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© 1994 Oxford University Press

other

Obstructive Prostatic Symptoms: A Community Survey in Jerusalem

ZVI HOWARD ABRAMSON*, JAIME GOFIN{dagger} and J H ABRAMSON{dagger}

* Kupat Holim (Health Insurance Institute of the General Federation of Labour) Jerusalem, Israel Present address: COPC Program, Carney Hospital 2100 Dorcester Avenue, Boston MA 02124, USA
{dagger} Department of Social Medicine, Hebrew University-Hadassah School of Public Health and Community Medicine Jerusalem, Israel

BackgroundBenign prostatic hypertrophy has a high prevalence in men aged greater double equals50, but there is little information on the correlates of obstructive symptoms.

MethodsThe prevalence and correlates of reported prostatic symptoms in men aged greater double equals50 years were studied in a community survey in the Kiryat Hayovel neighbourhood of Jerusalem in 1985–1987. Five prostate-related questions were asked. Two indices of emotional health were used: the Psychiatric Epidemiology Research Interview demoralization sale and a scale based on the Comell Medical Index. Associations with sociodemographic, behavioural, emotional, biochemical and physical variables and with self-appraised health were examined both controlling for age only and by multivariate logistic regression.

ResultsThe prevalence rates in the 839 respondents were 20.4% for hesitancy, 41.1% for weak stream, and 26.7% for terminal dribbling; the rates tended to increase with age. The associations between the symptoms (controlling for age) were significant, the strongest being between hesitancy and weak stream. All three of the urinary symptoms were associated with indices of emotional distress. In the multivariate analysis, the odds ratios when men in the highest and lowest quartiles of emotional ill health were compared were 3.0 for hesitancy, 2.2 for weak stream, and 3.8 for dribbling. Specific symptoms were associated with blood pressure, social class and educational level.

ConclusionThe striking associations with emotional ill health underline the importance of appropriate attention to the emotional health of patients who complain of prostatic symptoms.

Received 1 December 1993


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