Yousef Khalida Anwer, Basaleem Huda Omer, Al-Sakkaf Khaled Abdulla Zain
Department of Pediatrics, Public Health, Faculty of Medicine and Health Sciences, Aden University, Aden, Yemen.
Saudi J Kidney Dis Transpl. 2010 Nov;21(6):1092-9.
Daytime urinary incontinence is an involuntary or intentional voiding of urine in an awake child who is old enough to have developed control, and has a variable prevalence throughout the world. In Yemen, data regarding this problem are almost absent. In this study from the capital city of Aden, we aimed to: (1) determine the prevalence of daytime incontinence in kindergarten children aged 4-6 years, (2) identify the relation between daytime enuresis with personal and family characteristics of the children studied, and (3) describe the severity and characteristics of daytime enuresis in the studied children. A cross-sectional comparative study was undertaken in all kindergarten children aged 4-6 years in Aden Governorate and 1061 responded. Data were obtained by using a precoded self-administered questionnaire completed by the parents. The questionnaire consisted of two parts: personal and family characteristics of the studied children and the presence of daytime incontinence. The second part was responded if there was history of daytime incontinence, and contained information on the severity and possible associated factors. Daytime incontinence was encountered in 34 cases (3.2%); 18 were females. Significant differences between cases and incontinence-free children were encountered in birth order and type of kindergarten (P < 0.05). Majority (85.3%) had severe form of daytime incontinence. Bed wetting and combined day and night wetting were more frequent among males, whereas urinary symptoms (urgency, squatting, dysuria, dribbling) were more frequent among females. Working mother and frightening and emotionally stressful events in the 6 months preceding the study were significantly associated with daytime incontinence, while parents' education, punishment for daytime incontinence, and the presence of family history of incontinence were insignificant. In conclusion, this is the first study from Yemen reporting the prevalence of enuresis, similar to previous reports. Further studies are needed to explore this problem in our region to end the misery of the child and the family.
日间尿失禁是指年龄足以控制排尿的清醒儿童出现的非自愿或故意排尿现象，其在世界各地的患病率各不相同。在也门，几乎没有关于这个问题的数据。在这项来自亚丁市的研究中，我们旨在：（1）确定4至6岁幼儿园儿童日间尿失禁的患病率；（2）确定所研究儿童的日间遗尿与个人及家庭特征之间的关系；（3）描述所研究儿童日间遗尿的严重程度和特征。我们在亚丁省所有4至6岁的幼儿园儿童中进行了一项横断面比较研究，1061名儿童做出了回应。数据通过家长填写的预编码自填问卷获得。问卷由两部分组成：所研究儿童的个人和家庭特征以及日间尿失禁情况。如果有日间尿失禁病史，则回答第二部分，其中包含有关严重程度和可能相关因素的信息。34例（3.2%）出现日间尿失禁；18例为女性。在出生顺序和幼儿园类型方面，病例组与无尿失禁儿童之间存在显著差异（P<0.05）。大多数（85.3%）为严重形式的日间尿失禁。尿床以及白天和夜间同时尿床在男性中更为常见，而泌尿症状（尿急、蹲踞、排尿困难、滴尿）在女性中更为常见。母亲工作以及研究前6个月内的恐惧和情绪压力事件与日间尿失禁显著相关，而父母的教育程度、对日间尿失禁的惩罚以及尿失禁家族史则无显著关联。总之，这是也门第一项报告遗尿患病率的研究，与之前的报告相似。需要进一步研究来探索我们地区的这个问题，以结束儿童和家庭的痛苦。
