Wang Yihe,Shi Wei,Wang Xizheng,et al.Survey of using disposable diaper in infants and toddlers aged under 6 years and its impact on urination control[J].Journal of Clinical Pediatric Surgery,,20():441-446.[doi:10.12260/lcxewkzz.2021.05.009]
Survey of using disposable diaper in infants and toddlers aged under 6 years and its impact on urination control
- Keywords:
- Urination/PH; Toilet Training/MT; Urination Disorders/PC; Surveys and Questionnaires; Infant
- CLC:
- R694+.53;R181.13
- Abstract:
- Objective To explore the effect of using disposable diaper (DD) upon urinary control in infants (<36 months) and preschool children (3 to 6 years).Methods From March 2017 to September 2017,a total of 9,540 Han children aged 0-6 were surveyed in 6 domestic cities of Zhengzhou,Luoyang,Kaifeng,Yuncheng,Shenzhen and Xiamen.Based upon age,the results were grouped into group 1 (<36 months) and group 2 (3 to 6 years).SPSS 21.0 was employed for statistical analysis.The rates of DD and urinary training and their changes were compared between two groups.And the influencing factors of urinary control were analyzed.Results The actual recovery rate of the questionnaire was 86.84% (8285/9540).And 93.16% (2369/2543) of infants aged under 36 months used DD while 90.60% (5202/5742) of preschool children aged under 3 years did so.The difference was statistically significant (P<0.05).In group 2,the proportion of children with and without DD for daytime urinary control at an age of 3 years was 85.41% (503/540) and 93.07% (4442/5202) respectively and the difference was statistically significant (P<0.05).The proportion of daytime urinary control among children with and without urination training was 86.76% (4705/5423) and 75.24% (240/319) respectively and the difference was statistically significant (P<0.05).Logistic regression analysis showed that using DD was a risk factor for poor daytime urinary control and urinary training acted as a protective factor for daytime urinary control.The proportion of those receiving urinary training after 2 years was in group 1 and it was significantly higher than group 2[14.02%(174/1241) vs. 4.98% (286/5742)]; the proportion of receiving no urinary training before an age of 18 months was significantly higher in group 1 than group 2[19.49%(319/1637) vs.8.86%(509/5742)].The differences were statistically significant (P<0.05).Conclusion Using DD prolongs the developmental time of daytime urinary control for infants and children and it is not conducive to their growth and development.Rational use of DD and early urinary training should be further promoted.
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Memo
收稿日期:2018-04-30。
基金项目:国家自然科学基金项目（编号：81370869），国际合作基金项目（编号：82102410002），深圳市"医疗卫生三名工程"项目（编号：SZSM201612013）
通讯作者:文建国,Email:wenjg@hotmail.com