Birmingham/Atlanta Geriatric Research, Education and Clinical Center, Department of Veterans Affairs Medical Center, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA.
J Urol. 2010 Sep;184(3):1022-7. doi: 10.1016/j.juro.2010.05.025.
We estimated the prevalence of urinary incontinence in the United States adult male population and identified associated factors.
Data were analyzed for 5,297 men 20 years old or older who participated in the 2005 to 2006 and 2007 to 2008 cycles of the National Health and Nutrition Examination Survey, a cross-sectional, nationally representative survey of the United States noninstitutionalized population. Urinary incontinence (score of 3 or greater on a validated incontinence severity index, indicating moderate to severe leakage) was assessed. Potential associated factors included age, race/ethnicity, education, self-reported health status, prior diagnosis of prostate cancer and/or enlarged prostate (men 40 years old or older), chronic diseases and depression status. Prevalence ORs were estimated from a multivariable logistic regression analysis using appropriate sampling weights.
The prevalence of moderate/severe urinary incontinence was 4.5% (95% CI 3.8, 5.4). Prevalence increased with age from 0.7% (95% CI 0.4, 1.6) in men 20 to 34 years old, to 16.0% (95% CI 13.0, 19.4) in men 75 years old or older (p <0.001). We found no difference in prevalence by racial/ethnic group (p = 0.38). Factors significantly associated (p <0.05) with urinary incontinence were age (per 10-year increase, OR 1.8; 95% CI 1.6, 2.0), major depression (OR 2.7; 95% CI 1.6, 4.0) and hypertension (OR 1.3; 95% CI 1.1, 1.5).
Age and race adjusted prevalence estimates for urinary incontinence in men are consistent with other estimates using a similar definition. To our knowledge this is the first study that identifies factors associated with moderate to severe urinary incontinence in men.
我们估计了美国成年男性人群中尿失禁的患病率，并确定了相关因素。
对参加了 2005 年至 2006 年和 2007 年至 2008 年全国健康和营养调查（横断面、全国代表性的美国非住院人群调查）的 5297 名 20 岁或以上的男性进行了数据分析。尿失禁（经验证的失禁严重程度指数得分为 3 或更高，表示中度至重度漏尿）进行了评估。潜在的相关因素包括年龄、种族/族裔、教育、自我报告的健康状况、前列腺癌和/或前列腺增大（40 岁或以上的男性）、慢性疾病和抑郁状况的既往诊断。使用适当的抽样权重，从多变量逻辑回归分析中估计患病率比值比（OR）。
中度/重度尿失禁的患病率为 4.5%（95%可信区间 3.8%，5.4%）。患病率随年龄增长而增加，从 20 至 34 岁男性的 0.7%（95%可信区间 0.4%，1.6%）增加到 75 岁或以上男性的 16.0%（95%可信区间 13.0%，19.4%）（p<0.001）。我们没有发现不同种族/族裔群体之间的患病率存在差异（p=0.38）。与尿失禁显著相关的因素（p<0.05）是年龄（每增加 10 岁，OR 1.8；95%可信区间 1.6，2.0）、重度抑郁症（OR 2.7；95%可信区间 1.6，4.0）和高血压（OR 1.3；95%可信区间 1.1，1.5）。
经过年龄和种族调整的男性尿失禁患病率估计值与使用类似定义的其他估计值一致。据我们所知，这是第一项确定男性中度至重度尿失禁相关因素的研究。
