教育水平与膀胱过度活动症之间的关联：来自一项基于美国人群研究的证据。

The association between education level and overactive bladder: Evidence from a U.S. population-based study.

作者信息

Yao Wentao, Zong Yang, Xu Feng, Wang Hongzhi, Yang Chendi, Lu Mingya, Jiang Wenbin, Zhao Yuan, Yang Haizhou, Zhou Yinyi

机构信息

Department of Urology, Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou 215009, China.

Laboratory of Clinical Pharmacy of Traditional Chinese Medicine, Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou 215009, China.

出版信息

Prev Med Rep. 2024 Oct 10;47:102898. doi: 10.1016/j.pmedr.2024.102898. eCollection 2024 Nov.

DOI:10.1016/j.pmedr.2024.102898

PMID:39493504

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11528225/

Abstract

BACKGROUND

Education level significantly impacts individual health outcomes. This research investigates the correlation between education level and the prevalence of overactive bladder (OAB).

METHODS

This study employed data from the National Health and Nutrition Examination Survey (NHANES) spanning 2005 to 2020 to conduct a thorough investigation of the association between educational level and OAB using multivariable logistic regression, smooth curve fitting, and generalized additive model.

RESULTS

Out of 37,423 surveyed participants from the United States, 8,033 were identified with OAB. The comprehensive adjusted model revealed a notable inverse correlation between education level and OAB prevalence (odds ratio [OR] = 0.86, 95 % confidence interval [CI] = 0.83-0.89, < 0.001). When education level was categorized, participants with the highest educational qualification (college graduates or higher) had a 44 % lower likelihood of having OAB compared to those with the lowest education (below 9th grade) (OR = 0.56, 95 % CI = 0.47-0.66, < 0.001).

CONCLUSION

The findings underscore a substantial inverse correlation between education level and OAB prevalence. Although continued research is required to confirm these findings, educational attainment may guide the development of preventative and therapeutic strategies for OAB.

摘要

背景

教育水平对个人健康结果有显著影响。本研究调查教育水平与膀胱过度活动症（OAB）患病率之间的相关性。

方法

本研究采用2005年至2020年美国国家健康与营养检查调查（NHANES）的数据，使用多变量逻辑回归、平滑曲线拟合和广义相加模型，对教育水平与OAB之间的关联进行全面调查。

结果

在美国接受调查的37423名参与者中，有8033人被诊断为OAB。综合调整模型显示教育水平与OAB患病率之间存在显著的负相关（优势比[OR]=0.86，95%置信区间[CI]=0.83 - 0.89，P<0.001）。当对教育水平进行分类时，与教育程度最低（九年级以下）的参与者相比，最高学历（大学毕业生或更高）的参与者患OAB的可能性低44%（OR = 0.56，95%CI = 0.47 - 0.66，P<0.001）。