Yousef Khalida Anwer, Basaleem Huda Omer, bin Yahiya Mariam Taher
Department of Pediatrics, Faculty of Medicine & Health Sciences, Aden University, Yemen.
Saudi J Kidney Dis Transpl. 2011 Jan;22(1):167-73.
Nocturnal enuresis is a common problem among children and adolescents. Data regarding this problem in schoolchildren in Yemen are scarce. This study was aimed to determine the prevalence of nocturnal incontinence in Aden school going children, describe its severity and identify the relation between nocturnal enuresis with personal and family characteristics. The study was a cross-sectional survey conducted on the public basic schoolchildren in Aden, Yemen, in the period November 2007-April 2009. A random, multistage sample of 890 students was taken from four districts in eight schools and divided into two strata: males and females. Data were obtained by using pre-recorded questionnaire, which was completed by parents. The response rate was 73.7% (656 students); 113 (17.2%) cases of nocturnal enuresis were encountered. Nocturnal enuresis decreased by age from 31.5% at 6-8 years to 8.7% at 15+ years (P < 0.05). Primary nocturnal enuresis affected 76.1%, of which the majority of children were bedwetting every night. Positive family history of nocturnal enuresis, deeper sleep, daytime enuresis, tea drinking, being non working father or with less education showed significant association with the occurrence of enuresis in the students. Stressful events in the previous 6 months of the study were twice more frequently noted. The study concluded that the prevalence of nocturnal enuresis in Aden public school children and its associated factors are almost comparable with that reported in epidemiological studies from various countries. Health education will encourage the parents to be aware, cope with this problem and seek appropriate medical advice.
夜间遗尿是儿童和青少年中的常见问题。也门学龄儿童中关于这一问题的数据很少。本研究旨在确定亚丁市学龄儿童夜间尿失禁的患病率，描述其严重程度，并确定夜间遗尿与个人及家庭特征之间的关系。该研究是一项横断面调查，于2007年11月至2009年4月期间在也门亚丁市的公立小学儿童中进行。从八个学校的四个区随机抽取了890名学生作为多阶段样本，并分为两个层次：男性和女性。数据通过使用预先录制的问卷获得，由家长填写。回复率为73.7%（656名学生）；共发现113例（17.2%）夜间遗尿病例。夜间遗尿患病率随年龄增长而下降，从6 - 8岁的31.5%降至15岁及以上的8.7%（P < 0.05）。原发性夜间遗尿占76.1%，其中大多数儿童每晚尿床。夜间遗尿的阳性家族史、睡眠较深、白天遗尿、饮茶、父亲无工作或受教育程度较低与学生遗尿的发生显著相关。在研究前6个月内压力事件的发生频率是其他情况的两倍。研究得出结论，亚丁市公立学校儿童夜间遗尿的患病率及其相关因素与各国流行病学研究报告的情况几乎相当。健康教育将促使家长提高认识，应对这一问题并寻求适当的医疗建议。
