Aims. To estimate the prevalence and bother of lower urinary tract symptoms (LUTS) and the work-related and individual factors associated with LUTS among a representative sample of female nurses. Background. A healthy nursing workforce is essential to advance global health goals, especially during times of extraordinary demand for nursing care. LUTS frequently occur and persist in women and are correlated with multiple negative health outcomes and diminished work engagement and productivity. However, the study of LUTS among female nurses failed to receive sufficient attention from researchers. Methods. We used baseline data for 13,191 female nurses in China collected for the prospective cohort study, the Nurse Urinary Related Health Study (NURS). We assessed nurses self-reported LUTS and symptom-related bother using the International Consultation on Incontinence Questionnaire-Female LUTS. We used descriptive statistics to summarize LUTS prevalence and its related bother and a mixed-effects logistic regression model to test the effects of work-related and individual factors on LUTS. Results. Most of the participants in this study were younger than 40years old (82.9), were married (74.8), and had given birth once or never (73.7). Few participants had chronic diseases (3.4), consumed alcohol (7.3), smoked (0.4), or had overweight/obesity (27.7). The prevalence of any LUTS was 51.1, and over 50 of the nurses with LUTS in this study had experienced moderate or severe bother, except for urinary frequency. Working longer than five years, more than 40hours per week, and in Level A, major tertiary hospitals were found to be risk factors of LUTS, and a nurse-to-bed ratio higher than 0.40 was found to be a protective factor. Increased fluid intake also was found to be a protective factor of LUTS in nurses, and having chronic constipation was found to be a risk factor. Conclusions. LUTS are highly prevalent and severely bothersome among female nurses in China, despite the fact that the female nurses in this study were relatively young, healthy, had few childbirths, and were living healthy lifestyles. This finding warrants remedial action that is related to both behavioral and environmental factors to ensure a healthy nursing workforce. Nurses cannot reasonably be expected to contribute to global health when one of their basic needs as humans, i.e., the normal function of urinary elimination, is ignored. Implications for Nursing Management. Nurse managers should be aware that nurses basic needs regarding urination are negatively affected by LUTS and related bother. Nurse managers should address LUTS-related problems on multiple levels, including overseeing and reporting LUTS in nurses, exploring innovative care models to mitigate the negative effects of excessive workloads on nurses, and remodeling the nursing culture and encouraging positive coping behaviors for the self-health of nurses.

Aims: This study aimed to identify symptom clusters in a population‐based sample of female nurses who reported experiencing lower urinary tract symptoms (LUTS) and examine distinct risk factor profiles within each symptom cluster, with an emphasis on modifiable lifestyle and work‐related factors.Materials and Methods: This study included 6735 female nurses who reported experiencing at least one LUTS. Latent class analysis was conducted to identify symptom clusters by jointly modelling 11 symptoms. Analysis of variance, chi‐square tests and multinomial logistic regression analyses were conducted to examine distinct risk factor profiles within each symptom cluster.Results: On average, female nurses experienced 2.2 symptoms. Four clusters were identified: the multiple severe symptoms (n = 546, 8%), incontinence symptoms (n = 2089, 31%), urgency–hesitancy symptoms (n = 3357, 50%) and nocturia symptoms (n = 743, 11%). Unique profiles of female nurses were associated with each symptom cluster and demonstrated the influential role of work‐related factors in the development of LUTS. These factors included a demanding workload, heightened levels of perceived stress, extended work hours, engagement in night shifts, infrequent and delayed voiding behaviours and restriction of fluid intake.Conclusions: Our findings substantiate the vulnerability of female nurses to LUTS, which is attributable to their demanding work environments. LUTS among female nurses should be recognised as an occupational hazard and remains an understood topic in the workplace, warranting attention and tailoring of intervention strategies.Implications for Nursing Management: Nurse managers should be aware that LUTS represent an occupational hazard for nurses and that high‐stress work environments and inappropriate urination behaviours adversely affect nurses’ bladder health. Addressing LUTS‐related issues requires increased staffing levels along with a fundamental shift in workplace culture. Fostering a culture of self‐care with an emphasis on bladder health promotion is imperative for nursing professionals and employed women.

Female infertility is a common reproductive disorder influenced by metabolic dysfunction. The glycolipid metabolism 7 factors (GLM7) is a composite metabolic index integrating age, BMI, glucose, insulin, and lipid profiles. This study aimed to examine its association with female infertility in a nationally representative population. Data from 1,405 female participants aged 18-45 years from the 2013-2018 cycles of the National Health and Nutrition Examination Survey were analyzed. We used survey-weighted logistic regression models and restricted cubic splines to assess the association between GLM7 and infertility. Receiver operating characteristic (ROC) curves were used to assess the diagnostic accuracy. A total of 167 participants (11.9%) reported infertility. After full adjustment, higher GLM7 levels were independently associated with increased odds of infertility (odds ratio (OR) = 1.401, 95% CI: 1.028-1.909, p = 0.034). A positive linear association was observed, with a potential plateau effect at GLM7 ≈ 6.98. GLM7 showed modest discriminative ability (AUC = 0.596, 95%CI: 0.552-0.639). GLM7 was positively associated with female infertility. As a multidimensional metabolic indicator, GLM7 may provide complementary information for reproductive health research. However, its modest discriminative performance suggests limited value as a standalone screening tool, warranting further validation in longitudinal and clinical studies.