Division of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, 250 E. Superior Street, Suite 05-2370, Chicago, IL, 60611, USA.
Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Int Urogynecol J. 2021 Mar;32(3):703-708. doi: 10.1007/s00192-020-04582-0. Epub 2020 Oct 31.
The aim was to examine the prevalence of and risk factors for lower urinary tract symptoms (LUTS) in a community-dwelling cohort of older Chinese American women.
We performed a secondary analysis of a prospective cross-sectional population-based survey of community-dwelling Chinese Americans aged 60 and older in English, Mandarin, Cantonese, Taishanese, or Teochew between 2011 and 2013. A clinical Review of Systems (ROS) was used to assess LUTS, which included urinary frequency, urgency, burning or pain, blood in urine, and urinary incontinence.
Of the 1,829 women queried, 28.6% reported LUTS. The cohort of women who reported LUTS had a mean ± SD age of 74.7 ± 8.7 years, with a BMI of 23.4 ± 3.7 kg/m and had lived in the USA for 21.5 ± 13.1 years. Nearly 90% earned less than $10,000 a year, 50% were married, and 50% used traditional Chinese medicine (TCM) once monthly or more. In comparison with women without LUTS, women with LUTS had significantly higher rates of medical comorbidities and a poorer perception of their general health and quality of life. In multivariate regression analysis, any LUTS were significantly associated with older age (aOR 1.03, 95% CI 1.01-1.04), TCM use (aOR 1.67, 95% CI 1.34-2.07), anxiety (aOR 1.45, 95% CI 1.02-2.06), depression (aOR 2.00, 95% CI 1.53-2.61), and a history of stroke (aOR 1.90, 95% CI 1.19-3.02).
Lower urinary tract symptoms are common among older Chinese American women, particularly in those who are older, use TCM regularly, or report a history of anxiety, depression, or stroke.
本研究旨在调查美国华裔老年女性社区居民中下尿路症状（LUTS）的患病率和危险因素。
我们对 2011 年至 2013 年间 60 岁及以上的美国华裔社区居民进行了一项基于人群的前瞻性横断面调查，以英语、普通话、广东话、台州话或潮州话进行。采用临床系统回顾（ROS）评估 LUTS，包括尿频、尿急、灼热或疼痛、血尿和尿失禁。
在接受调查的 1829 名女性中，28.6%报告有 LUTS。报告有 LUTS 的女性队列平均年龄为 74.7±8.7 岁，BMI 为 23.4±3.7 kg/m2，在美国居住了 21.5±13.1 年。近 90%的人年收入低于 10000 美元，50%已婚，50%每月或更多次使用中药（TCM）。与无 LUTS 的女性相比，有 LUTS 的女性患有更多的医疗合并症，对自身整体健康和生活质量的评价更差。在多变量回归分析中，任何 LUTS 均与年龄较大（OR 1.03，95%CI 1.01-1.04）、TCM 使用（OR 1.67，95%CI 1.34-2.07）、焦虑（OR 1.45，95%CI 1.02-2.06）、抑郁（OR 2.00，95%CI 1.53-2.61）和中风史（OR 1.90，95%CI 1.19-3.02）显著相关。
下尿路症状在老年美国华裔女性中很常见，尤其是年龄较大、经常使用 TCM 或有焦虑、抑郁或中风史的女性。
