European Journal of Biomedical and Pharmaceutical Sciences

COMPARISON OF NOCTURNAL ENURESIS RISK FACTORS IN PRIMARY SCHOOL AGE CHILDREN IN GAZA STRIP: A CROSS SECTIONAL STUDY

Yasmeen Abuwarda*, Aseel Al Assar, Ghasak Al-ladaa, Manar Qwaider, Rania Akilan, Shimaa Al Saikaly, Fawzyi Sharaf, Dr. Sohaib Alhamss

ABSTRACT

Nocturnal enuresis is a common childhood problem. Although its prevalence is well recognized in many nations, the Gaza Strip lacks data. Objective: Enuresis is described as an intermittent wetting during sleep that occurs at least once a month after organic explanations have been ruled out, NE considered the second most common disorder affecting children 6-14 years of age after allergic disorders, its pathogenesis is complex and associated with many factors. The purpose of this study was to identify the risk factor of nocturnal enuresis (NE) among primary school students in Gaza strip. Method: A cross-sectional was carried out among 384 Palestinian children aged between 6-12 years from a different town in Gaza strip which represents different localities and cultures. There were three sections of the questionnaire. Family factors related to enuresis and Personal factors are examined in the first section. The questions in the second section ask about nocturnal enuresis-related characteristics among the studied cases. The final section examines Association of family history, and nature of the child's feeding and medical condition of nocturnal enuresis. The data was analyzed using Statistical Package for the Social Sciences program (SPSS). Result: the study was including 384 children age between 6-12 years, regarding risk factors of nocturnal enuresis among the studied children, our study found males higher percentage than females. Also, our study shown that majority of children had nocturnal enuresis just at night (74.8% in male and 84.6% in female), and the rest occurred at day and night (21.6% in male and 15.4 in female) and many of them shown improvement with decreasing fluid intake before sleep (69.8% in male and 64.8% in female). In our study we found a significant association between enuresis and history of urinary tract infections (UTI) P value less than .005 and irritability P value less than .005 between genders, but the other risk factors (include family history of enuresis, social factor like (recent change in living place, having a new babies birth in the family), low educational level of the parents, increased number of family members, low socioeconomic status in the family, DM type1) had no significant association with NE between genders in Gaza Strip. Conclusion: This study provides a quantitative estimate of the main risk factors for enuresis in Gaza children.

Keywords: Nocturnal enuresis, Children, Risk Factors.