Department of Pediatric Nephrology, Pamukkale University School of Medicine, Denizli, Turkey.
Department of Pediatric Nephrology, Pamukkale University School of Medicine, Denizli, Turkey.
J Pediatr Urol. 2014 Dec;10(6):1181-6. doi: 10.1016/j.jpurol.2014.05.008. Epub 2014 Jun 20.
The aim was to determine the prevalence of voiding dysfunction and its related risk factors in Turkish schoolchildren.
A randomly selected, cross-sectional study was conducted using a self-administered and previously validated questionnaire. The questionnaire consisted of two parts. The first part included personal demographic and familial information, and the second part included the Dysfunctional Voiding and Incontinence Scoring System (DVISS). The questionnaires were given to 4668 children between 6 and 15 years of age, which were completed by the parents and children together. The children with a score of ≥9 were accepted as having lower urinary tract dysfunction (LUTD).
The data were collected from 4016 children (the response rate was 86.0%), including 48.6% boys and 51.4% girls. The mean age was 10.5±2.2 years. The overall frequency of LUTD was 9.3%. While the 6-year-old children had the highest frequency (23.1%) of LUTD, this rate was 7.9% at the age of 10, and the children aged 14 years had the lowest frequency (4.9%), (p<0.001). Lower urinary tract symptoms were significantly more common in girls (7.6%) than in boys (3.2%) only for the older age group (between 12 and 15 years of age). Compared with normal children, those with LUTD (with a score of ≥9) had the following risk factors: less educated parents, a parent that had lower urinary tract symptoms when he or she was a child, more persons per room (≥2 persons), more siblings (≥4 siblings) at home, past medical history of urinary tract infections, and squatting position (in girls).
Lower urinary tract problems are one of the most important and ongoing health problems in childhood. Determining the prevalence of lower urinary tract problems in children and their related risk factors is the first step to managing and reducing the number of children suffering from voiding problems.
旨在确定土耳其学童排尿功能障碍的患病率及其相关危险因素。
采用随机、横断面研究，使用自我管理和先前验证的问卷进行。问卷分为两部分。第一部分包括个人人口统计学和家族信息，第二部分包括排尿功能障碍和尿失禁评分系统（DVISS）。将问卷分发给 4668 名 6 至 15 岁的儿童，由父母和孩子一起填写。评分≥9 的儿童被认为患有下尿路功能障碍（LUTD）。
共收集了 4016 名儿童的数据（应答率为 86.0%），其中男孩占 48.6%，女孩占 51.4%。平均年龄为 10.5±2.2 岁。总体 LUTD 频率为 9.3%。6 岁儿童 LUTD 发生率最高（23.1%），10 岁时发生率为 7.9%，14 岁儿童发生率最低（4.9%），（p<0.001）。仅在年龄较大的（12-15 岁）女孩中，下尿路症状明显比男孩更常见（7.6%比 3.2%）。与正常儿童相比，LUTD 儿童（评分≥9）有以下危险因素：父母受教育程度较低、父母小时候有下尿路症状、每间房居住人数较多（≥2 人）、家中兄弟姐妹较多（≥4 人）、尿路感染病史和蹲位（在女孩中）。
下尿路问题是儿童最重要和持续存在的健康问题之一。确定儿童下尿路问题的患病率及其相关危险因素是管理和减少排尿问题儿童数量的第一步。
