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The cumulative effect of unmet social needs on noncancerous genitourinary conditions and severity of lower urinary tract symptoms.
Anne Zwaschka, T; Sebesta, Elisabeth M; Gleicher, Stephanie; Kaufman, Melissa R; Dmochowski, Roger R; Reynolds, William Stuart.
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  • Anne Zwaschka T; Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
  • Sebesta EM; Department of Urology, Division of Reconstructive Urology and Pelvic Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Gleicher S; Department of Urology, Division of Reconstructive Urology and Pelvic Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Kaufman MR; Department of Urology, Division of Reconstructive Urology and Pelvic Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Dmochowski RR; Department of Urology, Division of Reconstructive Urology and Pelvic Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Reynolds WS; Department of Urology, Division of Reconstructive Urology and Pelvic Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Neurourol Urodyn ; 41(8): 1862-1871, 2022 11.
Article en En | MEDLINE | ID: mdl-36066087
PURPOSE: There is growing awareness on how social determinants of health may significantly influence health outcomes. The purpose of this study was to investigate the relationship between unmet social needs and the incidence and severity of multiple noncancerous genitourinary conditions. MATERIALS AND METHODS: A community-based sample of United States adults was recruited electronically to complete questionnaires on clinical and demographic information, urinary symptoms, and social needs. Logistic regression was used to assess the effect between the number of unmet social needs and various noncancerous genitourinary conditions and severity of lower urinary tract symptoms. Model was adjusted for age, gender, race, insurance, and type of living community. RESULTS: A total of 4,224 participants were included for final analysis. The incidence of all genitourinary conditions assessed was associated with an increasing number of unmet social needs. Additionally, having three or more unmet social needs, as compared to no needs, was associated with an increased risk of all conditions and worse symptoms-including a 23.7% increased risk of interstitial cystitis (95% confidence interval [CI] 18.8%-28.7%, p < 0.001), 21.9% risk of urge urinary incontinence (95% CI 16.8%-27.0%, p < 0.001), and 20.6% risk of overactive bladder (95% CI 15.6-25.7, p < 0.001). CONCLUSIONS: Unmet social needs are associated with an increased incidence of noncancerous genitourinary conditions as well as worse symptom severity, with multiple unmet social needs displaying a cumulative effect. These findings suggest that there is utility in screening patients for unmet social needs, and that the healthcare system should develop a more integrated approach to manage  patients with urinary conditions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cistitis Intersticial / Vejiga Urinaria Hiperactiva / Síntomas del Sistema Urinario Inferior Tipo de estudio: Diagnostic_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Humans País/Región como asunto: America do norte Idioma: En Revista: Neurourol Urodyn Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cistitis Intersticial / Vejiga Urinaria Hiperactiva / Síntomas del Sistema Urinario Inferior Tipo de estudio: Diagnostic_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Humans País/Región como asunto: America do norte Idioma: En Revista: Neurourol Urodyn Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos