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Lower Urinary Tract Dysfunction in Elementary School Children: Results of a Cross-Sectional Teacher Survey

2016; Lippincott Williams & Wilkins; Volume: 195; Issue: 4 Part 2 Linguagem: Inglês

10.1016/j.juro.2015.09.091

1527-3792

Lauren N. Ko, Kai‐wen Chuang, Angelique Champeau, I. Elaine Allen, Hillary L. Copp,

Urinary Bladder and Prostate Research

No AccessJournal of UrologyVoiding Dysfunction1 Apr 2016Lower Urinary Tract Dysfunction in Elementary School Children: Results of a Cross-Sectional Teacher Survey Lauren N. Ko, Kai-wen Chuang, Angelique Champeau, I. Elaine Allen, and Hillary L. Copp Lauren N. KoLauren N. Ko , Kai-wen ChuangKai-wen Chuang , Angelique ChampeauAngelique Champeau , I. Elaine AllenI. Elaine Allen , and Hillary L. CoppHillary L. Copp View All Author Informationhttps://doi.org/10.1016/j.juro.2015.09.091AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Lower urinary tract dysfunction in school-aged children is common and yet data are lacking on current teacher practice regarding bathroom use and daytime incontinence during classroom hours. We determined the prevalence of elementary school teachers who promote lower urinary tract health and identified predictors for and against such behavioral promotion. Materials and Methods: We performed an electronic cross-sectional survey among self-identified teachers using targeted social media advertisement during a 1-week period in July 2014. The empirical survey tool consisted of 27 questions and collected data on 5 principal domains, including 1) teacher demographics, 2) rules and regulations on water intake and bathroom use during classroom hours, 3) characteristics of school bathrooms in terms of safety, supervision and suitability for use, 4) experience with and management of students with daytime incontinence and 5) training on the topic of lower urinary tract health. Predictors for promoting lower urinary tract health were identified by multivariable logistic regression. Results: Of the 4,166 teachers who completed the survey 88% indicated that they encourage students to hold urine. Despite strict bathroom protocols 81% of teachers allowed children unlimited access to water. Of the teachers 82% reported never having undergone any professional development on bathroom regulations for children. Overall only 24% of surveyed teachers met criteria for promoting lower urinary tract health. The odds of promoting lower urinary tract health decreased with ascending grade level (OR 0.80, 95% CI 0.76–0.84). Conversely it increased if teaching experience was greater than 5 years (OR 1.66, 95% CI 1.39–1.98) or professional development on the subject had been received (OR 1.42, 95% CI 1.18–1.70). Conclusions: Of elementary school teachers 76% are not promoting lower urinary tract health in school-aged children. Professional development training on the topics of lower urinary tract dysfunction and/or lower urinary tract health may be beneficial, particularly for educators who teach higher grades and those with less teaching experience. References 1 : Prevalence of daytime urinary incontinence and related risk factors in primary school children in Turkey. 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Link, Google Scholar 30 : Bullying and lower urinary tract symptoms: why the pediatric urologist should care about school bullying. J Urol2015; 193: 650. Link, Google Scholar © 2016 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 195Issue 4 Part 2April 2016Page: 1232-1238Supplementary Materials Advertisement Copyright & Permissions© 2016 by American Urological Association Education and Research, Inc.Keywordsschoolsurinary bladderfacultyurinary incontinencehealth educationMetricsAuthor Information Lauren N. Ko More articles by this author Kai-wen Chuang More articles by this author Angelique Champeau More articles by this author I. Elaine Allen More articles by this author Hillary L. Copp More articles by this author Expand All Advertisement PDF downloadLoading ...