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. 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 Hu  1 , Carol L Link, Mary McNaughton-Collins, Michael J Barry, John B McKinlay
Affiliations

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.

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
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
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.
See this image and copyright information in PMC

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