POOR SCHOOL TOILET QUALITY IS ASSOCIATED WITH BLADDER AND BOWEL DYSFUNCTION IN CHILDREN

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Introduction: Toilet habits may influence both bowel and bladder function
in children. The aim of this study was to evaluate children’s behaviour
regarding toilet habits at school, their assessment of toilet quality and
their association with bowel and lower urinary tract symptoms.
Materials and methods: In 2017 19.577 children (6-18 years) in
Denmark participated in this project which consisted of questionnaires
on the children’s perception of school toilets quality, their behaviour
regarding toilet visits as well as reports on bladder and bowel symptoms.
Data was collected on the number of toilets per class, the date of the toilets
last renovation and the frequency of cleaning. Data was analysed for
associations between bowel and bladder symptoms and the children’s
evaluation of the school toilets as well as the frequency of toilet visits.
Results: Overall, 50% of the children were very unhappy or unhappy with
the quality of school toilets with no significant differences between sexes or
age groups. Up to 25% of all children admitted to always or almost always
avoid toilet visitswhile at school. Mean number of children sharing the same
toilet was 17-25 depending on the region. A total of 15% of the 7-year-old
children reported urinary or faecal incontinence at least oncemonthly and the
percentage was 2-3% in the 18-year-old. We found significant association
between the reported symptoms and the children’s satisfaction with the
school toilets. Children who avoid using the school toilets shared odds ratios
of 1.95 for reporting faecal incontinence and 1.72 for daytime incontinence.
Conclusions: Half of the children dislike the school toilets and 25%
avoid using them. School toilet quality and withholding behaviour seems
associated with bowel and bladder symptoms. These disturbing results
call for improvement of school toilets.
Original languageEnglish
Publication year2019
Number of pages1
Publication statusPublished - 2019
EventInternational Pediatric Nephrology Association Congress - Venice, Italy
Duration: 17 Oct 201921 Oct 2019
Conference number: 2019

Conference

ConferenceInternational Pediatric Nephrology Association Congress
Number2019
CountryItaly
CityVenice
Period17/10/201921/10/2019

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