Gender differences of lower urinary tract symptoms in older Chinese Americans
Objective: To describe whether or not there are gender differences in lower urinary tract symptoms (LUTS) prevalence and risk factors in community-dwelling older Chinese Americans. Methods: We performed a secondary analysis of a prospective cross-sectional population-based survey of Chinese American...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Asian Journal of Urology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214388221001168 |
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| author | Tsung Mou Oluwateniola Brown Yingxiao Hua Melissa Simon XinQi Dong Kimberly Kenton C. Emi Bretschneider |
| author_facet | Tsung Mou Oluwateniola Brown Yingxiao Hua Melissa Simon XinQi Dong Kimberly Kenton C. Emi Bretschneider |
| author_sort | Tsung Mou |
| collection | DOAJ |
| description | Objective: To describe whether or not there are gender differences in lower urinary tract symptoms (LUTS) prevalence and risk factors in community-dwelling older Chinese Americans. Methods: We performed a secondary analysis of a prospective cross-sectional population-based survey of Chinese Americans aged 60 years and older between January 2011 and December 2013 in English, Mandarin, Cantonese, Taishanese, or Teochew. A clinical review of systems was used to assess LUTS, which included urinary frequency, urgency, burning and/or pain, blood in urine, and urinary incontinence. Results: Of the total 3157 people queried, 42% were men and 58% were women. More men reported LUTS compared to women (32.9% vs. 28.6%, p=0.01). In a multivariable analysis, female gender (adjusted odds ratio [aOR] 0.60, 95% confidence interval [CI] 0.49–0.73), being married (aOR 0.79, 95% CI 0.65–0.97), and smoking (aOR 0.66, 95% CI 0.49–0.88) were found to be protective, while traditional Chinese medicine use (aOR 1.51, 95% CI 1.28–1.78), heart disease (aOR 1.54, 95% CI 1.24–1.91), and anxiety (aOR 1.69, 95% CI 1.25–2.28) were most strongly associated with increased odds of LUTS. When examining genders separately, being married was found to be protective only in women. Meanwhile, unique factors found in men were hypertension, heart disease, and practice of Tai Chi. Conclusion: In this large population-based study, LUTS were more prevalent in older Chinese American men than women. We also found gender-specific factors that influenced the odds of reporting LUTS; however, traditional Chinese medicine use was the only factor that was shared by both genders. Future longitudinal investigations are needed to elucidate these underlying mechanisms to provide evidence-based and culture-specific guidelines for this rapidly growing population. |
| format | Article |
| id | doaj-art-1e513ea5a44a4c088479fef1396a3d66 |
| institution | OA Journals |
| issn | 2214-3882 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Urology |
| spelling | doaj-art-1e513ea5a44a4c088479fef1396a3d662025-08-20T02:03:47ZengElsevierAsian Journal of Urology2214-38822023-10-0110452653310.1016/j.ajur.2021.12.002Gender differences of lower urinary tract symptoms in older Chinese AmericansTsung Mou0Oluwateniola Brown1Yingxiao Hua2Melissa Simon3XinQi Dong4Kimberly Kenton5C. Emi Bretschneider6Division of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Corresponding author.Division of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USAInstitute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ, USADepartment of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, USAInstitute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ, USADivision of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USADivision of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USAObjective: To describe whether or not there are gender differences in lower urinary tract symptoms (LUTS) prevalence and risk factors in community-dwelling older Chinese Americans. Methods: We performed a secondary analysis of a prospective cross-sectional population-based survey of Chinese Americans aged 60 years and older between January 2011 and December 2013 in English, Mandarin, Cantonese, Taishanese, or Teochew. A clinical review of systems was used to assess LUTS, which included urinary frequency, urgency, burning and/or pain, blood in urine, and urinary incontinence. Results: Of the total 3157 people queried, 42% were men and 58% were women. More men reported LUTS compared to women (32.9% vs. 28.6%, p=0.01). In a multivariable analysis, female gender (adjusted odds ratio [aOR] 0.60, 95% confidence interval [CI] 0.49–0.73), being married (aOR 0.79, 95% CI 0.65–0.97), and smoking (aOR 0.66, 95% CI 0.49–0.88) were found to be protective, while traditional Chinese medicine use (aOR 1.51, 95% CI 1.28–1.78), heart disease (aOR 1.54, 95% CI 1.24–1.91), and anxiety (aOR 1.69, 95% CI 1.25–2.28) were most strongly associated with increased odds of LUTS. When examining genders separately, being married was found to be protective only in women. Meanwhile, unique factors found in men were hypertension, heart disease, and practice of Tai Chi. Conclusion: In this large population-based study, LUTS were more prevalent in older Chinese American men than women. We also found gender-specific factors that influenced the odds of reporting LUTS; however, traditional Chinese medicine use was the only factor that was shared by both genders. Future longitudinal investigations are needed to elucidate these underlying mechanisms to provide evidence-based and culture-specific guidelines for this rapidly growing population.http://www.sciencedirect.com/science/article/pii/S2214388221001168Chinese AmericanLower urinary tract symptomGenderPrevalenceRisk factor |
| spellingShingle | Tsung Mou Oluwateniola Brown Yingxiao Hua Melissa Simon XinQi Dong Kimberly Kenton C. Emi Bretschneider Gender differences of lower urinary tract symptoms in older Chinese Americans Asian Journal of Urology Chinese American Lower urinary tract symptom Gender Prevalence Risk factor |
| title | Gender differences of lower urinary tract symptoms in older Chinese Americans |
| title_full | Gender differences of lower urinary tract symptoms in older Chinese Americans |
| title_fullStr | Gender differences of lower urinary tract symptoms in older Chinese Americans |
| title_full_unstemmed | Gender differences of lower urinary tract symptoms in older Chinese Americans |
| title_short | Gender differences of lower urinary tract symptoms in older Chinese Americans |
| title_sort | gender differences of lower urinary tract symptoms in older chinese americans |
| topic | Chinese American Lower urinary tract symptom Gender Prevalence Risk factor |
| url | http://www.sciencedirect.com/science/article/pii/S2214388221001168 |
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