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Comparison of lower urinary tract symptom severity and associated bother between community-dwelling black and white men: the Olmsted County Study of Urinary Symptoms and Health Status and the Flint Men's Health Study.
Urology. 2003 Jun; 61(6):1086-91.U

Abstract

OBJECTIVES

To determine the magnitude of racial disparity in lower urinary tract symptom (LUTS) severity and bother by combining two large comparable epidemiologic studies of community-dwelling white and black men, thereby avoiding many of the referral biases present in previous studies. Prior studies evaluating racial differences in benign prostatic hyperplasia have been hampered by selection bias, because nearly all have used surgical treatment as a marker for benign prostatic hyperplasia.

METHODS

Data from the Olmsted County Study of Urinary Symptoms and Health Status and the Flint Men's Health Study were combined for a total study sample of 2480 men. We examined LUTS severity and associated bother as measured by the self-administered American Urological Association Symptom Index and Symptom Problem Index.

RESULTS

Overall 34% of white men reported moderate/severe LUTS compared with 41% of black men (P <0.001). These patterns were consistent across age and persisted after adjustment for age and other sociodemographic factors. The relationship between LUTS severity and bother differed by race in that black men reported less bother for each unit increase in LUTS (P <0.001).

CONCLUSIONS

In contrast to studies based on clinical populations, our community-based study demonstrated greater LUTS severity in black men compared with white men but black men reported less bother for any given level of LUTS severity. Although these findings suggest a racial disparity in benign prostatic hyperplasia, additional studies of anatomic, physiologic, and molecular factors may clarify whether these racial differences are real or due to sociocultural differences in reporting symptom morbidity.

Authors+Show Affiliations

Department of Urology, University of Michigan, Ann Arbor, Michigan, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

12809866

Citation

Sarma, Aruna V., et al. "Comparison of Lower Urinary Tract Symptom Severity and Associated Bother Between Community-dwelling Black and White Men: the Olmsted County Study of Urinary Symptoms and Health Status and the Flint Men's Health Study." Urology, vol. 61, no. 6, 2003, pp. 1086-91.
Sarma AV, Wei JT, Jacobson DJ, et al. Comparison of lower urinary tract symptom severity and associated bother between community-dwelling black and white men: the Olmsted County Study of Urinary Symptoms and Health Status and the Flint Men's Health Study. Urology. 2003;61(6):1086-91.
Sarma, A. V., Wei, J. T., Jacobson, D. J., Dunn, R. L., Roberts, R. O., Girman, C. J., Lieber, M. M., Cooney, K. A., Schottenfeld, D., Montie, J. E., & Jacobsen, S. J. (2003). Comparison of lower urinary tract symptom severity and associated bother between community-dwelling black and white men: the Olmsted County Study of Urinary Symptoms and Health Status and the Flint Men's Health Study. Urology, 61(6), 1086-91.
Sarma AV, et al. Comparison of Lower Urinary Tract Symptom Severity and Associated Bother Between Community-dwelling Black and White Men: the Olmsted County Study of Urinary Symptoms and Health Status and the Flint Men's Health Study. Urology. 2003;61(6):1086-91. PubMed PMID: 12809866.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of lower urinary tract symptom severity and associated bother between community-dwelling black and white men: the Olmsted County Study of Urinary Symptoms and Health Status and the Flint Men's Health Study. AU - Sarma,Aruna V, AU - Wei,John T, AU - Jacobson,Debra J, AU - Dunn,Rodney L, AU - Roberts,Rosebud O, AU - Girman,Cynthia J, AU - Lieber,Michael M, AU - Cooney,Kathleen A, AU - Schottenfeld,David, AU - Montie,James E, AU - Jacobsen,Steven J, AU - ,, AU - ,, PY - 2003/6/18/pubmed PY - 2003/7/16/medline PY - 2003/6/18/entrez SP - 1086 EP - 91 JF - Urology JO - Urology VL - 61 IS - 6 N2 - OBJECTIVES: To determine the magnitude of racial disparity in lower urinary tract symptom (LUTS) severity and bother by combining two large comparable epidemiologic studies of community-dwelling white and black men, thereby avoiding many of the referral biases present in previous studies. Prior studies evaluating racial differences in benign prostatic hyperplasia have been hampered by selection bias, because nearly all have used surgical treatment as a marker for benign prostatic hyperplasia. METHODS: Data from the Olmsted County Study of Urinary Symptoms and Health Status and the Flint Men's Health Study were combined for a total study sample of 2480 men. We examined LUTS severity and associated bother as measured by the self-administered American Urological Association Symptom Index and Symptom Problem Index. RESULTS: Overall 34% of white men reported moderate/severe LUTS compared with 41% of black men (P <0.001). These patterns were consistent across age and persisted after adjustment for age and other sociodemographic factors. The relationship between LUTS severity and bother differed by race in that black men reported less bother for each unit increase in LUTS (P <0.001). CONCLUSIONS: In contrast to studies based on clinical populations, our community-based study demonstrated greater LUTS severity in black men compared with white men but black men reported less bother for any given level of LUTS severity. Although these findings suggest a racial disparity in benign prostatic hyperplasia, additional studies of anatomic, physiologic, and molecular factors may clarify whether these racial differences are real or due to sociocultural differences in reporting symptom morbidity. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/12809866/Comparison_of_lower_urinary_tract_symptom_severity_and_associated_bother_between_community_dwelling_black_and_white_men:_the_Olmsted_County_Study_of_Urinary_Symptoms_and_Health_Status_and_the_Flint_Men's_Health_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090429503001547 DB - PRIME DP - Unbound Medicine ER -