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Prevalence and associated factors of day wetting and combined day and night wetting
Aydin Toktamis1, Yeltekin Demirel, Keramettin Ugur Ozkan
1Family Medicine, Medical School, Sivas, Turkey.
Insights
Diurnal enuresis (DE) affects 4.2% of children aged 5-15. Factors like smoking during pregnancy and punishment in toilet training are linked to DE, which may indicate underlying organic disorders.
Area of Science:
- Pediatric urology
- Childhood health
- Enuresis research
Background:
- Diurnal enuresis (DE) is a common concern in pediatric populations.
- Understanding DE prevalence and associated factors is crucial for effective management.
Purpose of the Study:
- To determine the prevalence of diurnal enuresis (DE) in children aged 5-15.
- To investigate the association between DE and various background variables.
Main Methods:
- A questionnaire-based study involving 1,760 children and their parents.
- Data collected on demographics, toilet training, medical history, and behavioral factors.
Main Results:
- The prevalence of DE was found to be 4.2%, decreasing with age and showing no gender difference.
- Significant associations were observed with maternal smoking, harsh toilet training, urgency, soiling, arousal difficulty, UTIs, poor school performance, and family history.
- No association was found with socioeconomic factors or stressful life events.
Conclusions:
- The prevalence of DE in this Turkish sample aligns with previous reports.
- DE appears more strongly linked to potential organic neurological or urological issues compared to nocturnal enuresis.
Background:
This study was conducted to determine the prevalence of diurnal enuresis (DE) and its association with background variables among children aged 5-15 years living in Sivas and Kahramanmaraş, Turkey.
Methods:
The parents of 1,760 children voluntarily completed a questionnaire consisting of 42 items under supervision of a researcher.
Results:
Overall, the reported prevalence of DE was 4.2%, with a tendency to decrease with increasing age and with no difference between genders. Smoking during pregnancy, delayed initiation and dealing with the child by punishment in toilet training, urination frequency, urgency, soiling, arousal difficulty, urinary infection history, lower school performance, poor social adaptation, wetting history in the family, were all significantly prevalent among diurnal enuretics (p < 0.05). Socioeconomic or sociodemographic factors based on families and stressful life events were not associated with DE (p > 0.05). 63.9% of all parents reported some level of concern about the wetting problem and 51.7% of the diurnal enuretics had previously visited a physician.
Conclusions:
The prevalence of DE in our sample is not too different from the prevalence rates reported previously from Turkey and other countries. This type of enuresis seems to be more associated with an organic neurological or urological disorder than is nocturnal enuresis.
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