Reduction of Racial Disparities in Prostate Cancer
Abstract
To describe the prevalence of symptoms of prostatitis; their distribution by race/ethnicity, age, socioeconomic status; and their association with urinary tract infections in the Boston Area Community Health survey (BACH). Methods. A racially and ethnically diverse community-based survey of adults aged 30-79 years in Boston, Massachusetts. The BACH survey has recruited adults in three racial/ethnic groups: Latino, African American, and White using a stratified cluster sample. The target sample size is equally distributed by gender, race/ethnicity, and age. This report gives estimates on a sample of 2301 men: 700 African American, 766 Latino, and 835 White. Symptoms of chronic prostatitis were derived from the pain and urinary symptom domains of the NIH Chronic Prostatitis Symptom Index. A score of >10 (moderate-to-severe) on the Index was defined as symptoms suggesting prostatitis. A X2 statistic was computed to test the association of symptoms of prostatitis with categorical variables. Multiple logistic regression was used for the association of symptoms of prostatitis and multiple variables, and to calculate odds ratios and 95% confidence intervals (CIs). Results. The overall prevalence of symptoms of prostatitis is 4.3%. In a multiple logistic regression model, the number of urinary tract infections, particularly >2, was associated with chronic prostatitis symptoms. Persons with a history of 2 infections had 3 times the odds, and with >3 infections had 7.6 times the odds, to have current symptoms of chronic prostatitis (P=.0006). There is a strong association between current symptoms of chronic prostatitis and a history of urinary tract infections, particularly multiple infections. Further study is needed to determine whether prevention of recurrent infections can reduce the risk of chronic prostatitis.
Document Details
- Document Type
- Technical Report
- Publication Date
- Dec 01, 2005
- Accession Number
- ADA447821
Entities
People
- Nicholas A. Daniels
Organizations
- University of California, San Francisco