Oswari Hanifah, Alatas Fatima Safira, Hegar Badriul, Cheng William, Pramadyani Arnesya, Benninga Marc Alexander, Rajindrajith Shaman
Department of Child Health, Gastrohepatology Division, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Department of Pediatric Gastroenterology and Nutrition, Emma Children's, Hospital, Academic Medical Centre, Amsterdam, The Netherlands.
BMC Gastroenterol. 2018 Oct 3;18(1):146. doi: 10.1186/s12876-018-0873-0.
We aimed to study the epidemiology and risk factors, including exposure to emotional stress, for constipation in Indonesian children and adolescents of 10-17 year age group.
A cross-sectional survey using a validated, self-administered questionnaire was conducted in randomly selected children and adolescents in nine state junior high schools from five districts of Jakarta. All of them were from urban areas. Constipation was defined as a diagnosis by using the Rome III criteria.
Of 1796 children included in the analysis, 328 (18.3%; 95% CI 016-0.2) had constipation. Females and those residing in North Jakarta showed risks associated with constipation in school-age children and adolescents. Symptoms independently associated with constipation were abdominal pain (64% vs 43.3% of control) and straining (22.9% vs 6.3%). The prevalence of constipation was significantly higher in those with stressful life events such as father's alcoholism (adjusted OR 1.91, 95% CI 1.27-2.89, P = 0.002), severe illness of a close family member (adjusted OR 1.77, 95% CI 1.12-2.80, P = 0.014), hospitalization of the child for another illness (adjusted OR 1.68, 95% CI 1.22-2.31, P < 0.001), being bullied at school (adjusted OR 1.67, 95% CI 1.01-2.76, P = 0.047) and loss of a parent's job (adjusted OR 1.39, 95% CI 1.03-1.88, P = 0.034).
Constipation in children and adolescent is a significant health problem, affecting almost 20% of Indonesian school-age children and adolescents. Common school and home related stressful life events appear to have predisposed these children to develop constipation.
我们旨在研究印度尼西亚10至17岁儿童及青少年便秘的流行病学特征和风险因素，包括情绪应激暴露情况。
采用经过验证的自填式问卷，对来自雅加达五个区九所国立初中的随机抽取的儿童及青少年进行横断面调查。他们均来自城市地区。便秘的定义采用罗马Ⅲ标准。
纳入分析的1796名儿童中，328名（18.3%；95%可信区间0.16 - 0.2）患有便秘。女性以及居住在雅加达北部的儿童及青少年出现便秘风险。与便秘独立相关的症状为腹痛（64%对比对照组的43.3%）和用力排便（22.9%对比6.3%）。在经历诸如父亲酗酒（校正比值比1.91，95%可信区间1.27 - 2.89，P = 0.002）、近亲患重病（校正比值比1.77，95%可信区间1.12 - 2.80，P = 0.014）、孩子因其他疾病住院（校正比值比1.68，95%可信区间1.22 - 该文本中95%可信区间的上限有误，应为2.31，P < 0.001）、在学校被欺负（校正比值比1.67，95%可信区间1.01 - 2.76，P = 0.047）以及父母失业（校正比值比1.39，95%可信区间1.03 - 1.88，P = 0.034）等生活应激事件的儿童中，便秘患病率显著更高。
儿童及青少年便秘是一个严重的健康问题，影响了近20%的印度尼西亚学龄儿童及青少年。常见的与学校和家庭相关的生活应激事件似乎使这些儿童易患便秘。
