Nacey J N, Morum P, Delahunt B
Department of Surgery, Wellington School of Medicine, New Zealand.
Urology. 1995 Oct;46(4):506-11. doi: 10.1016/S0090-4295(99)80263-5.
Data from a community-based sample of 515 men were used to assess the prevalence and presentation of voiding symptoms in Caucasian, Maori, and Pacific Island men in the city of Porirua, New Zealand.
A random sample, stratified by age groups of 10 years, was obtained for men 40 years and older. Two hundred men were entered into each 10-year age stratum. Frequency of symptoms and quality of life were measured using the International Prostate Symptom Score (IPSS) questionnaire. Bothersomeness of symptoms was assessed using questions from the American Urological Association symptom bother index. Data were analyzed according to age and ethnic group with differences between groups measured by analysis of variance.
Symptom score was found to increase with increasing age of subjects, with men in the 40 to 49 years age group recording a mean score (+/- SE) of 2.9 +/- 0.3, increasing to a mean score of 4.8 +/- 0.4 for men aged 50 to 59 years, 7.4 +/- 0.9 for men aged 60 to 69 years, and 7.4 +/- 0.9 for men in the 70 year and older age group. Significant symptoms, represented by a symptom score of 8 or greater, were found in 12.9% of men aged 40 to 49 years, 22.3% of men aged 50 to 59 years, 33.7% of men aged 60 to 69 years, and 33.3% in the 70 year and older age group. No difference was demonstrated in the prevalence of symptoms between Caucasian, Maori, and Pacific Island men.
Despite having a similar prevalence of voiding symptoms to Caucasian men, few Maori or Pacific Island men seek help for their urinary symptoms. The level of understanding of the underlying disease process is poor for men of all ethnic backgrounds and emphasizes the important need for greater public awareness and education with respect to prostate disease.
利用来自515名男性的社区样本数据，评估新西兰波里鲁阿市白种人、毛利人和太平洋岛民男性排尿症状的患病率及表现。
对40岁及以上男性按10岁年龄组进行分层随机抽样。每个10岁年龄层纳入200名男性。使用国际前列腺症状评分（IPSS）问卷测量症状频率和生活质量。使用美国泌尿外科协会症状困扰指数中的问题评估症状的困扰程度。根据年龄和种族组对数据进行分析，组间差异采用方差分析。
发现症状评分随受试者年龄增长而增加，40至49岁年龄组男性的平均评分（±标准误）为2.9±0.3，50至59岁男性增加到平均评分4.8±0.4，60至69岁男性为7.4±0.9，70岁及以上年龄组男性为7.4±0.9。症状评分为8分或更高代表有显著症状，在40至49岁男性中占12.9%，50至59岁男性中占22.3%，60至69岁男性中占33.7%，70岁及以上年龄组中占33.3%。白种人、毛利人和太平洋岛民男性在症状患病率上未显示出差异。
尽管毛利人和太平洋岛民男性排尿症状的患病率与白种人男性相似，但很少有毛利人或太平洋岛民男性因泌尿症状寻求帮助。所有种族背景的男性对潜在疾病过程的了解程度都很低，这凸显了提高公众对前列腺疾病的认识和教育的迫切需求。
