1. Lower Urinary Tract Dysfunction in Male Iraq and Afghanistan War Veterans: Association With Mental Health Disorders: A Population-based Cohort Study
- Author
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Breyer, Benjamin N, Cohen, Beth E, Bertenthal, Daniel, Rosen, Raymond C, Neylan, Thomas C, and Seal, Karen H
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Mental Health ,7.3 Management and decision making ,7.1 Individual care needs ,4.1 Discovery and preclinical testing of markers and technologies ,Mental health ,Good Health and Well Being ,Adolescent ,Adult ,Afghanistan ,Cohort Studies ,Female ,Humans ,Iraq ,Lower Urinary Tract Symptoms ,Male ,Mental Disorders ,Middle Aged ,Military Personnel ,Prevalence ,Retrospective Studies ,Stress Disorders ,Post-Traumatic ,United States ,Veterans Health ,Warfare ,Young Adult ,Urology & Nephrology ,Clinical sciences - Abstract
ObjectiveTo determine the prevalence and correlates of lower urinary tract symptoms (LUTS) among returned Iraq and Afghanistan veterans; in particular its association with mental health diagnoses and medication use.MethodsWe performed a retrospective cohort study of Iraq and Afghanistan veterans who were new users of U.S. Department of Veterans Affairs health care. Mental health diagnoses were defined by International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) codes from medical records. LUTS was defined by ICD-9-CM code, use of prescription medication for LUTS, or procedure for LUTS. We determined the independent association of mental health diagnoses and LUTS after adjusting for sociodemographic and military service characteristics, comorbidities, and medications.ResultsOf 519,189 veterans, 88% were men and the mean age was 31.8 years (standard deviation ± 9.3). The overall prevalence of LUTS was 2.2% (11,237/519,189). Veterans with post-traumatic stress disorder (PTSD) were significantly more likely to have a LUTS diagnosis, prescription, or related procedure (3.5%) compared with veterans with no mental health diagnoses (1.3%) or a mental health diagnosis other than PTSD (3.1%, P
- Published
- 2014