Micturitional dryness and attitude of parents towards enuresis in children attending outpatient unit of a tertiary hospital in Abeokuta, Southwest Nigeria

Afr Health Sci. 2011 Jun;11(2):244-51.

Abstract

Background: There is significant variability of the age at which children achieve dryness.

Objectives: We determine the age at achievement of micturational dryness and attitude of parents about enuresis among urban Nigerian children.

Method: A total of 346 questionnaires were administered to parents of children between the ages of 12 - 180 months who came for routine paediatric care at the outpatient unit of Federal Medical Centre, Abeokuta.

Results: At age 36 months, 86 (51.8 %) and 34 (20.5 %) out of 166 children had achieved dryness at daytime and night time respectively. Achievement of dryness was significantly related to low maternal education (p = 0.022) and low social class (p = 0.009). Twenty-four (26.7 %) children had nocturnal enuresis. Four (4.4 %) of these children also had diurnal enuresis. All the parents/guardians were aware about enuresis but only 9.8 % correctly identified it as a health problem. Even though none of the children with enuresis ever visited health facility for their problem, a statistically significant proportion of the parents desire to discuss with health practitioners (p = 0.015).

Conclusions: The proportion of children achieving dryness by age 36 months is very small when compared with children from developed parts of the world. There is also a high prevalence of enuresis which are not reported. Therefore, health workers in the tropics should as a routine enquire about enuresis in their daily paediatric care particularly for those children from polygamous homes and high social class.

Keywords: attitude; children; dryness; enuresis; parents.

MeSH terms

  • Adolescent
  • Ambulatory Care
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Enuresis / epidemiology*
  • Enuresis / etiology
  • Enuresis / psychology*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Hospitals, Teaching
  • Humans
  • Infant
  • Interviews as Topic
  • Male
  • Nigeria / epidemiology
  • Parents*
  • Prevalence
  • Sex Factors
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Urban Population