The epidemiology and factors associated with nocturnal enuresis among boarding and daytime school children in southeast of Turkey: a cross sectional study

Gunes, Ali; Gunes, Gulsen; Acik, Yasemin; Akilli, Adem
January 2009
BMC Public Health;2009, Vol. 9, p357
Academic Journal
Background: Nocturnal enuresis is an important problem among young children living in Turkey. The purpose of this study was to determine the possible differences in the prevalence of enuresis between children in boarding school and daytime school and the association of enuresis with sociodemographic factors. Methods: This was a cross-sectional survey. A total of 562 self-administered questionnaires were distributed to parents from two different types of schools. One of them was a day-time school and the other was a boarding school. To describe enuresis the ICD-10 definition of at least one wet night per month for three consecutive months was used. Chi-square test and a logistic regression model was used to identify significant predictive factors for enuresis. Results: The overall prevalence of nocturnal enuresis was 14.9%. The prevalence of nocturnal enuresis declined with age. Of the 6 year old children 33.3% still wetted their beds, while the ratio was 2.6% for 15 years-olds. There was no significant difference in prevalence of nocturnal enuresis between boys and girls (14.3% versus 16. 8%). Enuresis was reported as 18.5% among children attending day time school and among those 11.5% attending boarding school (p < 0.05). Prevalence of enuresis was increased in children living in villages, with low income and with positive family history (p < 0.05). After multivariate analysis, history of urinary tract infection (OR = 2.02), age (OR = 1.28), low monthly income (OR = 2.86) and family history of enuresis (OR = 3.64) were factors associated with enuresis. 46.4% of parents and 57.1% of enuretic children were significantly concerned about the impact of enuresis. Conclusion: Enuresis was more frequent among children attending daytime school when compared to boarding school. Our findings suggest that nocturnal enuresis is a common problem among school children, especially with low income, smaller age, family history of enuresis and history of urinary tract infection. Enuresis is a pediatric public health problem and efforts at all levels should be made such as preventive, etiological and curative.


Related Articles

  • Frequency of bedwetting among primary school children in Benha city, Egypt. Mohammed, Ashraf H.; Saleh, Anees G.; Al Zoheiry, Ibrahim // Egyptian Journal of Medical Human Genetics;2014, Vol. 15 Issue 3, p287 

    Background: Nocturnal enuresis (NE), is a distressing experience for children and young people, and successful treatment invariably improves their psychological functioning. Objectives: The overall objective was health promotion of school children, and the specific objectives were: to determine...

  • Enuresis: Its Pathogenesis and Management. Starfield, Barbara // Clinical Pediatrics;Jun1972, Vol. 11 Issue 6, p343 

    This paper discusses the common theories on the cause of enuresis and reviews current approaches to its management in the light of a suggested pathogenetic mechanism.

  • Dry nights. Netherwood, Cathy // Australian Parents;Jun/Jul2003, p73 

    Presents information on bedwetting in children. Causes; Forms of treatment.

  • Drug Therapy Appears To Work Better Than Rehabilitation for Urinary Incontinence. Ling, Frank W. // OB/GYN Clinical Alert;Sep2008, Vol. 25 Issue 5, p36 

    Pelvic floor muscle training and behavior modification had better long-term effects than oxybutynin on women with symptoms of urge incontinence.

  • Treating Paediatric Bed-wetting with Chinese Medicine. Helmer, Rob // Journal of Chinese Medicine;Feb2007, Issue 83, p25 

    Most children achieve night-time dryness by the age of four or five, but it is estimated that 20% of five-year-olds experience nocturnal enuresis (bed-wetting). In addition, 3% of 12-year-olds and 1% of 15+ year olds continue to suffer from bed-wetting. Research shows that only 38% of parents...

  • Treatment of Enuretic Children with Imipramine (Tofranil®). Friday, Gilbert A.; Feldman, Eugene C. // Clinical Pediatrics;Mar1966, Vol. 5 Issue 3, p175 

    In a two-week double blind study of 51 patients four to 15 years of age, imipramine in 10 or 25 mg. doses given daily was followed by a decrease in incidence of enuresis in 82 per cent of the children as compared with 45 per cent of those receiving placebo. This difference is statistically...

  • Enuresis: Adjunctive Therapy. Dubow, Emanuel // Clinical Pediatrics;Mar1966, Vol. 5 Issue 3, p177 

    Discusses key issues concerning adjunctive therapy for enuresis. Clinical investigations with an ephedrine-atropine mixture; Analysis of pertinent topics and relevant issues; Implications on pediatrics.

  • The Challenge of Treating Enuresis. Ward-Smith, Peggy; Barry, Dana // Urologic Nursing;Jun2006, Vol. 26 Issue 3, p222 

    The article focuses on the challenge to treat enuresis in 5-year-old children. The treatment strategies includes withholding fluids, randomly waking the child to urinate, using rewards and punishments, pharmacotherapy, psychotherapy, and alarm systems. During treatment, both the parent and the...

  • Helping the child with daytime wetting stay dry. Schulman, Seth L.; Berry, Amanda K. // Contemporary Pediatrics;Jun2006, Vol. 23 Issue 6, p64 

    The article discusses an approach in evaluating children who wet during the day and consider recommended therapies. It is said that managing daytime wetting often simplifies treatment of nocturnal enuresis. The storage phase and the emptying phase comprises the normal voiding sequence. Survey...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics