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	Institution: STANFORD Univ Med Center  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 2 No. 7, July 1993   Archives  •  Online Features Original Contribution  This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal A Population-Based Study of Health Care^Seeking Behavior for Treatment of Urinary Symptoms The Olmsted County Study of Urinary Symptoms and Health Status Among Men Steven J. Jacobsen, MD, PhD; Harry A. Guess, MD, PhD; Laurel Panser, MA, MS; Cynthia J. Girman, MS; Christopher G. Chute, MD, DrPH; Joseph E. Oesterling, MD; Michael M. Lieber, MD Arch Fam Med. 1993;2(7):729-735. Abstract Objective To determine the extent to which severity of urinary symptoms predicts a man's decision to seek medical care for urinary symptoms. Design Cross-sectional, population-based survey; the baseline component of a prospective cohort study. Setting Olmsted County, Minnesota (1990 population, 105 720), including the city of Rochester (population, 69 995) and surrounding rural townships. Subjects A population-based sample of men aged 40 to 79 years randomly selected within age- and residence-specific strata. Intervention A previously validated questionnaire that elicited information about the frequency and bother of urinary symptoms, sociodemographic information, and information regarding use of physician services in the last year. Main Outcome Measure An affirmative response to any of 12 questions asking the subject if he had seen a physician in the last year because of specific urinary symptoms. Main Result Symptom severity, whether measured by American Urologic Association frequency or bother score or by interference with daily activities, was a significant predictor of health care^seeking behavior for urinary symptoms, but was neither as sensitive nor as specific as would be ideal. After adjusting for symptom severity and sociodemographic characteristics, men aged 70 to 79 years were 4.6 times as likely (95% confidence interval, 2.1 to 10.1) as men aged 40 to 49 years to have sought health care because of urinary symptoms in the last year. Conclusion While symptom severity is an important determinant of health care^seeking behavior for men with urinary symptoms, some additional factor or factors associated with age remain that may drive men to seek care for urinary symptoms. These factors may prove important in understanding the small-area variations in treatment of benign prostatic hyperplasia that have been noted by others. Author Affiliations From the Section of Clinical Epidemiology (Drs Jacobsen, Guess, and Chute and Mss Panser and Girman) and the Department of Urology (Drs Oesterling and Lieber), Mayo Clinic and Foundation, Rochester, Minn, and the Department of Epidemiology, Merck Research Laboratories, Blue Bell, Pa (Dr Guess and Ms Girman). THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES Psychosocial Factors Associated with an Increased Frequency of Prostate Cancer Screening in Men Ages 40 to 79 Years: The Olmsted County Study Wallner et al. Cancer Epidemiol. Biomarkers Prev. 2008;17:3588-3592. ABSTRACT | FULL TEXT   Associations Between Diabetes and Clinical Markers of Benign Prostatic Hyperplasia Among Community-Dwelling Black and White Men Sarma et al. Diabetes Care 2008;31:476-482. ABSTRACT | FULL TEXT   Limitations of Using Outcomes in the Placebo Arm of a Clinical Trial of Benign Prostatic Hyperplasia to Quantify Those in the Community Roberts et al. Mayo Clin Proc. 2005;80:759-764. 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J Am Coll Cardiol 1998;32:345-352. ABSTRACT | FULL TEXT   The Decision to Seek Care: Factors Associated With the Propensity to Seek Care in a Community-Based Cohort of Men Roberts et al. Arch Fam Med 1997;6:218-222. ABSTRACT   Predictive Properties of Serum Prostate-Specific Antigen Testing in a Community-Based Setting Jacobsen et al. Arch Intern Med 1996;156:2462-2468. ABSTRACT   New Diagnostic and Treatment Guidelines for Benign Prostatic Hyperplasia: Potential Impact in the United States Jacobsen et al. Arch Intern Med 1995;155:477-481. ABSTRACT   Men's Health Issues Konen Arch Fam Med 1993;2:917-919. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1993 American Medical Association. All Rights Reserved.