A population-based study of health care-seeking behavior for treatment of urinary symptoms. The Olmsted County Study of Urinary Symptoms and Health Status Among Men

Jacobsen, Steven J.; Guess, Harry A.; Panser, Laurel A.; Girman, Cynthia J.; Chute, Christopher G.; Öesterling, Joseph E.; Lieber, Michael M.

doi:10.1001/archfami.2.7.729

Cited by 178 publications

(99 citation statements)

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“…This finding contradicts the traditional knowledge that patients with higher SES are more likely to access healthcare systems. 22 Despite one U.S. study that found a significantly negative relationship between HCS and income among patients with urinary symptoms, 23 there are few studies in the literature to explain the U-shaped relationship between income and HSC behavior.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Disparity in Healthcare-Seeking Behavior among Chinese Women with Genitourinary Symptoms

Zhang

Lauderdale

Mou

et al. 2009

Journal of Women's Health

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Background: Sexually transmitted infections (STIs) are of growing concern in China. Understanding the relationship between socioeconomic status (SES) and healthcare-seeking (HCS) behavior will help design effective policies to contain the epidemic of STIs across SES. Methods: We used the Chinese Health and Family Life Survey, a nationally representative survey of 3813 adults from 48 Chinese cities and counties during 1999-2000. We studied the 730 women with at least one genitourinary (GU) symptom. HCS was measured by whether respondents visited a hospital or an unrecognized clinic, self-treatment, or doing nothing. Formal treatment was defined as visiting a hospital. SES was measured by income (tertile group) and education (primary school, junior high school, senior high school, college or above). Bivariate tests and logistic regressions were applied. Results: There was a significantly positive relationship among income, education, and treatment. Odds ratios (ORs) of medium and high income were 2.01 ( p ¼ 0.04) and 1.39 ( p ¼ 0.46), respectively, after controlling demographics. ORs of middle school, high school, and college or above were 1.81 ( p ¼ 0.05), 2.27 ( p ¼ 0.03), and 1.27 ( p ¼ 0.64), respectively. The relationship between income and formal treatment was also positive, and the relationship between education and formal treatment was negative. Additional adjustment for STI knowledge and experience reduced the HCS disparity across education. Conclusions: Income and education have different effects on HCS behavior among Chinese women with GU symptoms. Income may affect HCS via affordability, and education is a complicated proxy for sex education, STI knowledge, and experience that will affect the socioeconomic disparity in HCS.

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Section: Discussionmentioning

confidence: 99%

Socioeconomic Disparity in Healthcare-Seeking Behavior among Chinese Women with Genitourinary Symptoms

Zhang

Lauderdale

Mou

et al. 2009

Journal of Women's Health

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“…2 LUTS has a significant negative impact on quality of life (QoL) and causes a great number of middle-aged to elderly men to seek treatment. 3 In the United States, the prevalence of Caucasian men aged 50-79 years who were expected to meet the criteria for seeking treatment options for BPH was 6.5 out of 27 million (24%) in 2000. 4 BPH is not only prevalent in the United State 5 and Europe, [6][7][8][9][10][11] but is becoming increasingly common in Asian, 12 including Japan, 13 Korea, 14 Mainland China 15 and Hong Kong region.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of Chinese herbal medicine for benign prostatic hyperplasia: systematic review of randomized controlled trials

Ho¹,

Lin²,

Lui³

et al. 2013

Asian J Androl

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Chinese herbal medicine is commonly used as a treatment for benign prostatic hyperplasia (BPH), but its efficacy and safety remain to be examined. To compare the efficacy and adverse events of Chinese herbal medicine alone or used adjuvantly with Western medications for BPH. Two independent reviewers searched the major electronic databases for randomized controlled trials comparing Chinese herbal medicine, either in single or adjuvant use with Western medication, with placebo or Western medication. Relevant journals and grey literature were also hand-searched. The outcome measures included changes in urological symptoms, urodynamic measures, prostate volume and adverse events. The frequency of commonly used herbs was also identified. Out of 13 922 identified citations of publications, 31 studies were included. Eleven studies with a Jadad score o3 were selected for meta-analysis. Chinese herbal medicine was superior to Western medication in improving quality of life and reducing prostate volume. The frequency of adverse events in Chinese herbal medicine was similar to that of placebo and less than that of Western medication. The evidence is too weak to support the efficacy of Chinese herbal medicine for BPH due to the poor methodological quality and small number of trials included. The commonly used herbs identified here should provide insights for future clinical practice and research. Larger randomized controlled trials of better quality are needed to truly evaluate the efficacy of Chinese herbal medicine.

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“…After controlling for all potential confounders, age greater than 70 was associated with care seeking for urinary symptoms (OR 4.6, 95%CI 2.1,10.1). [Jacobsen 1993] In a similar study, Jacobsen found that men age 65 years and older were 2.7 times more likely to have sought care for urinary symptoms in the past year than men less than 65 years of age (95% CI 1.1,6.6). After controlling for all potential confounding factors, age> 65 was still associated with care seeking for urinary symptoms.…”

Section: Background and Significancementioning

confidence: 97%

“…Epidemiologic studies have identified age as a predictor of care seeking for incontinence. [Jacobsen 1993& 1995, Burgio 1994, Rekers 1992, Brocklehurst 1993, Holst 1988, Norton 1998, and Malmsten 1997 Jacobsen found that the proportion of men seeking medical attention for urinary symptoms increased dramatically with age in a linear fushion. After controlling for all potential confounders, age greater than 70 was associated with care seeking for urinary symptoms (OR 4.6, 95%CI 2.1,10.1).…”

Section: Background and Significancementioning

confidence: 99%

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A model for explaining differences in incontinence care seeking (MEDICS) project.

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A population-based study of health care-seeking behavior for treatment of urinary symptoms. The Olmsted County Study of Urinary Symptoms and Health Status Among Men

Cited by 178 publications

References 0 publications

Socioeconomic Disparity in Healthcare-Seeking Behavior among Chinese Women with Genitourinary Symptoms

Socioeconomic Disparity in Healthcare-Seeking Behavior among Chinese Women with Genitourinary Symptoms

Efficacy and safety of Chinese herbal medicine for benign prostatic hyperplasia: systematic review of randomized controlled trials

A model for explaining differences in incontinence care seeking (MEDICS) project.

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