Lower Urinary Tract Symptoms: Prevalence and Factors Associated with Help-Seeking in Male Primary Care Attendees
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Background: Lower urinary tract symptoms (LUTS) are common among elderly men. However, seeking help for this problem is mostly delayed until complications arise. Primary care clinics serve as the first point of contact for a person’s health needs throughout their life. This study aimed to determine the prevalence of LUTS among primary care attendees, and the factors that influence seeking medical intervention at primary care clinics. Methods: Using a universal sampling technique, 460 male patients aged 60 and above visiting an urban based public primary care clinic were recruited. An interviewer administered the questionnaire which used International Prostate Symptoms Score and International Consultation on Incontinence Modular Questionnaire-Lower Urinary Tract Symptoms-Quality of Life. Results: The prevalence of any LUTS and clinically significant LUTS were 89.8% and 20.5%, respectively. Among the 385 participants who completed the study, only 41.8% had consulted a doctor for LUTS. Among those with moderate/severe symptoms only 57.6% had sought medical intervention. Multiple logistic regression analysis showed that the presence of more than two comorbidities (P=0.004; odds ratio [OR], 4.695; 95% confidence interval [CI], 1.632–13.508) and quality of life (P=0.002; OR, 1.271; 95% CI, 1.091–1.481) were independent factors significantly associated with seeking help. Conclusion: Prevalence of LUTS among elderly men undergoing primary care is high, but more than half of the patients had not sought medical attention. Increasing comorbidities and impact on quality of life influenced elderly men with LUTS to seek help.
Abstract
Background: Lower urinary tract symptoms (LUTS) are common among elderly men. However, seeking help for this problem is mostly delayed until complications arise. Primary care clinics serve as the first point of contact for a person’s health needs throughout their life. This study aimed to determine the prevalence of LUTS among primary care attendees, and the factors that influence seeking medical intervention at primary care clinics. Methods: Using a universal sampling technique, 460 male patients aged 60 and above visiting an urban based public primary care clinic were recruited. An interviewer administered the questionnaire which used International Prostate Symptoms Score and International Consultation on Incontinence Modular Questionnaire-Lower Urinary Tract Symptoms-Quality of Life. Results: The prevalence of any LUTS and clinically significant LUTS were 89.8% and 20.5%, respectively. Among the 385 participants who completed the study, only 41.8% had consulted a doctor for LUTS. Among those with moderate/severe symptoms only 57.6% had sought medical intervention. Multiple logistic regression analysis showed that the presence of more than two comorbidities (P=0.004; odds ratio [OR], 4.695; 95% confidence interval [CI], 1.632–13.508) and quality of life (P=0.002; OR, 1.271; 95% CI, 1.091–1.481) were independent factors significantly associated with seeking help. Conclusion: Prevalence of LUTS among elderly men undergoing primary care is high, but more than half of the patients had not sought medical attention. Increasing comorbidities and impact on quality of life influenced elderly men with LUTS to seek help.
