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Urinary and faecal incontinence: a population‐based study
Author(s) -
Söderstrom U,
Hoelcke M,
Alenius L,
Söderling AC,
Hjern A
Publication year - 2004
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2004.tb02966.x
Subject(s) - medicine , urinary incontinence , odds ratio , urine , logistic regression , urinary system , cohort , cohort study , population , fecal incontinence , urology , surgery , environmental health
Aim : To investigate the coexistence of urine and faecal incontinence in Swedish schoolchildren. Methods : Cohort study of all schoolchildren in the first and fourth grades in the city of Eskilstuna. A questionnaire was used, in which parents reported the prevalence of urine and faecal incontinence for their children, with a response rate of 67%. Data were analysed with multiple logistic regression. Results : Daytime urinary incontinence (at least once a month) was reported in 6.3% of the first graders and 4.3% of the fourth graders, while bedwetting (at least once a month) was reported in 7.1% and 2.7% and faecal incontinence in 9.8% and 5.6%, respectively. Daytime urinary incontinence was strongly associated with faecal incontinence; adjusted odds ratio (OR) 7.2 ( p < 0.001) as well as with bedwetting; OR 4.1 ( p < 0.001), whereas faecal incontinence and bedwetting lacked a significant association (OR 1.2). Conclusion : This study demonstrates that soiling and daytime urinary incontinence often coexist in Swedish schoolchildren. Collaborative treatment strategies with gastroenterological and urological content need to be developed for these children.