Prevalence, Risk Factors, and Pediatrician Awareness of Infant Dyschezia in Indonesia
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Purpose: This study aimed to evaluate the prevalence and risk factors of infant dyschezia as well as pediatrician awareness regarding this disease in Indonesia. Methods: This is a two-part cross-sectional study, which was divided into study A and B. Study A: Parents whose infants were under 9 months old and attended well-baby clinics were recruited at two randomly selected primary health centers. Parents also provided information on the infant’s previous medical history, and socio-demographic and family details. The Rome IV criteria was translated and validated to be used for diagnosis of infant dyschezia. Study B: Randomly selected pediatricians were surveyed by using a questionnaire to evaluate their knowledge regarding infant dyschezia. Results: The prevalence of infant dyschezia based on the result of this study was 11.8%. Three risk factors had a significant relationship with infant dyschezia i.e., the number of children in the family (odds ratio [OR], 5.619; 95% confidence interval [CI], 2.194–14.390; p<0.001), complementary food diet (OR, 4.238; 95% CI, 1.902–9.443; p<0.001), and social-emotional disturbance (OR, 5.670; 95% CI, 2.550–12.609; p<0.001). The percentage of pediatricians correctly diagnosed infant dyschezia was 71.5%. Most pediatricians agreed that they did not perform any diagnostic testing (79.7%) and only provided education in cases of infant dyschezia (58.5%). Conclusion: The prevalence of infant dyschezia identified in our study was higher than that in other neighboring Asian countries, with the highest prevalence observed in infants 7–9 months old. Being an only child, receiving complementary food diet, and sociao-emotional disturbances were significant risk factors of infant dyschezia.
Abstract
Purpose: This study aimed to evaluate the prevalence and risk factors of infant dyschezia as well as pediatrician awareness regarding this disease in Indonesia. Methods: This is a two-part cross-sectional study, which was divided into study A and B. Study A: Parents whose infants were under 9 months old and attended well-baby clinics were recruited at two randomly selected primary health centers. Parents also provided information on the infant’s previous medical history, and socio-demographic and family details. The Rome IV criteria was translated and validated to be used for diagnosis of infant dyschezia. Study B: Randomly selected pediatricians were surveyed by using a questionnaire to evaluate their knowledge regarding infant dyschezia. Results: The prevalence of infant dyschezia based on the result of this study was 11.8%. Three risk factors had a significant relationship with infant dyschezia i.e., the number of children in the family (odds ratio [OR], 5.619; 95% confidence interval [CI], 2.194–14.390; p<0.001), complementary food diet (OR, 4.238; 95% CI, 1.902–9.443; p<0.001), and social-emotional disturbance (OR, 5.670; 95% CI, 2.550–12.609; p<0.001). The percentage of pediatricians correctly diagnosed infant dyschezia was 71.5%. Most pediatricians agreed that they did not perform any diagnostic testing (79.7%) and only provided education in cases of infant dyschezia (58.5%). Conclusion: The prevalence of infant dyschezia identified in our study was higher than that in other neighboring Asian countries, with the highest prevalence observed in infants 7–9 months old. Being an only child, receiving complementary food diet, and sociao-emotional disturbances were significant risk factors of infant dyschezia.
참고문헌 (14)
- Rasquin A, "Childhood functional gastrointestinal disorders : child", adolescent, 2006, pp.130, 1527~1537
- Vandenplas Y, "Prevalence and health outcomes of functional gastrointestinal symptoms in infants from birth to 12 months of age", J Pediatr Gastroenterol Nutr, 61, pp.531~537 (2016)
- Rouster AS, "Functional gastrointestinal disorders dominate pediatric gastroenterology outpatient practice", J Pediatr Gastroenterol Nutr, 62, pp.847~851 (2016)
- Dhroove G, "A million-dollar work-up for abdominal pain : is it worth it?", J Pediatr Gastroenterol Nutr, 51, pp.579~583 (2010)
- Chew KS, "Low prevalence of infantile functional gastrointestinal disorders(FGIDs)in a multi-ethnic Asian population", Pediatr Neonatol, 62, pp.49~54 (2021)
- Chia LW, "Prevalence and risk factors of functional gastrointestinal disorders in Vietnamese infants and young children", BMC Pediatr, 22, pp.315~ (2022)
- Puspitasari R, "Prevalence and clinical profile of infant dyschezia among patients seen in selected health facilities in Metro Manila", J Gastrointest Dig Syst, 6(3 Suppl), pp.56~ (2016)
- van Tilburg MA, "Prevalence of functional gastrointestinal disorders in infants and toddlers", J Pediatr, 166, pp.684~689 (2015)
- Chogle A, "Multicountry cross-sectional study found that functional gastrointestinal disorders such as colic and functional dyschezia were common in South American infants", Acta Paediatr, 107, pp.708~713 (2018)
- Chogle A, "A population-based study on the epidemiology of functional gastrointestinal disorders in young children", J Pediatr, 179, pp.139~143 (2016)[DOI]
- Tehuteru E, "Pola defekasi pada anak", Sari Pediatr, 3, pp.129~133 (2001)[DOI]
- Uzun Çiçek A, "Understanding the psycho-social differences between mothers of infants who do and do not have dyschezia", Konuralp Tip Derg, 12, pp.503~510 (2020)
- Emanuel L, "Holding on; being held; letting go : the relevance of Bion’s thinking for psychoanalytic work with parents, infants and children under five", J Child Psychother, 38, pp.268~283 (2012)
- Andrea V, "Probiotics in functional gastrointestinal disorders", Sari Pediatr, 20, pp.185~ (2018)[DOI]