Jay H. Fowke|Harvey J. Murff|Lisa B. Signorello|Lars Christian Lund|William J. Blot
Race and Socioeconomic Status are Independently Associated With Benign Prostatic Hyperplasia
Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center|International Epidemiology Institute|Regionshospitalet Viborg|Vanderbilt University Medical Center|International Epidemiology Institute
accessjournal urologyadult urology1 nov 2008race socioeconomic status independently associated benign prostatic hyperplasia jay h fowke harvey j murff lisa b signorello lars lund william j blot jay h fowkejay h fowke vanderbilt epidemiology center vanderbilt university medical center nashville tennessee articles author harvey j murffharvey j murff vanderbilt epidemiology center vanderbilt university medical center nashville tennessee articles author lisa b signorellolisa b signorello vanderbilt epidemiology center vanderbilt university medical center nashville tennessee international epidemiology institute rockville maryland articles author lars lundlars lund department urology regionshospitalet viborg viborg denmark articles author william j blotwilliam j blot vanderbilt epidemiology center vanderbilt university medical center nashville tennessee international epidemiology institute rockville maryland articles author view author informationhttpsdoiorg101016jjuro200807059aboutfull textpdf toolsadd favoritesdownload citationstrack citationspermissionsreprints sharefacebooklinked intwitteremail abstract purpose prostate enlargement common men age however differences diagnosis treatment clinical benign prostatic hyperplasia black white men remain poorly understood investigated racial differences surgical intervention benign prostatic hyperplasia large predominantly low income population materials methods participants included 21949 men 798 black 202 white recruited 60 community health centers southeastern united states 2002 2007 benign prostatic hyperplasia surgical intervention benign prostatic hyperplasia economic demographic indexes eg education household income health insurance marital status determined interview person logistic regression used summarize association race benign prostatic hyperplasia controlling health care access socioeconomic status results black men approximately half likely report benign prostatic hyperplasia diagnosis compared white men 41 vs 99 age adjusted 045 95 ci 040 051 difference persisted small abatement controlling age income insurance coverage comorbidity education factors adjusted 049 95 ci 043 056 men benign prostatic hyperplasia surgical intervention condition 133 patients prevalent black vs white men 129 vs 91 adjusted 165 95 ci 110 248 conclusions controlling economic factors associated benign prostatic hyperplasia black men significantly less likely report prior benign prostatic hyperplasia diagnosis contrast surgical intervention typically reserved severe benign prostatic hyperplasia common black men results suggest race socioeconomic status independently associated benign prostatic hyperplasia references 1 natural history benign prostatic hyperplasia learned last decade urology2000 56 3 google scholar 2 urologic diseases america project benign prostatic hyperplasia j urol2005 173 1256 link google scholar 3 raceethnicity obesity health related behaviors risk symptomatic benign prostatic hyperplasia results prostate cancer prevention trial j urol2007 177 1395 link google scholar 4 comparison lower urinary tract symptom severity associated bother communitydwelling black white men olmsted county study urinary symptoms health status flint mens health study urology2003 61 1086 google scholar 5 race ethnicity benign prostatic hyperplasia health professionals followup study j urol2000 163 490 link google scholar 6 prevalence racialethnic variation lower urinary tract symptoms noncancer prostate surgery u men urology2002 59 877 google scholar 7 incidence surgically treated benign prostatic hypertrophy prostate cancer among blacks whites prepaid health care plan j epidemiol1991 134 825 google scholar 8 southern community cohort study establishing cohort investigate health disparities j natl med assoc2005 97 972 google scholar 9 cancer statistics 2006 ca cancer j clin2006 56 106 google scholar 10 prostate cancer screening among lowincome africanamerican caucasian men urol oncol semin orig 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associationfiguresreferencesrelateddetails volume 180 issue 5 november 2008 page 20912096 advertisement copyright permissions 2008 american urological associationkeywordsprostateprostatic hyperplasiaafrican americanssocial classcontinental population groupsmetrics author information jay h fowke vanderbilt epidemiology center vanderbilt university medical center nashville tennessee articles author harvey j murff vanderbilt epidemiology center vanderbilt university medical center nashville tennessee articles author lisa b signorello vanderbilt epidemiology center vanderbilt university medical center nashville tennessee international epidemiology institute rockville maryland articles author lars lund department urology regionshospitalet viborg viborg denmark articles author william j blot vanderbilt epidemiology center vanderbilt university medical center nashville tennessee international epidemiology institute rockville maryland articles author expand advertisement pdf downloadloading