The association of abuse and symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome: results from the Boston Area Community Health survey

doi:10.1007/s11606-007-0341-y

. 2007 Nov;22(11):1532-7.

doi: 10.1007/s11606-007-0341-y. Epub 2007 Sep 1.

The association of abuse and symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome: results from the Boston Area Community Health survey

Jim C Hu¹, Carol L Link, Mary McNaughton-Collins, Michael J Barry, John B McKinlay

Affiliations

PMID: 17763912
PMCID: PMC2219794
DOI: 10.1007/s11606-007-0341-y

The association of abuse and symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome: results from the Boston Area Community Health survey

Jim C Hu et al. J Gen Intern Med. 2007 Nov.

. 2007 Nov;22(11):1532-7.

doi: 10.1007/s11606-007-0341-y. Epub 2007 Sep 1.

Authors

Jim C Hu¹, Carol L Link, Mary McNaughton-Collins, Michael J Barry, John B McKinlay

Affiliation

¹ Division of Urologic Surgery, Brigham and Women's Hospital, Boston, MA, USA. jhu2@partners.org

PMID: 17763912
PMCID: PMC2219794
DOI: 10.1007/s11606-007-0341-y

Abstract

Objective: To determine the effect of reported sexual, physical, or emotional abuse on the symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and to determine the effect of race/ethnicity on these patterns.

Methods: The Boston Area Community Health (BACH) survey used a multi-stage stratified cluster sample to randomly sample 5,506 adults aged 30-79 from the city of Boston. BACH recruited 2,301 men (700 Black, 766 Hispanic, and 835 White). Interviewers administered questions approximating the National Institutes of Health chronic prostatitis symptom index (CPSI), and symptoms suggestive of CP/CPPS were measured by the definition of perineal and/or ejaculatory pain and CPSI pain score of 4+. Questions about previous abuse were obtained from a validated self-administered questionnaire during the home visit. Logistic regression was used to determine the effect of abuse on the likelihood of a man having symptoms suggestive of CP/CPPS.

Results: The prevalence of symptoms suggestive of CP/CPPS was 6.5%. Men who reported having experienced sexual, physical, or emotional abuse had increased odds (1.7-3.3) for symptoms suggestive of CP/CPPS. Previous abuse increased both the pain and urinary scores from the CPSI.

Conclusion: Symptoms suggestive of CP/CPPS are not uncommon in a community-based population of men. For men presenting with symptoms suggestive of CP/CPPS, clinicians may wish to consider screening for abuse.

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Figures

**Figure 1**
Prevalence (in percent) of different types of abuse and symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) overall and by race/ethnicity. The p value is from a χ² test of whether the prevalence of each type of abuse or symptoms suggestive of CP/CPPS varies by race/ethnicity

**Figure 2**
Change in CPSI pain, urinary, pain + urinary score and 95% confidence intervals for different types of abuse. Abuse experienced as a child or as an adolescent/adult: S (sexual), P (physical), E (emotional). CPSI pain score (*black line*), CPSI urinary score (*dashed line*), CPSI pain + urinary score (*gray line*). A *line at 0* indicates no effect.

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References

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1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1097/01.ju.0000132797.63480.44', 'is_inner': False, 'url': 'https://doi.org/10.1097/01.ju.0000132797.63480.44'}, {'type': 'PubMed', 'value': '15247724', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15247724/'}]}
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Mehik A, Hellstrom P, Lukkarinen O, Sarpola A, Jarvelin M. Epidemiology of prostatitis in Finnish men: a population-based cross-sectional study. BJU Int. 2000;86(4):443–8. - PubMed

[2] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1046/j.1464-410X.2000.00836.x', 'is_inner': False, 'url': 'https://doi.org/10.1046/j.1464-410x.2000.00836.x'}, {'type': 'PubMed', 'value': '10971269', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/10971269/'}]}

[3] Mehik A, Hellstrom P, Lukkarinen O, Sarpola A, Jarvelin M. Epidemiology of prostatitis in Finnish men: a population-based cross-sectional study. BJU Int. 2000;86(4):443–8. - PubMed

