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Lower urinary tract symptoms in older Chinese American women: prevalence and risk factors


Introduction and hypothesis

The aim was to examine the prevalence of and risk factors for lower urinary tract symptoms (LUTS) in a community-dwelling cohort of older Chinese American women.


We performed a secondary analysis of a prospective cross-sectional population-based survey of community-dwelling Chinese Americans aged 60 and older in English, Mandarin, Cantonese, Taishanese, or Teochew between 2011 and 2013. A clinical Review of Systems (ROS) was used to assess LUTS, which included urinary frequency, urgency, burning or pain, blood in urine, and urinary incontinence.


Of the 1,829 women queried, 28.6% reported LUTS. The cohort of women who reported LUTS had a mean ± SD age of 74.7 ± 8.7 years, with a BMI of 23.4 ± 3.7 kg/m2 and had lived in the USA for 21.5 ± 13.1 years. Nearly 90% earned less than $10,000 a year, 50% were married, and 50% used traditional Chinese medicine (TCM) once monthly or more. In comparison with women without LUTS, women with LUTS had significantly higher rates of medical comorbidities and a poorer perception of their general health and quality of life. In multivariate regression analysis, any LUTS were significantly associated with older age (aOR 1.03, 95% CI 1.01–1.04), TCM use (aOR 1.67, 95% CI 1.34–2.07), anxiety (aOR 1.45, 95% CI 1.02–2.06), depression (aOR 2.00, 95% CI 1.53–2.61), and a history of stroke (aOR 1.90, 95% CI 1.19–3.02).


Lower urinary tract symptoms are common among older Chinese American women, particularly in those who are older, use TCM regularly, or report a history of anxiety, depression, or stroke.

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The authors would like to thank Yingxiao Hua, MPH, for her statistical support.


The PINE study is funded by the National Institutes of Health.

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Correspondence to Tsung Mou.

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Conflicts of interest

T.M., O.B., M.S., X.D., and C.E.B. do not have relevant financial disclosure. K.K. is an expert witness for Butler Snow and Ethicon.

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Mou, T., Brown, O., Simon, M. et al. Lower urinary tract symptoms in older Chinese American women: prevalence and risk factors. Int Urogynecol J 32, 703–708 (2021).

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  • Lower urinary tract symptoms
  • Chinese Americans
  • Prevalence
  • Risk factors