PURPOSE: This study aimed to identify predictors of European men who self-reported being diagnosed with benign prostatic hyperplasia (DxBPH) compared to men with moderate-to-severe lower urinary tract symptoms (American Urological Association Symptom Index (AUA-SI) score ≥8) who did not self-report a BPH diagnosis (non-DxBPH).
METHODS: Data were taken from the 2010 European National Health and Wellness Survey; a cross-sectional, self-administered, Internet-based questionnaire. This analysis included males ≥40 years with DxBPH or without DxBPH, but with AUA-SI ≥8. Chi-square tests were used for categorical variables and independent samples t tests were used for continuous variables. Logistic regressions were conducted among all men ≥40 years to predict being DxBPH.
RESULTS: About 1,638 DxBPH and 3,676 non-DxBPH men were included. The estimated prevalence of DxBPH and non-DxBPH was 8.53 and 19.13 %. Men with DxBPH were older than non-DxBPH males (mean age 66.1 and 58.3, P < 0.001). The mean AUA-SI score was 11.3 for DxBPH and 13.2 for non-DxBPH. Being older (OR = 1.077), having a university education (OR = 1.252), having private health insurance (OR = 1.186), and specific health behaviors/attitudes (regular exercise (OR = 1.191), visiting a doctor within the previous 6 months (OR = 2.398), consulting with a medical professional when not feeling well (OR = 1.097), reporting having an attentive doctor (OR = 1.112)), and higher voiding symptoms (OR = 1.032) were significant predictors of DxBPH.
CONCLUSIONS: Older men with higher education and access to care and more engagement in their healthcare were more likely to self-report being diagnosed.
Written by:
Foster SA, Shortridge EF, DiBonaventura M, Viktrup L. Are you the author?
Lilly Corporate Center, Eli Lilly and Company, Indianapolis, IN, 46285, USA.
Reference: World J Urol. 2014 Aug 7. Epub ahead of print.
doi: 10.1007/s00345-014-1366-6
PubMed Abstract
PMID: 25100623
