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Sexual Health Behaviors by Age 17 and Lower Urinary Tract Symptoms at Age 19: PLUS Research Consortium Analysis of ALSPAC Data.
Camenga, Deepa R; Wang, Zhenxun; Chu, Haitao; Lindberg, Sarah; Sutcliffe, Siobhan; Brady, Sonya S; Coyne-Beasley, Tamera; Fitzgerald, Colleen M; Gahagan, Sheila; Low, Lisa Kane; LaCoursiere, D Yvette; Lavender, Missy; Smith, Ariana L; Stapleton, Ann; Harlow, Bernard L.
Afiliación
  • Camenga DR; Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut.
  • Wang Z; Division of Biostatistics, School of Public Health, University of Minnesota, Minneaspolis, Minnesota.
  • Chu H; Division of Biostatistics, School of Public Health, University of Minnesota, Minneaspolis, Minnesota.
  • Lindberg S; Division of Biostatistics, School of Public Health, University of Minnesota, Minneaspolis, Minnesota.
  • Sutcliffe S; Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.
  • Brady SS; Division of Epidemiology & Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota.
  • Coyne-Beasley T; Division of Adolescent Medicine, Departments of Pediatrics and Internal Medicine, University of Alabama at Birmingham Medical School, Birmingham, Alabama.
  • Fitzgerald CM; Department of Obstetrics and Gynecology, Loyola University Chicago Stritch School of Medicine, Chicago, Illinois.
  • Gahagan S; Division of Academic General Pediatrics, University of California San Diego School of Medicine, San Diego, California.
  • Low LK; Department Obstetrics and Gynecology, University of Michigan School of Nursing, Women's and Gender Studies, Ann Arbor, Michigan.
  • LaCoursiere DY; Department of Obstetrics and Gynecology, University of California San Diego, La Jolla, California.
  • Lavender M; Renalis, LLC Chicago, Illinois.
  • Smith AL; Division of Urology, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • Stapleton A; Division of Allergy & Infectious Disease, Department of Medicine, University of Washington, Seattle, Washington.
  • Harlow BL; Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts. Electronic address: harlow@bu.edu.
J Adolesc Health ; 72(5): 737-745, 2023 05.
Article en En | MEDLINE | ID: mdl-36781327
PURPOSE: We examined how antecedent sexual health factors affect lower urinary tract symptoms (LUTS) in adolescent women. METHODS: We analyzed 1,941 adolescent women from the Avon Longitudinal Study of Parents and Children at age 19. At ages 15 and 17, participants reported use of oral contraceptives (OCs), history of sexual intercourse, number of sexual partners, and condom use. At age 19, The Bristol Female Lower Urinary Tract Symptoms questionnaire quantified the frequency over the past month: stress incontinence, any incontinence, urgency, sensation of incomplete emptying, bladder pain, and urinary tract infection. Multivariable regression models examined associations between sexual health behaviors reported at ages 15 and 17 and six LUTS reported at age 19, after controlling for covariates. RESULTS: Commonly reported LUTS at age 19 were past-month stress incontinence (26.8%), bladder pain (26.3%), any urine leakage (22.1%), and urinary tract infection (15.4%). OC use by age 17 was associated with urgency (odds ratio [OR] = 1.62, 95% confidence interval [CI] 1.19-2.20), incomplete emptying (OR = 1.62, 95% CI = 1.17-2.26), bladder pain (OR = 1.45, 95% CI = 1.15-1.83), and urinary tract infections (OR = 1.68, 95% CI = 1.28-2.21) at age 19 after adjustment for covariates. However, associations were attenuated after adjustment for condom use and number of sexual partners. Sexual intercourse by age 17 was associated with 1.53-2.65 increased odds of LUTs categories except incontinence, with lower confidence interval boundaries > 1.0. Associations were stronger among women with ≥ 3 sexual partners (vs. 0) by age 17. DISCUSSION: We found longitudinally assessed associations between OC use, sexual intercourse, and number of sexual partners during adolescence and LUTS at age 19.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones Urinarias / Síntomas del Sistema Urinario Inferior / Salud Sexual Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Female / Humans Idioma: En Revista: J Adolesc Health Asunto de la revista: PEDIATRIA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones Urinarias / Síntomas del Sistema Urinario Inferior / Salud Sexual Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Female / Humans Idioma: En Revista: J Adolesc Health Asunto de la revista: PEDIATRIA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos