Choo Myung-Soo, Ku Ja Hyeon, Lee Jong Bok, Lee Dong Hwan, Kim Joon Chul, Kim Hyung-Jee, Lee Jeong Ju, Park Won-Hee
Department of Urology, University of Ulsan College of Medicine, Seoul, South Korea.
World J Urol. 2007 Oct;25(5):505-11. doi: 10.1007/s00345-007-0183-6. Epub 2007 Jun 14.
The purpose of this study was to evaluate the prevalence of overactive bladder (OAB) in a Korean national community sample of adults aged 40-89 years. A national Korean telephone survey using quota sampling methods was conducted. A clinically validated computer-assisted telephone interview approach was used in the survey. In 2,005 subjects (1,005 women and 1,000 men) interviewed, the prevalence of OAB(wet) increased with age in both men and women but OAB(dry) did not. OAB(dry) of men and women was not different in each age decade but OAB(wet) was more common among women than men aged <70 years. Multivariate analysis indicated that sex, age and body mass index (BMI) were associated with OAB(dry). For OAB(wet), sex and age were independent risk factors but BMI was not. In multivariate analysis, urgency was not associated with an increased likelihood of the impact on sexual life in men. The likelihood of the impact on sexual life, quality of life (QOL) and willingness to seek medical consultation was not related to nocturia. In female subjects, odds ratios for the impact of daily living, sexual life, QOL, and willingness to seek help from a health professional were not increased for nocuria. The likelihood of the impact on sexual life and willingness to seek medical help was not related to urge incontinence. Our study provides a valuable insight into the need for tailored education to this population about OAB. These findings suggest that there are cross-cultural differences for adapting OAB symptoms.
本研究的目的是评估韩国40 - 89岁成年人群体样本中膀胱过度活动症（OAB）的患病率。采用配额抽样方法进行了一项韩国全国性电话调查。调查中使用了经过临床验证的计算机辅助电话访谈方法。在接受访谈的2005名受试者（1005名女性和1000名男性）中，OAB（伴尿失禁）的患病率在男性和女性中均随年龄增长而升高，但OAB（不伴尿失禁）并非如此。在每个年龄段，男性和女性的OAB（不伴尿失禁）情况无差异，但在70岁以下人群中，OAB（伴尿失禁）在女性中比男性更常见。多变量分析表明，性别、年龄和体重指数（BMI）与OAB（不伴尿失禁）相关。对于OAB（伴尿失禁），性别和年龄是独立危险因素，而BMI不是。在多变量分析中，尿急与男性性生活受影响可能性增加无关。性生活受影响的可能性、生活质量（QOL）和寻求医疗咨询的意愿与夜尿症无关。在女性受试者中，夜尿症对日常生活、性生活、QOL以及向健康专业人员寻求帮助的意愿的影响的优势比并未增加。性生活受影响的可能性和寻求医疗帮助的意愿与急迫性尿失禁无关。我们的研究为针对该人群开展关于OAB的针对性教育的必要性提供了有价值的见解。这些发现表明，在适应OAB症状方面存在跨文化差异。
