Prevalence of enuresis and its association with attention-deficit/hyperactivity disorder among U.S. children: results from a nationally representative study.
Prevalence of enuresis and its association with attention-deficit/hyperactivity disorder among U.S. children: results from a nationally representative study.
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DOI：
10.1097/chi.0b013e318190045c
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发表时间：
2009-01
影响因子：
13.3
通讯作者：
Merikangas KR
中科院分区：
文献类型：
--
作者：
Shreeram S;He JP;Kalaydjian A;Brothers S;Merikangas KR
在美国，使用标准化的诊断标准，没有发表具有全国代表性的儿童遗尿症患病率估计。本研究描述了美国儿童遗尿症的患病率、人口统计学相关因素、合并症和服务模式。遗尿症的诊断来源于父母报告的“遗尿症，夜间”数据，使用计算机化版本的儿童诊断访谈计划（C-DISC 4.0）从参加2001-2004年国家健康和营养检查调查的全国代表性8- 11岁儿童样本（n = 1，136）中收集。总的12个月遗尿症患病率为4.45%。男生患病率（6.21%）明显高于女生（2.51%）。遗尿症在年轻时和黑人青年中更常见。注意力缺陷多动障碍（ADHD）与遗尿症密切相关（比值比2.88; 95%置信区间1.26-6.57）。只有36%的遗尿症儿童接受过遗尿症治疗。遗尿症是美国儿童的常见疾病。很少有家庭寻求治疗遗尿症，尽管对情绪健康的潜在不利影响。儿童保健专业人员应定期筛查遗尿症及其对儿童和家庭情绪健康的影响。ADHD的评估应常规包括遗尿的评估，反之亦然。遗尿症和多动症之间的关联的解释研究表明。
There are no published nationally representative prevalence estimates of enuresis among children in the United States using standardized diagnostic criteria. This study sets out to describe the prevalence, demographic correlates, comorbidities, and service patterns for enuresis in a representative sample of U.S. children. The diagnosis of enuresis was derived from parent-reported data for “enuresis, nocturnal” collected using the computerized version of the Diagnostic Interview Schedule for Children (C-DISC 4.0) from a nationally representative sample of 8- to 11-year-old children (n = 1,136) who participated in the 2001–2004 National Health and Nutrition Examination Surveys. The overall 12-month prevalence of enuresis was 4.45%. The prevalence in boys (6.21%) was significantly greater than that in girls (2.51%). Enuresis was more common at younger ages and among black youth. Attention-deficit/hyperactivity disorder (ADHD) was strongly associated with enuresis (odds ratio 2.88; 95% confidence interval 1.26–6.57). Only 36% of the enuretic children had received health services for enuresis. Enuresis is a common condition among children in the United States. Few families seek treatment for enuresis despite the potential for adverse effects on emotional health. Child health care professionals should routinely screen for enuresis and its effects on the emotional health of the child and the family. Assessment of ADHD should routinely include evaluation for enuresis and vice versa. Research on the explanations for the association between enuresis and ADHD is indicated.