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APHA Scientific Session and Event Listing

Lauren P. Wallner, MPH¹, Stephanie Daignault, MS², James E. Montie, MD¹, John T. Wei, MD, MS¹, and Aruna V. Sarma, PhD¹. (1) Department of Urology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, 734-936-1848, lwallner@med.umich.edu, (2) Cancer Center, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-0473

Introduction and Objective: Prostatitis is a common, yet ill-defined condition without clear diagnostic criteria and treatment strategies. Previous studies examining the prevalence and correlates of prostatitis are limited in their inclusion of primarily white populations. The objective of this study is to identify prevalence and risk factors for prostatitis in a population based sample of African-American men. Methods: In 1996, a probability sample of 703 African-American men, aged 40-79, residing in Genesee County, Michigan without a prior history of prostate cancer/surgery provided responses to a structured interview administered questionnaire which elicited information regarding sociodemographics, smoking and alcohol consumption, physical activity, past medical history, including history of physician diagnosed prostatitis, BPH and sexually transmitted diseases. Results: 47 (6.7%) men reported a history of prostatitis. History of one or more STD infections and moderate to severe lower urinary tract symptoms were associated with significantly increased risk of prostatitis after adjustment for age. Increased physical activity was significantly associated with a decreased risk of disease. Conclusion: In this population-based sample of African-American men, we demonstrated that approximately 7% self-reported a history of prostatitis. Consistent with current literature, worsening lower urinary tract symptoms and history of sexually transmitted disease were associated with a greater than 2-fold odds of prostatitis suggesting a role for BPH and prior infection and inflammation in disease etiology. We have also demonstrated for the first time a decreased odds of prostatitis history with increased physical activity which may influence stress, a previously reported risk factor for prostatitis.

Learning Objectives: At the conclusion of this session, the participant in this session will be able to

• Describe more comprehensively the risk factors for prostatitis.
• Identify the prevalence of prostatitis in this population based sample of African-American men.
• Develop further studies that are necessary to determine etiologic roles of suggested risk factors and potential for treatment and prevention of prostatitis.

Keywords: African American, Chronic Illness

Presenting author's disclosure statement:

Not Answered