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Detrusor Underactivity Model in Rats by Conus Medullaris Transection

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Associations Between Unmet Social Needs and Overactive Bladder.

Elisabeth M Sebesta¹, Stephanie Gleicher¹, Melissa R Kaufman¹

¹Department of Urology, Division of Reconstructive Urology and Pelvic Health, Vanderbilt University Medical Center, Nashville, Tennessee.

The Journal of Urology

|September 15, 2022

Summary

Overactive bladder is linked to many unmet social needs, including housing instability and food insecurity. Addressing these social determinants of health can improve care for individuals with overactive bladder.

Keywords:

epidemiology lower urinary tract symptoms social determinants of health urinary bladder, overactive urinary incontinence, urge

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Last Updated: Aug 28, 2025

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Area of Science:

Public Health
Social Epidemiology
Urology

Background:

Social determinants of health significantly influence health outcomes.
Overactive bladder (OAB) is a prevalent condition in the U.S. with substantial public health implications.
Understanding the link between social conditions and OAB is crucial for effective management.

Purpose of the Study:

To investigate the association between overactive bladder and unmet social needs.
To assess the impact of social determinants on OAB prevalence in a large patient sample.

Main Methods:

A community-based sample of 3,617 adults completed electronic questionnaires.
Data collected included clinical information, urinary symptoms, and social needs.
Multivariable logistic regression analyzed the association between OAB and unmet social needs.

Main Results:

38.5% of participants had overactive bladder (OAB).
OAB was significantly associated with numerous unmet social needs: housing instability, food insecurity, utility concerns, transportation barriers, missed medical appointments, legal issues, relationship stress, plumbing problems, and lack of social support.
These associations remained significant after adjusting for covariates.

Conclusions:

Multiple unmet social needs are strongly associated with overactive bladder.
Healthcare providers should screen for and address social determinants of health in OAB patients.
Integrating social needs assessment into OAB care may improve patient outcomes.