An epidemiological study to establish the prevalence of urinary symptoms and felt need in the community: the Leicestershire MRC Incontinence Study

被引:146
作者
Perry, S [1 ]
Shaw, C
Assassa, P
Dallosso, H
Williams, K
Brittain, KR
Mensah, F
Smith, N
Clarke, M
Jagger, C
Mayne, C
Castleden, CM
Jones, J
McGrother, C
机构
[1] Univ Leicester, Leicestershire MRC Incontinence Study, Dept Epidemiol & Publ Hlth, Leicester LE1 6TP, Leics, England
[2] Leicester Gen Hosp, Dept Med Elderly, Leicester LE5 4PW, Leics, England
[3] Leicester Gen Hosp, Dept Obstet & Gynaecol, Leicester LE5 4PW, Leics, England
来源
JOURNAL OF PUBLIC HEALTH MEDICINE | 2000年 / 22卷 / 03期
基金
英国医学研究理事会;
关键词
urinary symptoms; prevalence; felt need;
D O I
10.1093/pubmed/22.3.427
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background The aim of the study was to establish the prevalence of urinary symptoms and felt need in adults. This paper discusses problems with setting thresholds to distinguish cases from non-cases in this field of research. Few studies have provided detailed age- and sex-specific prevalence estimates for felt need in relation to urinary symptoms. Methods A cross-sectional postal survey was carried out of 15904 community-dwelling adults aged 40 years or more registered with general practitioners in Leicestershire. Subjects were selected randomly by household from the Leicestershire Health Authority Register. The postal questionnaire consisted of questions on general health, urinary and bowel symptoms, quality of life, service use and demographic characteristics. Results Thirty-four per cent of the sample reported clinically significant symptoms. The prevalence and severity of symptoms increased with age. However, only 2 per cent of the sample reported symptoms that were clinically significant, bothersome and socially disabling. Conclusion Urinary symptoms are very common in adults over 40 years of age living in the community. However, symptom-based estimates probably overestimate the level of need for health care in the community. It may be more effective and efficient to target services, in the first instance, on those people who report clinically significant symptoms that are bothersome or socially disabling. A consensus on thresholds and definitions of urinary symptoms is required to standardize clinical and research work and to target services more appropriately.
引用
收藏
页码:427 / 434
页数:8
相关论文
共 49 条
[1]  
ABRAMS P, 1988, SCAND J UROL NEPHROL, P5
[2]  
[Anonymous], INC CAUS MAN PROV SE
[3]   THE AMERICAN-UROLOGICAL-ASSOCIATION SYMPTOM INDEX FOR BENIGN PROSTATIC HYPERPLASIA [J].
BARRY, MJ ;
FOWLER, FJ ;
OLEARY, MP ;
BRUSKEWITZ, RC ;
HOLTGREWE, HL ;
MEBUST, WK ;
COCKETT, ATK ;
BLAIVAS, JG ;
WEIN, AJ .
JOURNAL OF UROLOGY, 1992, 148 (05) :1549-1557
[4]  
Bogren M A, 1997, Vard Nord Utveckl Forsk, V17, P14
[5]  
Bradshaw J, 1972, PROBLEMS PROGR MED C, P69
[6]   The prevalence of urinary dysfunction in Hong Kong Chinese women [J].
Brieger, GM ;
Yip, SK ;
Hin, LY ;
Chung, TKH .
OBSTETRICS AND GYNECOLOGY, 1996, 88 (06) :1041-1044
[7]   URINARY-INCONTINENCE IN THE COMMUNITY - ANALYSIS OF A MORI POLL [J].
BROCKLEHURST, JC .
BRITISH MEDICAL JOURNAL, 1993, 306 (6881) :832-834
[8]   Urinary incontinence in older women: Who is at risk? [J].
Brown, JS ;
Seeley, DG ;
Fong, J ;
Black, DM ;
Ensrud, KE ;
Grady, D .
OBSTETRICS AND GYNECOLOGY, 1996, 87 (05) :715-721
[9]  
CunninghamBurley S, 1996, BRIT J GEN PRACT, V46, P349
[10]   The ICS-'BPH' study: The psychometric validity and reliability of the ICSmale questionnaire [J].
Donovan, JL ;
Abrams, P ;
Peters, TJ ;
Kay, HE ;
Reynard, J ;
Chapple, C ;
DeLaRosette, JJMCH ;
Kondo, A .
BRITISH JOURNAL OF UROLOGY, 1996, 77 (04) :554-562