Yu Jiating,Zhang Yanping,Wang Yihe,et al.Investigation and analysis of incidence and related factors of disposable diaper dependence[J].Journal of Clinical Pediatric Surgery,,21():1147-1152.[doi:10.3760/cma.j.cn101785-202110015-009]
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Investigation and analysis of incidence and related factors of disposable diaper dependence

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第21卷 Number: 2022 12 Page: 1147-1152 Column: 论著 Date of publication: 1900-01-01
Author(s):
Yu Jiating1;  Zhang Yanping1;  Wang Yihe1;  Li Xing2;  Hu Huijie3;  Li Shoulin4;  Dou Qifeng5;  Wen Jianguo1
1 Center of Rediatric Urodynamic First Affiliated Hospital, Zhengzhou University, Henan Joint International Pediatric Urodynamic Laboratory, Zhengzhou 450052, China;
2 Department of Urology Municipal Maternity & Children’s Healthcare Hospital, Xiamen 361000, China;
3 Nursing School, Xinxiang Medical University, Xinxiang 453000, China;
4 Department of Urology, Shenzhen Children’s Hospital, Shenzhen 518035, China;
5 Department of Urology, First Affiliated Hospital, Xinxiang Medical University, Xinxiang 453100, China
Keywords:
Urination Disorders; Disposable Diaper Dependence; Root Cause Analysis; Child
DOI:
10.3760/cma.j.cn101785-202110015-009
Abstract:
Objective To explore the incidence and risk factors of disposable diaper dependence (DDD) in children aged 2~6 years.Methods Kindergarten children aged 2-6 years were selected randomly and cross-sectionally from 4 domestic cities of Zhengzhou,Taiyuan,Shenzhen and Xiamen.The sociodemographic characteristics,DDD incidence and quality-of-life of children and their families were surveyed by an anonymous questionnaire and the risk factors affecting DDD analyzed.The inclusion criteria of DDD referred to children aged over 2 years dependent on disposable diaper,unable to control defecation and/or urination during day and no organic lesions such as nerve and urinary system through medical history taking and physical examinations.Results A total of 7 850 questionnaires were distributed with an effective response rate of 87.73%(6 887/7 850).The incidence of DDD was 3.75%(258/6 887)(3.60% in boy and 3.90% in girl).No significant difference existed between different genders (P>0.05).The incidence of DDD declined gradually with age from 8.64% at 2 years to 0.80% at 6 years (χ2trend=134.164,P<0.001).The later start time of voiding training,the higher incidence of DDD (χ2trend=90.559,P<0.001).Multivariate Logistic regression analysis revealed that the incidence of DDD was higher in urban children than that in rural counterparts.Non-voiding training was a risk factor for DDD in children (P<0.05).Starting voiding training prior to 12 months was a protective factor for children (0~6 months:OR=0.271,95%CI=0.175-0.418,P<0.001;7 to 12 months of age:OR=0.394,95%CI=0.263-0.591,P<0.001).Conclusion DDD is common in children.Failure to voiding training in time is a major risk factor of DDD.Early voiding training helps to lower the incidence of DDD in children.

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Memo

收稿日期:2021-10-14。
基金项目:国家自然科学基金委员会联合基金项目(U1904208)
通讯作者:文建国,Email:wenjg@hotmail.com

Last Update: 1900-01-01