Lower urinary tract symptoms in older Chinese American women: prevalence and risk factors
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ORIGINAL ARTICLE
Lower urinary tract symptoms in older Chinese American women: prevalence and risk factors Tsung Mou 1
&
Oluwateniola Brown 1 & Melissa Simon 2 & XinQi Dong 3 & Kimberly Kenton 1 & C. Emi Bretschneider 1
Received: 25 June 2020 / Accepted: 20 October 2020 # The International Urogynecological Association 2020
Abstract Introduction and hypothesis The aim was to examine the prevalence of and risk factors for lower urinary tract symptoms (LUTS) in a community-dwelling cohort of older Chinese American women. Methods We performed a secondary analysis of a prospective cross-sectional population-based survey of community-dwelling Chinese Americans aged 60 and older in English, Mandarin, Cantonese, Taishanese, or Teochew between 2011 and 2013. A clinical Review of Systems (ROS) was used to assess LUTS, which included urinary frequency, urgency, burning or pain, blood in urine, and urinary incontinence. Results Of the 1,829 women queried, 28.6% reported LUTS. The cohort of women who reported LUTS had a mean ± SD age of 74.7 ± 8.7 years, with a BMI of 23.4 ± 3.7 kg/m2 and had lived in the USA for 21.5 ± 13.1 years. Nearly 90% earned less than $10,000 a year, 50% were married, and 50% used traditional Chinese medicine (TCM) once monthly or more. In comparison with women without LUTS, women with LUTS had significantly higher rates of medical comorbidities and a poorer perception of their general health and quality of life. In multivariate regression analysis, any LUTS were significantly associated with older age (aOR 1.03, 95% CI 1.01–1.04), TCM use (aOR 1.67, 95% CI 1.34–2.07), anxiety (aOR 1.45, 95% CI 1.02–2.06), depression (aOR 2.00, 95% CI 1.53–2.61), and a history of stroke (aOR 1.90, 95% CI 1.19–3.02). Conclusions Lower urinary tract symptoms are common among older Chinese American women, particularly in those who are older, use TCM regularly, or report a history of anxiety, depression, or stroke. Keywords Lower urinary tract symptoms . Chinese Americans . Prevalence . Risk factors
Introduction Since 2009, Asian Americans have overtaken Latinos as the largest new immigrant group to the USA, with a substantial increase from 0.5 million in 1965 to over 20 million in 2015 [1]. Of this highly heterogeneous population, people of Chinese origin constitute its largest subgroup. Although the 2020 US Census data have yet to be released, the total * Tsung Mou [email protected] 1
Division of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, 250 E. Superior Street, Suite 05-2370, Chicago, IL 60611, USA
2
Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
3
Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ, USA
population of Americans of Chinese descent is currently estimated to be over 5 million [2]. Despite the large number of Chinese American women, very limited data exist on the prevalence of urogynecological conditions in this rapidly gro
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