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[Voiding dysfunction and access to toilets among elementary school children: A Toulouse school district study]
Sante Publique (Vandoeuvre-Les-Nancy, France)
|March 16, 2021
Summary
Voluntarily restraining urination at school can cause voiding disorders. This study found a 9% prevalence, affecting girls and lower socioeconomic groups more, often due to poor toilet facilities.
Area of Science:
- Pediatric urology
- Epidemiology
- Public health
Background:
- Voluntary urinary retention in school settings is linked to voiding disorders.
- Access to and use of school toilets significantly impact children's voiding habits.
Purpose of the Study:
- To determine the prevalence of voiding disorders in elementary school students (grades 1-5).
- To analyze the role of school toilet accessibility and conditions on students' voiding habits.
Main Methods:
- An observational, descriptive epidemiological study was conducted during the 2017-2018 school year.
- Electronic questionnaires were administered to parents of elementary school pupils.
- Data from 2119 questionnaires were analyzed.
Main Results:
- The overall prevalence of urinary elimination disorders was 9%.
- Inappropriate toilet use for urine was more common in girls (36% vs 27%).
- Factors associated with disorders included not using toilets, being female, and belonging to a working-class family.
Conclusions:
- Urinary elimination disorders are a significant public health issue in elementary schools.
- Girls and students from lower socioeconomic backgrounds are disproportionately affected.
- Poor hygiene, comfort, privacy, and accessibility of school toilets contribute to these disorders.
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