참고문헌 (30)
- McVary KT, "American Urological Association Guideline: management of benign prostatic hyperplasia (BPH)", American Urological Association, ~ (2010)
- Boyle P, "The prevalence of lower urinary tract symptoms in men and women in four centres : the UrEpik study", BJU Int, 92, pp.409~414 (2003)
- Coyne KS, "The prevalence of lower urinary tract symptoms(LUTS)in the USA, the UK and Sweden : results from the Epidemiology of LUTS(EpiLUTS)study", BJU Int, 104, pp.352~360 (2009)
- Li MK, "Lower urinary tract symptoms and male sexual dysfunction in Asia : a survey of ageing men from five Asian countries", BJU Int, 96, pp.1339~1354 (2005)
- Chung RY, "Lower urinary tract symptoms(LUTS)as a risk factor for depressive symptoms in elderly men : results from a large prospective study in Southern Chinese men", PLoS One, 8, pp.e76017~ (2013)
- Kannan H, "Burden of illness associated with lower urinary tract symptoms including overactive bladder", urinary incontinence, 2009, pp.74, 34~38
- Garraway WM, "Impact of previously unrecognized benign prostatic hyperplasia on the daily activities of middle-aged and elderly men", Br J Gen Pract, 43, pp.318~321 (1993)
- Irwin DE, "Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction", BJU Int, 108, pp.1132~1138 (2011)
- Homma Y, "Epidemiologic survey of lower urinary tract symptoms in Japan", Urology, 68, pp.560~564 (2006)
- Taylor J, "Lower urinary tract symptoms and related help-seeking behaviour in South Asian men living in the UK", BJU Int, 98, pp.605~609 (2006)
- Lai UC, "In a free healthcare system, why do men not consult for lower urinary tract symptoms(LUTS)?", Asia Pac Fam Med, 10, pp.7~ (2011)
- Galdas PM, "Men and health help-seeking behaviour : literature review", J Adv Nurs, 49, pp.616~623 (2005)
- Trueman P, "Prevalence of lower urinary tract symptoms and self-reported diagnosed ‘benign prostatic hyperplasia’, and their effect on quality of life in a community-based survey of men in the UK", BJU Int, 83, pp.410~415 (1999)
- Shaw C, "Barriers to help seeking in people with urinary symptoms", Fam Pract, 18, pp.48~52 (2001)
- Wolters R, "Lower urinary tract symptoms : social influence is more important than symptoms in seeking medical care", BJU Int, 90, pp.655~661 (2002)
- Lammers HA, "Why do men suffering from LUTS seek primary medical care? : a qualitative study", J Eval Clin Pract, 21, pp.931~936 (2015)
- Apostolidis A, "What determines whether a patient with LUTS seeks treatment? : ICI-RS 2011", Neurourol Urodyn, 31, pp.365~369 (2012)
- Gannon K, "Men and chronic illness : a qualitative study of LUTS", J Health Psychol, 9, pp.411~420 (2004)
- Horrocks S, "What prevents older people from seeking treatment for urinary incontinence? : a qualitative exploration of barriers to the use of community continence services", Fam Pract, 21, pp.689~696 (2004)
- Teh GC, "Prevalence of symptomatic BPE among Malaysian men aged 50 and above attending screening during prostate health awareness campaign", Med J Malaysia, 56, pp.186~195 (2001)
- Chong C, "The prevalence of lower urinary tract symptoms and treatment-seeking behaviour in males over 40 years in Singapore : a community-based study", Prostate Cancer Prostatic Dis, 15, pp.273~277 (2012)
- Quek KF, "Reliability and validity of the Malay version of the International Prostate Symptom Score in the Malaysian population", J Urol, 167, pp.1359~1362 (2002)
- Quek KF, "Reliability and validity of the International Prostate Symptom Score in a Malaysian population", BJU Int, 88, pp.21~25 (2001)
- Lim R, "Validity, reliability, and responsiveness of the ICIQ-UI SF and ICIQ-LUTSqol in the Malaysian population", Neurourol Urodyn, 36, pp.438~442 (2017)
- Mariappan P, "Prevalence and correlations of lower urinary tract symptoms, erectile dysfunction and incontinence in men from a multiethnic Asian population : results of a regional population-based survey and comparison with industrialized nations", BJU Int, 98, pp.1264~1268 (2006)
- Norby B, "Lower urinary tract symptoms in the danish population : a population-based study of symptom prevalence, health-care seeking behavior and prevalence of treatment in elderly males and females", Eur Urol, 47, pp.817~823 (2005)
- Coyne KS, "The burden of lower urinary tract symptoms: evaluating the effect of LUTS on health-related quality of life, anxiety and depression: EpiLUTS", BJU Int, 103(Suppl 3), pp.4~11 (2009)
- Sarma AV, "Health seeking behavior for lower urinary tract symptoms in black men", J Urol, 180, pp.227~232 (2008)
- Parsons JK, "Lower urinary tract symptoms increase the risk of falls in older men", BJU Int, 104, pp.63~68 (2009)
- Lim J, "Cardiovascular risk factors and ethnicity are independent factors associated with lower urinary tract symptoms", PLoS One, 10, pp.e0130820~ (2015)