Table 4.
Associations Between Lower Urinary Tract Symptoms in the Past Month and Life Impact from Urinary Symptoms, Pain or Discomfort in the Pelvic or Bladder Area in a Community-Based Sample of 2292 Women; Boston Area Community Health Survey, 2008–2010
LUTS (at least rarely in the past month) | Women with LUTS, N | Women without LUTS, N | Prevalence of at least slight impact, %a |
PR of at least slight impact (95% CI) |
|||||
---|---|---|---|---|---|---|---|---|---|
Women without LUTS | Women with LUTS | Unadjusted | Adjustedb | p | Adjustedc | p | |||
Urinating again after <2 hours | 1273 | 1017 | 8.4 | 34.4 | 4.1 (3.0–5.6) | 3.2 (2.3–4.3) | <0.001 | 1.9 (1.2–3.0) | 0.007 |
Perceived frequency | 884 | 1407 | 11.9 | 42.5 | 3.6 (2.7–4.8) | 2.8 (2.1–3.7) | <0.001 | 1.4 (1.1–1.7) | 0.012 |
Nocturia | 1054 | 1238 | 11.5 | 40.5 | 3.5 (2.7–4.6) | 2.7 (2.1–3.6) | <0.001 | 1.3 (1.1–1.7) | 0.016 |
Stress incontinenced | 209 | 1871 | 15.7 | 79.4 | 5.1 (4.1–6.2) | 3.3 (2.7–4.1) | <0.001 | 2.1 (1.7–2.7) | <0.001 |
Urgency incontinenced | 172 | 1824 | 19.6 | 69.8 | 3.6 (2.8–4.5) | 2.7 (2.3–3.2) | <0.001 | 1.6 (1.3–1.9) | <0.001 |
Nonstress, nonurgency incontinenced | 149 | 2139 | 19.6 | 81.5 | 4.2 (3.4–5.1) | 2.5 (2.2–3.0) | <0.001 | 1.6 (1.3–1.9) | <0.001 |
Dribbling/wet clothes after urination | 407 | 1883 | 17.2 | 51.8 | 3.0 (2.4–3.8) | 2.2 (1.8–2.7) | <0.001 | 0.9 (0.8–1.2) | 0.570 |
Any incontinencee | 735 | 1554 | 12.6 | 44.2 | 3.5 (2.8–4.5) | 2.8 (2.2–3.6) | <0.001 | 1.9 (1.5–2.4) | <0.001 |
Urgency/difficulty postponing urination | 815 | 1477 | 10.3 | 46.4 | 4.5 (3.5–5.9) | 3.7 (2.9–4.6) | <0.001 | 1.4 (1.1–1.9) | 0.015 |
Pain, burning, discomfort in the pubic/bladder area | 320 | 1972 | 18.4 | 60.0 | 3.3 (2.5–4.2) | 2.2 (1.8–2.7) | <0.001 | 1.5 (1.2–1.9) | 0.001 |
Straining/difficult to begin voiding | 235 | 2057 | 20.0 | 59.4 | 3.0 (2.3–3.7) | 1.9 (1.6–2.3) | <0.001 | 0.8 (0.6–1.0) | 0.040 |
Weak stream | 313 | 1979 | 18.5 | 55.8 | 3.0 (2.4–3.9) | 2.2 (1.8–2.7) | <0.001 | 1.1 (0.9–1.3) | 0.491 |
Intermittency | 398 | 1894 | 17.8 | 52.9 | 3.0 (2.3–3.8) | 2.1 (1.7–2.6) | <0.001 | 1.0 (0.8–1.2) | 0.838 |
Incomplete emptying | 694 | 1598 | 14.6 | 43.8 | 3.0 (2.3–3.8) | 2.2 (1.7–2.8) | <0.001 | 1.2 (1.0–1.5) | 0.029 |
Urinary tract infectione | 214 | 1817 | 21.4 | 40.1 | 1.9 (1.4–2.6) | 1.6 (1.2–2.0) | 0.001 | 1.0 (0.8–1.2) | 0.893 |
Any LUTS | 1821 | 471 | 2.8 | 28.3 | 10.0 (4.8–20.8) | 7.0 (3.2–15.5) | <0.001 | — | — |
All values were weighted according to the sampling weights of the Boston Area Community Health Survey.
Adjusted for age (26–44, 45–64, or ≥65 years); race/ethnicity (black, Hispanic, or white); menopausal status (premenopausal/undetermined, perimenopausal, postmenopausal, or surgical); parity (0, 1–3, or ≥4 pregnancies); smoking status (current, former, or never smoker); alcohol intake (<1, 1–2, or ≥3 drinks); body mass index (<25, 25–29, or ≥30 kg/m2); waist circumference (<65, 65–89, 90–114, or ≥115 cm); health-related limitations in activities (not at all, a little, or a lot); self-reported physician diagnoses of high blood pressure, types I or II diabetes, cardiovascular disease, and arthritis; and depressive symptoms (yes or no).
Additionally adjusted for other LUTS individually, as appropriate.
Assessed in the past week.
Assessed in the past year.
CI, confidence interval; PR, prevalence ratio.