土耳其东南部寄宿制日间学校儿童遗尿症的流行病学及相关因素：一项横断面研究。
The epidemiology and factors associated with nocturnal enuresis among boarding and daytime school children in southeast of Turkey: a cross sectional study.
机构信息
Urology Department, Inonu University, Medical School, Malatya, Turkey.
出版信息
BMC Public Health. 2009 Sep 22;9:357. doi: 10.1186/1471-2458-9-357.
BACKGROUND
Nocturnal enuresis is an important problem among young children living in Turkey. The purpose of this study was to determine the possible differences in the prevalence of enuresis between children in boarding school and daytime school and the association of enuresis with sociodemographic factors.
METHODS
This was a cross-sectional survey. A total of 562 self-administered questionnaires were distributed to parents from two different types of schools. One of them was a day-time school and the other was a boarding school. To describe enuresis the ICD-10 definition of at least one wet night per month for three consecutive months was used. Chi-square test and a logistic regression model was used to identify significant predictive factors for enuresis.
RESULTS
The overall prevalence of nocturnal enuresis was 14.9%. The prevalence of nocturnal enuresis declined with age. Of the 6 year old children 33.3% still wetted their beds, while the ratio was 2.6% for 15 years-olds. There was no significant difference in prevalence of nocturnal enuresis between boys and girls (14.3% versus 16. 8%). Enuresis was reported as 18.5% among children attending day time school and among those 11.5% attending boarding school (p < 0.05). Prevalence of enuresis was increased in children living in villages, with low income and with positive family history (p < 0.05). After multivariate analysis, history of urinary tract infection (OR = 2.02), age (OR = 1.28), low monthly income (OR = 2.86) and family history of enuresis (OR = 3.64) were factors associated with enuresis. 46.4% of parents and 57.1% of enuretic children were significantly concerned about the impact of enuresis.
CONCLUSION
Enuresis was more frequent among children attending daytime school when compared to boarding school. Our findings suggest that nocturnal enuresis is a common problem among school children, especially with low income, smaller age, family history of enuresis and history of urinary tract infection. Enuresis is a pediatric public health problem and efforts at all levels should be made such as preventive, etiological and curative.
背景
遗尿症是土耳其儿童的一个重要问题。本研究的目的是确定寄宿制学校和走读制学校儿童遗尿症的发生率差异，并探讨遗尿症与社会人口学因素的关系。
方法
这是一项横断面调查。共向来自两所不同类型学校的 562 名家长发放了自填式问卷。其中一所是走读制学校，另一所是寄宿制学校。为了描述遗尿症，使用了 ICD-10 至少每月一次连续三个月夜间湿床的定义。采用卡方检验和 logistic 回归模型来确定遗尿症的显著预测因素。
结果
夜间遗尿症的总体患病率为 14.9%。遗尿症的患病率随年龄增长而降低。6 岁儿童中仍有 33.3%尿床，而 15 岁儿童的比例为 2.6%。男孩和女孩的夜间遗尿症患病率无显著差异（14.3%对 16.8%）。走读制学校儿童的遗尿症报告率为 18.5%，而寄宿制学校儿童的遗尿症报告率为 11.5%（p<0.05）。生活在农村、收入低和有家族遗尿症史的儿童遗尿症患病率增加（p<0.05）。多变量分析后，尿路感染史（OR=2.02）、年龄（OR=1.28）、低月收入（OR=2.86）和家族遗尿症史（OR=3.64）是遗尿症的相关因素。46.4%的家长和 57.1%的遗尿症儿童对遗尿症的影响明显感到担忧。
结论
与寄宿制学校相比，走读制学校儿童遗尿症更为常见。我们的研究结果表明，遗尿症是学龄儿童的一个常见问题，尤其是那些收入较低、年龄较小、有遗尿症家族史和尿路感染史的儿童。遗尿症是儿童公共卫生问题，应在各级采取预防、病因学和治疗措施。
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