Influencing factors of overactive bladder in college freshmen and the impacts on anxiety，quality of life，and social interaction
10.3969/j.issn.1009-8291.2025.06.011
- VernacularTitle:低年级男大学生膀胱过度活动症的影响因素及与心理、生活质量及社交的相关性分析
- Author:
Guowei SI
1
;
Ce GAO
1
;
Sida SHAO
2
;
Feng SI
1
;
Yakai LIU
2
;
Songyang WANG
1
;
Maochuan FAN
1
;
Huiqing ZHANG
1
;
Qifeng DOU
1
;
Jianguo WEN
3
Author Information
1. Department of Urology, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang 453100
2. Department of Pediatric Surgery, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang 453100
3. Department of Urology, The First Affiliated Hospital of Zhengzhou University, Henan International Joint Laboratory of Pediatric Urodynamics, Zhengzhou 450052, China
- Publication Type:Journal Article
- Keywords:
overactive bladder;
male college students;
mental health;
quality of life;
social interaction
- From:
Journal of Modern Urology
2025;30(6):513-519
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the influencing factors of overactive bladder (OAB) in college freshmen and the impacts of OAB on their mental health, quality of life and social interaction. Methods: An epidemiological questionnaire survey was conducted in an anonymous manner on the prevalence of OAB among 5300 freshmen aged 17 to 22 years enrolled in the 2023—2024 academic year in Xinxiang Medical University and Sanquan College of Xinxiang Medical University.The questionnaire included questions on basic information, history of urinary tract infection, constipation, smoking, history of alcohol consumption, history of coffee/strong tea drinking, history of carbonated beverage drinking, redundant prepuce, phimosis, holding urine, chronic insomnia, self-rating anxiety scale (SAS), quality of life score (QoL), and social avoidance and distress scale (SADS).The influencing factors of OAB were analyzed with multivariate logistic regression analysis.The subjects were grouped according to whether they had OAB, and the differences in SAS, QoL and SADS between the OAB group and non-OAB group were compared.The impacts of OAB on the anxiety level, quality of life, and social interaction were analyzed with multiple linear regression analysis. Results: The overall prevalence rate of OAB was 4.9% (244/5018).Multivariate logistic regression analysis showed that the history of urinary tract infection (OR=0.177), constipation (OR=0.636), smoking (OR=0.582), alcohol consumption (OR=0.685), coffee/strong tea drinking (OR=0.387), carbonated beverage drinking (OR=0.631), redundant prepuce (OR=0.673), phimosis (OR=0.311), urine holding (OR=0.593), and chronic insomnia (OR=0.256) were influencing factors for the occurrence of OAB (P＜0.05).The OAB group had higher SAS score [(41.18±6.54) vs. (38.61±6.36)], QoL score [(3.65±1.20) vs. (2.79±0.95)], social avoidance score [(6.25±1.86) vs. (5.86±1.51)], social distress score [(6.27±1.59) vs. (5.97±1.32)], and total SADS score [(12.51±2.35) vs. (11.84±2.01)] than the non-OAB group (P＜0.05).The results of multiple linear regression analysis showed that OAB could independently affect the scores of QoL, SAS, and SADS.The OAB group had higher scores of QoL, SAS, and SADS compared with the non-OAB group (P＜0.001). Conclusion: History of urinary tract infection, constipation, smoking, alcohol consumption, coffee/strong tea drinking, carbonated beverage drinking, redundant prepuce, phimosis, urine holding, and chronic insomnia are influencing factors for the occurrence of OAB in male college students.Moreover, OAB has negative impacts on their mental health, quality of life, and social interaction.
