life were significantly associated with health care seeking behavior. Irritative symptom severity was most highly associated with health care seeking behavior. Further evaluations are necessary to determine whether racial differences exist in health care seeking behavior for lower urinary tract symptoms.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Urology - Volume 180, Issue 1, July 2008, Pages 227–232
نویسندگان
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