a Research Unit of General Practice, Department of Public Health , University of Southern Denmark , Odense C , Denmark.
Scand J Prim Health Care. 2019 Jun;37(2):155-164. doi: 10.1080/02813432.2019.1608412. Epub 2019 May 6.
(1) To identify possible factors of importance for reporting lower urinary tract symptoms (LUTS) among men and (2) to examine possible associations between socioeconomic status (SES), lifestyle factors, and likelihood of men contacting a general pracitioner (GP) regarding LUTS reported to be of concern or influencing daily activities (bothersome LUTS). Nationwide population-based, cross-sectional survey. Data was collected in 2012. The general Danish population. A total of 48,910 randomly selected men aged 20+. (1) Odds ratios for reporting LUTS by lifestyle and SES, and (2) Odds ratios for GP contact with bothersome LUTS by lifestyle and SES. 23,240 men participated (49.8%). Nocturia was the most commonly experienced LUTS (49.8%). Incontinence was most often reported as bothersome (64.1%) and nocturia less often reported as bothersome (34.2%). Only about one third of the men reporting a bothersome LUTS contacted their GP. Odds for reporting LUTS significantly increased with increasing age, obesity, and lack of labor market affiliation. Increasing age and symptom burden significantly increased the odds for GP contact regarding bothersome LUTS. No overall associations were found between lifestyle, SES, and GP contact. Bothersome LUTS are common among Danish men. Concern and influence of LUTS on daily activities are important determinants of GP contact, yet only one in three bothersome LUTS are discussed with a GP. Advanced age and symptom burden were significantly associated with GP contact. Information on treatment options for LUTS might be desirable among Danish men regardless of SES and lifestyle. Key points Urological symptoms are common among men in the Danish population and are often managed without contacting healthcare professionals. Increasing age and symptom burden significantly increase the likelihood of consulting a general practitioner regarding bothersome urological symptoms Healthcare-seeking behavior with bothersome urological symptoms is not influenced by lifestyle or socioeconomic status among Danish men; Information about available, effective treatment options for urological symptoms might be desirable among men regardless of socioeconomic status and lifestyle.
（1）确定对男性下尿路症状（LUTS）报告可能重要的因素，以及（2）检查社会经济地位（SES）、生活方式因素与男性就被报告为令人困扰（影响日常生活）或有影响的 LUTS 联系全科医生（GP）的可能性之间的可能关联。 全国范围内基于人群的横断面调查。数据收集于 2012 年。 丹麦普通人群。 共选择 48910 名年龄在 20 岁以上的随机男性。 （1）按生活方式和 SES 报告 LUTS 的优势比，以及（2）按生活方式和 SES 报告令人困扰的 LUTS 的 GP 联系的优势比。 共有 23240 名男性参与（49.8%）。夜尿症是最常见的 LUTS（49.8%）。最常报告为令人困扰的是失禁（64.1%），而夜尿症报告为令人困扰的情况较少（34.2%）。只有大约三分之一报告有令人困扰的 LUTS 的男性联系了他们的 GP。报告 LUTS 的几率随着年龄、肥胖和缺乏劳动力市场关系的增加而显著增加。年龄的增加和症状负担的增加显著增加了与 GP 就令人困扰的 LUTS 联系的几率。没有发现生活方式、SES 和 GP 联系之间的总体关联。 令人困扰的 LUTS 在丹麦男性中很常见。对 LUTS 的关注和影响日常生活是与 GP 联系的重要决定因素，但只有三分之一的 LUTS 会与 GP 讨论。年龄较大和症状负担与 GP 联系显著相关。 无论 SES 和生活方式如何，丹麦男性可能都需要有关 LUTS 治疗选择的信息。 关键点 泌尿科症状在丹麦人群中很常见，并且经常在没有联系医疗保健专业人员的情况下进行管理。年龄的增加和症状负担的增加显著增加了就令人困扰的泌尿科症状咨询全科医生的可能性 在丹麦男性中，与令人困扰的泌尿科症状相关的医疗保健寻求行为不受生活方式或社会经济地位的影响；无论社会经济地位和生活方式如何，有关泌尿科症状的有效治疗选择的信息可能对男性都有帮助。
