Toilet training: situation at 2 years of age in a birth cohort

Denise M Mota1, Aluisio J D Barros

  • 1Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas (UFPel), Pelotas, RS, Brazil. denisemmota@gmail.com

Jornal De Pediatria
|October 4, 2008
PubMed

Insights

Most 24-month-old children possess the skills for toilet training, yet many haven't started. Parental education and socioeconomic status influence the timing of diaper removal, with better-informed mothers delaying training the most.

Area of Science:

  • Pediatrics
  • Child Development
  • Public Health

Background:

  • Bladder and bowel control acquisition is multifactorial, involving physiological, psychological, and sociocultural elements.
  • Early childhood development includes achieving continence, a key milestone for independence.

Purpose of the Study:

  • To determine the prevalence of children out of diapers by 24 months of age.
  • To identify factors associated with the acquisition of bladder and bowel control in early childhood.

Main Methods:

  • A longitudinal study of 3,281 children born in Pelotas, Brazil, in 2004.
  • Home visits at 24 months with maternal questionnaires on sociodemographic data and toilet training habits.
  • Multivariate Poisson regression analysis to identify associated factors.

Main Results:

  • 24.3% of children were daytime dry and 8.6% were nighttime dry by 24 months; females predominated in both.
  • 85.5% of children had the necessary abilities for toilet training.
  • Maternal education and higher social class were associated with later diaper removal, while children living at home and communicating toileting needs increased the likelihood of being out of diapers.

Conclusions:

  • Despite developmental readiness at 24 months, most children had not commenced toilet training.
  • Maternal knowledge and information access appeared to influence delayed toilet training initiation.
Abstract

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