Journal of the Formosan Medical Association
Volume 109, Issue 3 , Pages 228-236, March 2010

Prevalence of Lower Urinary Tract Symptoms in Indigenous and Non-indigenous Women in Eastern Taiwan

  • Fei-Chi Chuang

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Kaohsiung Medical Center and Chang Gung University College of Medicine, Kaohsiung, Taiwan
  • ,
  • Hann-Chorng Kuo

      Affiliations

    • Department of Urology, Buddhist Tzu Chi General Hospital and Buddhist Tzu Chi University, Hualien, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Hann-Chorng Kuo, Department of Urology, Buddhist Tzu Chi General Hospital, Section 3, 707 Chuang Yang Road, Hualien, Taiwan

Received 3 February 2009; received in revised form 31 May 2009; accepted 20 July 2009.

Article Outline

Background/Purpose

To investigate the prevalence of lower urinary tract symptoms (LUTS), their impact on quality of life, and their association with socioeconomic and lifestyle factors among indigenous and non-indigenous women in Eastern Taiwan.

Methods

A total of 376 indigenous women and 509 non-indigenous women aged over 18 years were interviewed concerning LUTS in the recent 6 months using International Prostate Symptom Score questionnaires.

Results

Indigenous women had a higher prevalence of one or more LUTS than non-indigenous women (44.9% vs. 31.2%). Indigenous women had a significantly higher prevalence of urgency (7.7% vs. 4.3%, p = 0.024), straining to void (6.1% vs. 3.3%, p = 0.036), and nocturia (37.2% vs. 24.8%, p < 0.001) than non-indigenous women. There was no significant difference in the prevalence of impaired quality of life between indigenous and non-indigenous women (33.8% vs. 31.2%). Lower educational level, alcohol consumption, betel quid chewing, and cigarette smoking, and not difference in race, had significant effect on a higher prevalence of bothersome LUTS in indigenous women than non-indigenous women.

Conclusion

Indigenous women with lower educational level and specific lifestyle risk factors have a higher prevalence of LUTS than non-indigenous women in Taiwan.

Key Words:  indigenous women , International Prostate Symptom Score , lower urinary tract symptoms , quality of life

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Abrams P , Cardozo L , Fall M , et al.   The standardization of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society . Am J Obstet Gynecol . 2002;187:116–126
  2. Irwin DE , Milsom I , Hunskaar S , et al.   Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study . Eur Urol . 2006;50:1306–1314 discussion 14–5
  3. Boyle P , Robertson C , Mazzetta C , et al.   The prevalence of lower urinary tract symptoms in men and women in four centres. The UrEpik study . BJU Int . 2003;92:409–414
  4. Pinnock C , Marshall VR . Troublesome lower urinary tract symptoms in the community: a prevalence study . Med J Aust . 1997;167:72–75
  5. Moller LA , Lose G , Jorgensen T . The prevalence and bothersomeness of lower urinary tract symptoms in women 40–60 years of age . Acta Obstet Gynecol Scand . 2000;79:298–305
  6. Kupelian V , Wei JT , O'Leary MP , et al.   Prevalence of lower urinary tract symptoms and effect on quality of life in a racially and ethnically diverse random sample: the Boston Area Community Health (BACH) Survey . Arch Intern Med . 2006;166:2381–2387
  7. Chen GD , Lin TL , Hu SW , et al.   Prevalence and correlation of urinary incontinence and overactive bladder in Taiwanese women . Neurourol Urodyn . 2003;22:109–117
  8. Liao YM , Dougherty MC , Biemer PP , et al.   Prevalence of lower urinary tract symptoms among female elementary school teachers in Taipei . Int Urogynecol J Pelvic Floor Dysfunct . 2007;18:1151–1161
  9. Yu HJ , Chen J , Lai MK , et al.   High prevalence of voiding symptoms in Taiwanese women . Br J Urol . 1998;82:520–523
  10. Hung MJ , Ho ES , Shen PS , et al.   Urgency is the core symptom of female overactive bladder syndrome, as demonstrated by a statistical analysis . J Urol . 2006;176:636–640
  11. Yu HJ , Liu CY , Lee KL , et al.   Overactive bladder syndrome among community-dwelling adults in Taiwan: prevalence, correlates, perception, and treatment seeking . Urol Int . 2006;77:327–333
  12. Hsieh CH , Chen HY , Hsu CS , et al.   Prevalence of nocturia in Taiwanese women aged 20–59 years . Taiwan J Obstet Gynecol . 2007;46:50–53
  13. Sarma AV , Wei JT , Jacobson DJ , et al.   Comparison of lower urinary tract symptom severity and associated bother between community-dwelling black and white men: the Olmsted County Study of Urinary Symptoms and Health Status and the Flint Men's Health Study . Urology . 2003;61:1086–1091
  14. Thom DH , van den Eeden SK , Ragins AI , et al.   Differences in prevalence of urinary incontinence by race/ethnicity . J Urol . 2006;175:259–264
  15. Lin CF , Wang JD , Chen PH , et al.   Predictors of betel quid chewing behavior and cessation patterns in Taiwan aborigines . BMC Public Health . 2006;6:271
  16. Ko YC , Liu BH , Hsieh SF . Issues on aboriginal health in Taiwan . Gaoxiong Yi Xue Ke Xue Za Zhi . 1994;10:337–351
  17. Ministry of the Interior, Taiwan, ROC . Available at http://www.moi.gov.tw [Date accessed: February 25, 2009]
  18. Chai TC , Belville WD , McGuire EJ , et al.   Specificity of the American Urological Association voiding symptom index: comparison of unselected and selected samples of both sexes . J Urol . 1993;150:1710–1713
  19. Liew LC , Tiong HY , Wong ML , et al.   A population study of nocturia in Singapore . BJU Int . 2006;97:109–112
  20. Thom DH , van den Eeden SK , Brown JS . Evaluation of parturition and other reproductive variables as risk factors for urinary incontinence in later life . Obstet Gynecol . 1997;90:983–989
  21. Middelkoop HA , Smilde-van den Doel DA , Neven AK , et al.   Subjective sleep characteristics of 1,485 males and females aged 50-93: effects of sex and age, and factors related to self-evaluated quality of sleep . J Gerontol A Biol Sci Med Sci . 1996;51:M108–M115
  22. Weiss JP , Blaivas JG , Jones M , et al.   Age related pathogenesis of nocturia in patients with overactive bladder . J Urol . 2007;178:548–551 discussion 51
  23. Swithinbank LV , Donovan JL , du Heaume JC , et al.   Urinary symptoms and incontinence in women: relationships between occurrence, age, and perceived impact . Br J Gen Pract . 1999;49:897–900
  24. Chu NS . Neurological aspects of areca and betel chewing . Addict Biol . 2002;7:111–114
  25. Joseph MA , Harlow SD , Wei JT , et al.   Risk factors for lower urinary tract symptoms in a population-based sample of African-American men . Am J Epidemiol . 2003;157:906–914
  26. Kuo HC . Prevalence of lower urinary tract symptoms in male aborigines and non-aborigines in eastern Taiwan . J Formos Med Assoc . 2008;107:728–735

PII: S0929-6646(10)60046-0

doi:10.1016/S0929-6646(10)60046-0

Journal of the Formosan Medical Association
Volume 109, Issue 3 , Pages 228-236, March 2010