title: Predictors of self-reported benign prostatic hyperplasia in European men: analysis of the European National Health and Wellness Survey.
abstract: OBJECTIVE
  This study aimed to identify predictors of European men who self-reported being diagnosed with benign prostatic hyperplasia (DxBPH) compared to men with moderate-to-severe lower urinary tract symptoms [American Urological Association Symptom Index (AUA-SI) score ≥8] who did not self-report a BPH diagnosis (non-DxBPH).
  
  
  METHODS
  Data were taken from the 2010 European National Health and Wellness Survey; a cross-sectional, self-administered, Internet-based questionnaire. This analysis included males ≥40 years with DxBPH or without DxBPH, but with AUA-SI ≥8. Chi-square tests were used for categorical variables and independent samples t tests were used for continuous variables. Logistic regressions were conducted among all men ≥40 years to predict being DxBPH.
  
  
  RESULTS
  About 1,638 DxBPH and 3,676 non-DxBPH men were included. The estimated prevalence of DxBPH and non-DxBPH was 8.53 and 19.13 %. Men with DxBPH were older than non-DxBPH males (mean age 66.1 and 58.3, P < 0.001). The mean AUA-SI score was 11.3 for DxBPH and 13.2 for non-DxBPH. Being older (OR = 1.077), having a university education (OR = 1.252), having private health insurance (OR = 1.186), and specific health behaviors/attitudes [regular exercise (OR = 1.191), visiting a doctor within the previous 6 months (OR = 2.398), consulting with a medical professional when not feeling well (OR = 1.097), reporting having an attentive doctor (OR = 1.112)], and higher voiding symptoms (OR = 1.032) were significant predictors of DxBPH.
  
  
  CONCLUSIONS
  Older men with higher education and access to care and more engagement in their healthcare were more likely to self-report being diagnosed.
authors.affiliation: Lilly Corporate Center, Eli Lilly and Company, Indianapolis, IN, 46285, USA, foster_shonda_a@lilly.com.
authors.forename: Shonda A
authors.initials: SA
authors.lastname: Foster
authors.forename: Emily F
authors.initials: EF
authors.lastname: Shortridge
authors.forename: Marco
authors.initials: M
authors.lastname: DiBonaventura
authors.forename: Lars
authors.initials: L
authors.lastname: Viktrup
mesh_terms: D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D004522:Educational Status; D005060:Europe / Q000453:epidemiology; D006297:Health Services Accessibility; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011470:Prostatic Hyperplasia / Q000175:diagnosis* / Q000453:epidemiology*; D012044:Regression Analysis; D057566:Self Report; D011795:Surveys and Questionnaires
references.citation: BJU Int. 2003 Sep;92(4):409-14
references.pmid: 12930430
references.citation: Eur Urol. 2009 Jul;56(1):14-20
references.pmid: 19278775
references.citation: J Sex Med. 2008 Dec;5(12):2925-34
references.pmid: 18761590
references.citation: BJU Int. 1999 Mar;83(4):410-5
references.pmid: 10210562
references.citation: Curr Med Res Opin. 2008 Mar;24(3):775-84
references.pmid: 18237458
references.citation: Int J Clin Pract. 2013 Jan;67(1):32-45
references.pmid: 23082930
references.citation: Urology. 2003 Jan;61(1):37-49
references.pmid: 12559262
references.citation: J Urol. 1999 Oct;162(4):1301-6
references.pmid: 10492184
references.citation: Urology. 2009 Mar;73(3):562-6
references.pmid: 19167031
references.citation: BJU Int. 2008 Jan;101(2):197-202
references.pmid: 18005205
references.citation: J Sex Med. 2005 May;2(3):445-50
references.pmid: 16422878
references.citation: J Sex Med. 2008 Nov;5(11):2662-8
references.pmid: 18564152
references.citation: J Chronic Dis. 1987;40(5):373-83
references.pmid: 3558716
references.citation: Eur Urol. 2005 Apr;47(4):511-7
references.pmid: 15774251
references.citation: Eur Urol. 2011 Oct;60(4):809-25
references.pmid: 21726934
references.citation: J Sex Med. 2009 Apr;6(4):1103-1110
references.pmid: 19138377
references.citation: J Urol. 1992 Nov;148(5):1549-57; discussion 1564
references.pmid: 1279218
references.citation: Eur Urol. 2003 Dec;44(6):637-49
references.pmid: 14644114
references.citation: Eur Urol. 2003 Nov;44(5):588-94
references.pmid: 14572759