The prevalence of encopresis in a multicultural population
The prevalence of encopresis in a multicultural population
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DOI：
10.1097/01.mpg.0000149964.77418.27
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发表时间：
2005-03-01
影响因子：
2.9
通讯作者：
Hirasing, RA
中科院分区：
文献类型：
--
作者：
van der Wal, MF;Benninga, MA;Hirasing, RA
背景：以人群为基础的儿童隐尿症患病率的研究很少，而且通常是过时的。基于临床研究的患病率估计是不可靠的，因为父母往往不愿为这个问题寻求医疗帮助。然而，专业帮助是必要的，因为隐尿症会导致严重的心理健康问题。作者调查了儿童隐隐症的流行程度、因隐隐症到全科医生那里就诊的频率以及隐隐症儿童的心理社会健康问题。方法：这项以人群为基础的研究涉及13,111名父母及其5至6岁的孩子和9,780名父母及其11至12岁的孩子。所有荷兰阿姆斯特丹的居民结果：5 ~ 6岁患儿的隐渗率为4.1%，11 ~ 12岁患儿的隐渗率为1.6%。在城市中非常贫困地区的男孩和儿童中，隐死症更为常见。摩洛哥和土耳其儿童的先天免疫缺陷发生率较低。5- 6岁和11- 12岁小便过多的儿童中，有3.8%和10.1%的儿童排便频率低于每周3次。只有37.7%的5到6岁的孩子和27.4%的11到12岁的孩子因为这个问题去看过医生。心理社会问题在孤独症儿童中比在正常儿童中更为常见。结论：隐尿症是一种常见病，通常与社会心理健康障碍有关，但只有一小部分隐尿症患儿被带到全科医生那里讨论他们的问题。
Background: Population-based studies on the prevalence of encopresis in children are scarce and generally outdated. Prevalence estimates based on clinical studies are unreliable because parents tend to be reticent to seek medical help for this problem. Professional help is necessary, however, because encopresis can lead to serious psychosocial health problems. The authors examined the prevalence of encopresis in children, the frequency of visits made to general practitioners for encopresis and the psychosocial health problems of encopretic children.Methods: This population-based study involved 13,111 parents and their 5- to 6-year-old children and 9,780 parents and their 11- to 12-year-old children. all residents of Amsterdam, the Netherlands.Results: The prevalence of encopresis was 4.1% in the 5-to-6 age group and 1.6% in the 11-to-12 age group. Encopresis was more frequent among boys and children from the very depressed areas of the city. Encopresis was less frequent among Moroccan and Turkish children. A defecation frequency of less than three per week was found in 3.8% of the 5- to 6-year-olds and 10.1% of the 11- to 12-year-olds with encopresis. Only 37.7% of the 5- to 6-year-olds and 27.4% of the 11- to 12-year-olds who had encopresis had ever been taken to see a doctor for this problem. Psychosocial problems were far more common among children with encopresis than among normal children.Conclusions: Encopresis is a common condition that is often associated with psychosocial health disorders but only a small proportion of the children with encopresis are taken to a general practitioner to discuss their problem.