The influence of delay elimination communication on the prevalence of primary nocturnal enuresis: a survey from Mainland China

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DOI

  • Xi Zheng Wang, The First Affiliated Hospital of Zhengzhou University
  • ,
  • Yi Bo Wen, The First Affiliated Hospital of Zhengzhou University
  • ,
  • Xiao Ping Shang, The First Affiliated Hospital of Zhengzhou University
  • ,
  • Yi He Wang, The First Affiliated Hospital of Zhengzhou University
  • ,
  • Yan Wei Li, The First Affiliated Hospital of Zhengzhou University
  • ,
  • Tian Fang Li, The First Affiliated Hospital of Zhengzhou University
  • ,
  • Shou Lin Li, Shenzhen Children's Hospital
  • ,
  • Jing Yang, The First Affiliated Hospital of Zhengzhou University
  • ,
  • Yan Jin Liu, The First Affiliated Hospital of Zhengzhou University
  • ,
  • Xiao Ping Lou, The First Affiliated Hospital of Zhengzhou University
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  • Wei Zhou, Shenzhen Children's Hospital
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  • Xing Li, Xiamen Maternal and Child Health Care Hospital
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  • Jian Jiang Zhang, Pediatric Urodynamic Centre, The First Affiliated Hospital of Zhengzhou University
  • ,
  • Cui Ping Song, First Affiliated Hospital of Xinxiang Medical University
  • ,
  • Cecilie Siggaard Jorgensen
  • Soren Rittig
  • Stuart Bauer, Boston Children's Hospital
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  • Giovanni Mosiello, IRCCS Ospedale Pediatrico Bambino Gesù
  • ,
  • Qing Wei Wang, The First Affiliated Hospital of Zhengzhou University
  • ,
  • Jian Guo Wen, The First Affiliated Hospital of Zhengzhou University, Shenzhen Children's Hospital

Aims: A pilot survey shows that primary nocturnal enuresis (PNE) prevalence has increased significantly during the past decade in Mainland China. Whether it is related to the delay of elimination communication (EC) is unclear. This study retrospectively investigated the influence of delayed EC on the PNE prevalence in children and adolescents in mainland China. Methods: A cross-sectional study of PNE prevalence was performed by distributing 19 500 anonymous self-administered questionnaires to parents in five provinces of mainland China from July 2017 to October 2017. The questionnaires included sociodemographic data, family caregivers’ information, and details about the disposable diapers (DD) usage, EC commencement date, psychological disorders, lower urinary tract symptoms, and family history of PNE in children and adolescents. The 2017 PNE prevalence was compared with that of 2006 in Mainland China. Results: The total response rate was 97.04% (18 631 of 19 500) and 92.39% (18 016 of 19 500) qualified for statistical analysis. The PNE prevalence in 2017 has increased significantly compared to that of 2006 (7.30% vs 4.07%, P < 0.001). The PNE prevalence in children with EC starting before 6 months of age was significantly lower than those who start after 12 months of age. The longer DD were used and the later the beginning of EC, the higher the PNE prevalence was found. Conclusions: The PNE prevalence in Mainland China has increased significantly during the past 10 years. A longer use of DD and later onset of EC may be risk factors for PNE.

Original languageEnglish
JournalNeurourology and Urodynamics
Volume38
Issue5
Pages (from-to)1423-1429
Number of pages7
ISSN0733-2467
DOIs
Publication statusPublished - Jun 2019

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