Are Seasonal and Income Variations Accountable for Bowel and Bladder Dysfunction Symptoms in Children?
Are Seasonal and Income Variations Accountable for Bowel and Bladder Dysfunction Symptoms in Children?
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DOI：
10.1002/nau.22896
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发表时间：
2017-01-01
影响因子：
2
通讯作者：
Collett-Gardere, Therese
中科院分区：
文献类型：
--
作者：
Franco, Israel;Franco, Jacob;Collett-Gardere, Therese
目的：某些疾病往往在一年中的某些时间更常见。还已知的是，不同社会经济群体的个体对身体疾病有偏好，在某些情况下，身体疾病可能与难以获得医疗保健有关，或者可能与环境或工作相关的原因有关。我们假设不同季节和不同社会经济群体的患者及其下尿路症状（LUTS）之间可能存在差异。研究方法：我们回顾了5年来的电子病历，选出了在纽约三州地区所有种族和收入水平的2200万人的广泛地理区域内所有10个办公室就诊的所有患者。结果：我们确定了13，346例患者，其中男性6，010例，女性6，957例，379例因不符合年龄纳入标准而被排除。表一、表二、表三和表四分别列出了男性和女性基于年龄、收入中位数的描述性统计数据。值得注意的是，男性比女性大（8.1岁对6.9岁），家庭之间的收入中位数没有差异。女性尿路感染较多，男性排尿困难较多。尿失禁似乎在女性中比男性更普遍，而男性比女性有更多的粪便污染问题。显而易见的是，高收入群体的紧迫感和频率呈正相关。另一方面，尿失禁本身或合并UUI在高中组中更普遍。粪便污染在高中组中也更普遍。UTI在高中组中更普遍，但令人惊讶的是，无法排空膀胱的患者没有差异。相反，我们发现便秘在专业组比其他组更普遍，这与FS的发现相反。最后，排尿困难似乎在P组中更普遍。结论：很明显，高中收入和职业收入群体之间的结果存在显著差异，特别是U和F，沿着C，这与高收入专业人士的子女相关。UUI、UI、UTI、沿着FS与高中收入父母相关。(C)2015 Wiley Periodicals，Inc.
Aims: Certain illnesses tend to occur more commonly at certain times of the year. It is also known that individuals of different socioeconomic groups have a predilection for physical ailments that in some cases may be related to poor access to healthcare or may be related to environmental or work related causes. We hypothesized that there may be a difference between patients from season to season and from different socioeconomic groups and their presenting lower urinary tract symptoms (LUTS). Methods: We reviewed our electronic medical record going back for 5 years, selecting out all patients who presented to all 10 of our offices in a wide geographic area that covers 22 million people of all races and income levels in the Tristate area of New York. Results: We identified 13,346 patients, 6,010 males and 6,957 females, and 379 were excluded for not meeting age inclusion criteria. The descriptive statistics based on age, median income for both males and females can be found in Tables I, II, III, and IV, respectively. Of note, males were older than females at presentation (8.1 vs. 6.9 years) with no difference in median incomes between families. There were more UTIs in females and more dysuria complaints in males. Urinary incontinence also appeared to be more prevalent in females than males, while males had more issues with fecal soiling than the females. What was obvious was that urgency and frequency was positively correlated with high income groups. On the other hand urinary incontinence represented either by itself or combined with UUI was more prevalent in the high school group. Fecal soiling was also more prevalent in the high school group. UTIs were more prevalent in the high school group but surprisingly there was no difference in patients that were not able to empty their bladders. Conversely we found that constipation was more prevalent in the professional group than in the other groups which is the opposite of the FS findings. Lastly dysuria appeared to be more prevalent in the P group. Conclusions: It is clear that there are marked differences in the results between high school income and professional income groups in particular with the U and F, along with C which correlate with high income professionals' children. UUI, UI, UTI, along with FS are associated with high school income parents. (C) 2015 Wiley Periodicals, Inc.