Oriá Mônica Oliveira Batista, Mitchell Emma McKim, Vasconcelos Camila Teixeira Moreira, de Oliveira Tamires Dayanne Araújo, Lopes Lia Gomes, de Menezes Purdenciana Ribeiro, Galvão Marli Terezinha Gimeniz
Nursing Department, Federal University of Ceará (UFC), Fortaleza, Brazil.
School of Nursing, University of Virginia (UVa), Charlottesville, VA, USA.
Int Urogynecol J. 2018 Dec;29(12):1825-1832. doi: 10.1007/s00192-018-3635-1. Epub 2018 Mar 24.
Although lower urinary tract symptoms (LUTS) have considerable clinical relevance, few propose evaluating its association with social conditions. Our study aimed to evaluate LUTS prevalence in primary care and its association with the social determinants of health (SDH).
This is a cross-sectional study conducted with 322 females in the period of June to October 2016 that carried out consultations and screening to prevent gynecological cancer in a primary care unit.
The ages ranged from 18 to 85 years (M = 40.53). Storage symptoms had a higher overall prevalence (64.6%), highlighting nocturia (n = 186, 57.8%) and urinary incontinence (n = 120, 37.3%). Storage symptoms were associated with three layers of SDH. The voiding and postmicturition symptoms were only related to operative vaginal delivery.
The findings of this study suggest a relationship between SDH and LUTS. It is important to emphasize that the results not only imply a causal relationship, but also point to the social inequalities existing at a population level.
尽管下尿路症状（LUTS）具有相当大的临床相关性，但很少有人提议评估其与社会状况的关联。我们的研究旨在评估初级保健中LUTS的患病率及其与健康社会决定因素（SDH）的关联。
这是一项横断面研究，于2016年6月至10月对322名女性进行，在一个初级保健单位进行了咨询和筛查以预防妇科癌症。
年龄范围为18至85岁（M = 40.53）。储尿症状的总体患病率较高（64.6%），其中夜尿症（n = 186，57.8%）和尿失禁（n = 120，37.3%）最为突出。储尿症状与三层SDH相关。排尿和排尿后症状仅与阴道助产有关。
本研究结果表明SDH与LUTS之间存在关联。需要强调的是，这些结果不仅意味着因果关系，还指出了人群层面存在的社会不平等现象。