[4] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0022-5347(05)66541-X', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0022-5347(05)66541-x'}, {'type': 'PubMed', 'value': '11176483', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/11176483/'}]}

Nickel JC, Downey J, Hunter D, Clark J. Prevalence of prostatitis-like symptoms in a population based study using the National Institutes of Health chronic prostatitis symptom index. J Urol. 2001;165(3):842–5. - PubMed

[5] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0022-5347(05)66541-X', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0022-5347(05)66541-x'}, {'type': 'PubMed', 'value': '11176483', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/11176483/'}]}

[6] Nickel JC, Downey J, Hunter D, Clark J. Prevalence of prostatitis-like symptoms in a population based study using the National Institutes of Health chronic prostatitis symptom index. J Urol. 2001;165(3):842–5. - PubMed

[7] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0022-5347(05)64170-5', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0022-5347(05)64170-5'}, {'type': 'PubMed', 'value': '12441942', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/12441942/'}]}

Roberts RO, Jacobson DJ, Girman CJ, Rhodes T, Lieber MM, Jacobsen SJ. Prevalence of prostatitis-like symptoms in a community based cohort of older men. J Urol. 2002;168(6):2467–71. - PubMed

[8] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0022-5347(05)64170-5', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0022-5347(05)64170-5'}, {'type': 'PubMed', 'value': '12441942', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/12441942/'}]}

[9] Roberts RO, Jacobson DJ, Girman CJ, Rhodes T, Lieber MM, Jacobsen SJ. Prevalence of prostatitis-like symptoms in a community based cohort of older men. J Urol. 2002;168(6):2467–71. - PubMed

[10] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1111/j.1525-1497.2001.01223.x', 'is_inner': False, 'url': 'https://doi.org/10.1111/j.1525-1497.2001.01223.x'}, {'type': 'PMC', 'value': 'PMC1495276', 'is_inner': False, 'url': 'https://pmc.ncbi.nlm.nih.gov/articles/PMC1495276/'}, {'type': 'PubMed', 'value': '11679032', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/11679032/'}]}

McNaughton Collins M, Pontari MA, O’Leary MP, et al. Quality of life is impaired in men with chronic prostatitis: the Chronic Prostatitis Collaborative Research Network. J Gen Intern Med. 2001;16(10):656–62. - PMC - PubMed

[11] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1111/j.1525-1497.2001.01223.x', 'is_inner': False, 'url': 'https://doi.org/10.1111/j.1525-1497.2001.01223.x'}, {'type': 'PMC', 'value': 'PMC1495276', 'is_inner': False, 'url': 'https://pmc.ncbi.nlm.nih.gov/articles/PMC1495276/'}, {'type': 'PubMed', 'value': '11679032', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/11679032/'}]}

[12] McNaughton Collins M, Pontari MA, O’Leary MP, et al. Quality of life is impaired in men with chronic prostatitis: the Chronic Prostatitis Collaborative Research Network. J Gen Intern Med. 2001;16(10):656–62. - PMC - PubMed

[13] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1097/01.ju.0000132797.63480.44', 'is_inner': False, 'url': 'https://doi.org/10.1097/01.ju.0000132797.63480.44'}, {'type': 'PubMed', 'value': '15247724', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15247724/'}]}

Turner JA, Ciol MA, Von Korff M, Berger R. Prognosis of patients with new prostatitis/pelvic pain syndrome episodes. J Urol. 2004;172(2):538–41. - PubMed

[14] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1097/01.ju.0000132797.63480.44', 'is_inner': False, 'url': 'https://doi.org/10.1097/01.ju.0000132797.63480.44'}, {'type': 'PubMed', 'value': '15247724', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15247724/'}]}

[15] Turner JA, Ciol MA, Von Korff M, Berger R. Prognosis of patients with new prostatitis/pelvic pain syndrome episodes. J Urol. 2004;172(2):538–41. - PubMed

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The association of abuse and symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome: results from the Boston Area Community Health survey

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The association of abuse and symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome: results from the Boston Area Community Health survey

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