Department of Neurology, The Second Affiliated Hospital of Xiamen Medical College, Xiamen, China.
Tianjin Key Laboratory of Cerebrovascular and of Neurodegenerative Diseases, Department of Neurology, Tianjin Dementia Institute, Tianjin Huanhu Hospital, Tianjin, China.
Front Public Health. 2021 Sep 7;9:669070. doi: 10.3389/fpubh.2021.669070. eCollection 2021.
Frequent/urgent urination is an event of multifactorial origin where involuntary leakage of urine occurs. Epidemiological study of this condition is of high importance due to its negative impact on the psychological, physical, and social well-being of the victims. This cross-sectional study aimed to investigate the prevalence of frequent/urgent urination in older adults in China. In this study, a face-to-face questionnaire survey was conducted between April 2019 and August 2019 among 4,796 older adult populations in the communities of Tianjin jizhou and Xiamen jimei of China. Descriptive analysis, univariate regression, and all statistics were conducted in IBM SPSS v22. The count data were analyzed by chi-square test. < 0.05 was considered statistically significant. In the total investigated population, the prevalence of frequent or urgent urination was found in 1,164 patients (24.3%) where 31.7% (664/2,097) were male patients and 18.7% (500/2,699) were female patients, having a male-to-female ratio of 1.7:1. The prevalence was higher in the 70- to 84-year-old group (men: 33.3-34.8%, women 19.5-20.8%), whereas it was relatively low in the 65- to 69-year-old group and in older adults over 85 years of age (men 28.8, 30.3%, women 16.7, 18.5%, respectively). In terms of the course of the disease, among the population aged 65 years and above, 17.3% men and 9.9% women had frequent urination/urgency lasting for 1-4 years; 5-9 years in about 4.5% population (7.4% men and 4.2% women); 10-19 years in 4.9% men and 2.3% women; and more than 20 years duration in 1.6% men and 1.9% women. On the severity scale, mild frequent/urgent urination was observed in 24.6% of men and 15.4% women of Chinese older adults. Moderate cases were observed in 6.3% of men and 2.9% of women, whereas severe cases were found in 0.8% men and 0.2% women. Benign prostatic hyperplasia (BPH)/hypertrophy was the main risk factor for frequent/urgent urination in Chinese older adult men ( < 0.001). Obesity, hypertension, diabetes, heart disease, anxiety, depression, constipation, and brain injury were the other risk factors for frequent/urgent urination in Chinese older adult men and women. The results of this survey showed that smoking or drinking habits did not increase the prevalence of frequent/urgent urination in Chinese older adults. According to the results of this survey, the prevalence rate of frequent/urgent urination is high, and the course of the disease is long in Chinese older adults. BPH and depression, anxiety, and age-related chronic diseases increase the risk of frequent/urgent urination in Chinese older adults.
频繁/尿急是一种多因素起源的事件，会导致尿液不由自主地泄漏。对这种情况进行流行病学研究非常重要，因为它会对受害者的心理、身体和社会福祉产生负面影响。这项横断面研究旨在调查中国老年人中频繁/尿急的患病率。在这项研究中，2019 年 4 月至 8 月期间，在中国天津蓟县和厦门集美社区的 4796 名老年人群体中进行了面对面的问卷调查。采用 IBM SPSS v22 进行描述性分析、单变量回归和所有统计分析。计数数据采用卡方检验进行分析。<0.05 被认为具有统计学意义。在总调查人群中，发现 1164 名（24.3%）患者存在频繁或尿急，其中 31.7%（664/2097）为男性患者，18.7%（500/2699）为女性患者，男女比例为 1.7:1。70-84 岁年龄组的患病率较高（男性：33.3-34.8%，女性 19.5-20.8%），而 65-69 岁年龄组和 85 岁以上的老年人患病率较低（男性 28.8, 30.3%，女性 16.7, 18.5%）。就疾病病程而言，在 65 岁及以上人群中，17.3%的男性和 9.9%的女性出现持续 1-4 年的频繁/尿急；约 4.5%的人群（7.4%的男性和 4.2%的女性）持续 5-9 年；4.9%的男性和 2.3%的女性持续 10-19 年；1.6%的男性和 1.9%的女性持续时间超过 20 年。在严重程度量表上，轻度频繁/尿急在 24.6%的中国老年男性和 15.4%的女性中观察到。中度病例见于 6.3%的男性和 2.9%的女性，而严重病例见于 0.8%的男性和 0.2%的女性。良性前列腺增生（BPH）/肥大是中国老年男性出现频繁/尿急的主要危险因素（<0.001）。肥胖、高血压、糖尿病、心脏病、焦虑、抑郁、便秘和脑损伤是中国老年男性和女性出现频繁/尿急的其他危险因素。这项调查的结果表明，吸烟或饮酒习惯不会增加中国老年人出现频繁/尿急的患病率。根据这项调查的结果，频繁/尿急在中国老年人中的患病率较高，病程较长。BPH 和抑郁、焦虑以及与年龄相关的慢性疾病会增加中国老年人出现频繁/尿急的风险。
