Bradley Catherine S, Nygaard Ingrid E, Torner James C, Hillis Stephen L, Johnson Skyler, Sadler Anne G
Comprehensive Access and Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, Iowa City, Iowa; Departments of Obstetrics and Gynecology and Urology, University of Iowa Carver College of Medicine, Iowa City, Iowa; Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa.
Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah.
J Urol. 2014 May;191(5):1327-32. doi: 10.1016/j.juro.2013.11.100. Epub 2013 Dec 6.
We estimate the prevalence of current overactive bladder symptoms in recently deployed female veterans, and determine if overactive bladder symptoms are associated with problems commonly reported after deployment including mental health symptoms and prior sexual assault.
Baseline data were analyzed from a nationwide cohort study of urogenital symptoms in female veterans. Women returning from deployment to Iraq or Afghanistan in the prior 2 years and ending military service were eligible. Self-reported data were collected by computer assisted telephone interview. Overactive bladder and mental health conditions were identified using standardized definitions as well as validated urinary and mental health instruments. Associations between overactive bladder and depression, post-traumatic stress disorder, anxiety and sexual assault were assessed in separate logistic regression models using propensity scores to adjust for confounding.
The 1,702 participants had a mean (SD) age of 31.1 (8.4) years and were racially/ethnically diverse. Overall 375 participants (22%; 95% CI 20.1, 24.1) reported overactive bladder. Mental health outcomes included post-traumatic stress disorder (19%), anxiety (21%), depression (10%) and prior sexual assault (27%). All outcomes were associated with overactive bladder (adjusted OR 2.7, 95% CI [2.0, 3.6], 2.7 [2.0, 3.5], 2.5 [1.5, 4.3] and 1.4 [1.1, 1.9], respectively).
Overactive bladder symptoms occurred in 22% of recently deployed female veterans, and were associated with self-reported mental health symptoms and traumatic events including prior sexual assault. Screening and evaluation for bothersome urinary symptoms and mental health problems appear warranted in female veterans presenting for primary and urological care after deployment.
我们估计近期退伍的女性老兵中当前膀胱过度活动症症状的患病率，并确定膀胱过度活动症症状是否与部署后常见的问题相关，包括心理健康症状和既往性侵犯。
对一项关于女性老兵泌尿生殖系统症状的全国性队列研究的基线数据进行分析。在过去2年从伊拉克或阿富汗部署归来并结束军事服役的女性符合条件。通过计算机辅助电话访谈收集自我报告的数据。使用标准化定义以及经过验证的泌尿和心理健康工具来识别膀胱过度活动症和心理健康状况。在单独的逻辑回归模型中，使用倾向得分评估膀胱过度活动症与抑郁症、创伤后应激障碍、焦虑症和性侵犯之间的关联，以调整混杂因素。
1702名参与者的平均（标准差）年龄为31.1（8.4）岁，种族/民族多样。总体而言，375名参与者（22%；95%置信区间20.1，24.1）报告有膀胱过度活动症。心理健康结果包括创伤后应激障碍（19%）、焦虑症（21%）、抑郁症（10%）和既往性侵犯（27%）。所有结果均与膀胱过度活动症相关（调整后的比值比分别为2.7，95%置信区间[2.0，3.6]；2.7[2.0，3.5]；2.5[1.5，4.3]；1.4[1.1，1.9]）。
22%的近期退伍女性老兵出现膀胱过度活动症症状，且与自我报告的心理健康症状和创伤事件（包括既往性侵犯）相关。对于部署后前来接受初级和泌尿外科护理的女性老兵，对令人烦恼的泌尿症状和心理健康问题进行筛查和评估似乎是必要的。
