Chometon Thibault, Cortey Caroline, Marchand-Tonel Claire, Saunders Lauren, Cicchelero Valérie, Lang Thierry, Bouali Ourdia, Claudet Isabelle
Sante Publique. 2020 September-December;32(5):441-449. doi: 10.3917/spub.205.0441.
Not urinating regularly, voluntarily restraining oneself at school promotes the occurrence of voiding disorders.
To determine the prevalence of such disorders in elementary schools (students from 1st to 5th grade) and analyze the role of access to school toilets on voiding habits.
Observational, descriptive epidemiological study during the 2017-2018 school year by electronic questionnaire with parents of pupils attending elementary school.
2119 questionnaires were analyzed. The graders sex ratio was 1.07 (1087 boys). 410 families (19%) were classified as "popular" class. First, second and third graders represented 60% of the enrollment (N = 1273). Overall use of school toilets was 87% and 69% of students had appropriate use for urine. The main obstacles to their use were lack of hygiene and comfort (51%), lack of security or privacy (33%), limited accessibility (28%). The overall prevalence of urinary elimination disorders was 9%. Girls had more inappropriate use of the toilet for urine (36% vs 27%, OR 1.5, P = 0.0004). The factors associated with urinary elimination disorders were: not using the toilet (13% vs 9 %, OR 1.5, P = 0.04), being a girl (14% vs 5%, OR 3.5, P < 0.0001), belonging to the working class (14% vs 8% OR 1.8, P = 0.0008).
This situation, which is a long-denounced major public health problem, mainly affects girls and also reveals social inequalities in the use of school toilets.
不规律排尿、在学校主动憋尿会促使排尿障碍的发生。
确定小学（一至五年级学生）中此类障碍的患病率，并分析使用学校厕所对排尿习惯的影响。
在2017 - 2018学年通过电子问卷对小学生家长进行观察性、描述性流行病学研究。
分析了2119份问卷。年级性别比为1.07（1087名男生）。410个家庭（19%）被归类为“普通”阶层。一、二、三年级学生占入学人数的60%（N = 1273）。学校厕所的总体使用率为87%，69%的学生尿液使用情况合适。使用厕所的主要障碍是缺乏卫生和舒适度（51%）、缺乏安全性或隐私性（33%）、可达性有限（28%）。排尿障碍的总体患病率为9%。女孩在尿液如厕方面有更多不当使用情况（36%对27%，OR 1.5，P = 0.0004）。与排尿障碍相关的因素有：不使用厕所（13%对9%，OR 1.5，P = 0.04）、为女孩（14%对5%，OR 3.5，P < 0.0001）、属于工人阶级（14%对8%，OR 1.8，P = 0.0008）。
这种长期以来被谴责的重大公共卫生问题，主要影响女孩，并揭示了学校厕所使用方面的社会不平等。
