Foster Shonda A, Shortridge Emily F, DiBonaventura Marco, Viktrup Lars
Lilly Corporate Center, Eli Lilly and Company, Indianapolis, IN, 46285, USA,
World J Urol. 2015 May;33(5):639-47. doi: 10.1007/s00345-014-1366-6. Epub 2014 Aug 7.
This study aimed to identify predictors of European men who self-reported being diagnosed with benign prostatic hyperplasia (DxBPH) compared to men with moderate-to-severe lower urinary tract symptoms [American Urological Association Symptom Index (AUA-SI) score ≥8] who did not self-report a BPH diagnosis (non-DxBPH).
Data were taken from the 2010 European National Health and Wellness Survey; a cross-sectional, self-administered, Internet-based questionnaire. This analysis included males ≥40 years with DxBPH or without DxBPH, but with AUA-SI ≥8. Chi-square tests were used for categorical variables and independent samples t tests were used for continuous variables. Logistic regressions were conducted among all men ≥40 years to predict being DxBPH.
About 1,638 DxBPH and 3,676 non-DxBPH men were included. The estimated prevalence of DxBPH and non-DxBPH was 8.53 and 19.13 %. Men with DxBPH were older than non-DxBPH males (mean age 66.1 and 58.3, P < 0.001). The mean AUA-SI score was 11.3 for DxBPH and 13.2 for non-DxBPH. Being older (OR = 1.077), having a university education (OR = 1.252), having private health insurance (OR = 1.186), and specific health behaviors/attitudes [regular exercise (OR = 1.191), visiting a doctor within the previous 6 months (OR = 2.398), consulting with a medical professional when not feeling well (OR = 1.097), reporting having an attentive doctor (OR = 1.112)], and higher voiding symptoms (OR = 1.032) were significant predictors of DxBPH.
Older men with higher education and access to care and more engagement in their healthcare were more likely to self-report being diagnosed.
本研究旨在确定自我报告被诊断为良性前列腺增生（DxBPH）的欧洲男性与未自我报告前列腺增生诊断（非DxBPH）但有中度至重度下尿路症状[美国泌尿外科学会症状指数（AUA-SI）评分≥8]的男性相比的预测因素。
数据取自2010年欧洲国民健康与健康状况调查；这是一项基于互联网的横断面自填式问卷。该分析纳入了年龄≥40岁的患有DxBPH或未患DxBPH但AUA-SI≥8的男性。分类变量采用卡方检验，连续变量采用独立样本t检验。对所有年龄≥40岁的男性进行逻辑回归分析以预测是否为DxBPH。
纳入了约1638例DxBPH男性和3676例非DxBPH男性。DxBPH和非DxBPH的估计患病率分别为8.53%和19.13%。DxBPH男性比非DxBPH男性年龄更大（平均年龄分别为66.1岁和58.3岁，P<0.001）。DxBPH的平均AUA-SI评分为11.3，非DxBPH为13.2。年龄较大（OR = 1.077）、拥有大学学历（OR = 1.252）、拥有私人医疗保险（OR = 1.186）、特定的健康行为/态度[定期锻炼（OR = 1.191）、在过去6个月内看过医生（OR = 2.398）、身体不适时咨询医疗专业人员（OR = 1.097）、报告有一位贴心的医生（OR = 1.112）]以及更高的排尿症状（OR = 1.032）是DxBPH的显著预测因素。
年龄较大、受过高等教育、能获得医疗服务且更多参与自身医疗保健的男性更有可能自我报告被诊断。
