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Obstructive prostatic symptoms: a community survey in Jerusalem
Z H Abramson1, J Gofin, J H Abramson
1Kupat Holim (Health Insurance Institute of the General Federation of Labour), Jerusalem, Israel.
International Journal of Epidemiology
|August 1, 1994
Summary
Benign prostatic hypertrophy symptoms like hesitancy and weak stream are common in men over 50. Emotional distress significantly correlates with these urinary symptoms, highlighting the need for mental health support.
Area of Science:
- Gerontology
- Urology
- Psychiatry
Background:
- Benign prostatic hypertrophy (BPH) affects many men over 50.
- Obstructive symptoms of BPH are common but poorly understood.
- Limited data exists on factors correlating with BPH symptoms.
Purpose of the Study:
- To investigate the prevalence of prostatic symptoms in men aged 50 and above.
- To identify correlates of these symptoms, including emotional health.
- To examine associations with sociodemographic, behavioral, and physical variables.
Main Methods:
- Community-based survey in Jerusalem (1985-1987) with 839 male respondents aged 50+.
- Utilized five prostate-related symptom questions.
- Assessed emotional health using the demoralization scale and Cornell Medical Index.
- Employed multivariate logistic regression to analyze associations.
Main Results:
- Prevalence rates: 20.4% hesitancy, 41.1% weak stream, 26.7% terminal dribbling, increasing with age.
- All urinary symptoms significantly associated with emotional distress.
- Multivariate analysis showed odds ratios for emotional ill health: 3.0 (hesitancy), 2.2 (weak stream), 3.8 (dribbling).
- Symptoms also linked to blood pressure, social class, and education.
Conclusions:
- Strong associations found between prostatic symptoms and emotional ill health.
- Emphasizes the importance of addressing emotional well-being in patients with BPH symptoms.
- Suggests integrated care approaches for men experiencing urinary issues.