Relationship between family-related factors and functional constipation among Chinese preschoolers: a case–control study

Abstract Background Constipation is one of the common symptoms in childhood. The prevalence of FC is about 0.5% to 32% and still on the rise according to global statistics. The aim of this study is to explore the associations between family-related factors (e.g., parental conflict, parenting style,...

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Main Authors: Yushuo Niu, Ting Liu, Ni Ran, Kuinan Li, Yaru Sun, Xin Wang, Kun Guo, Xiuling Yang
Format: Article
Language:English
Published: BMC 2022-08-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-022-03521-w
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author Yushuo Niu
Ting Liu
Ni Ran
Kuinan Li
Yaru Sun
Xin Wang
Kun Guo
Xiuling Yang
author_facet Yushuo Niu
Ting Liu
Ni Ran
Kuinan Li
Yaru Sun
Xin Wang
Kun Guo
Xiuling Yang
author_sort Yushuo Niu
collection DOAJ
description Abstract Background Constipation is one of the common symptoms in childhood. The prevalence of FC is about 0.5% to 32% and still on the rise according to global statistics. The aim of this study is to explore the associations between family-related factors (e.g., parental conflict, parenting style, and parent–child relationship) and functional constipation of preschool children based on family system theory. Methods The study is a case–control survey of preschoolers in China. In total, 108 preschoolers with functional constipation diagnosed with pediatric Rome IV criteria and 324 healthy examination preschoolers without functional constipation were enrolled in the study. Parents completed the following 5 instruments: General information questionnaire, the Parental Conflict Scale, the Parenting Style Questionnaire, the Child-parent Relationship Scale and the Children’s Emotional Adjustment Scale-Preschool Version. Results Nine categories of factors which significantly predicted functional constipation in preschoolers were retained in the final logistic regression model: Second child in birth order (OR = 0.456; 95% CI, 0.229 to 0.910), children picky eating (OR = 2.936; 95% CI, 1.133 to 7.611), bad bowel habits (OR = 2.896; 95% CI, 1.391 to 6.028), parental history of constipation (OR = 3.259; 95% CI, 1.600 to 6.639), parents blaming the child for having a bad bowel movement (OR = 3.788; 95% CI, 1.391 to 10.318), more than 3 h of fathers-child interaction time per day (OR = 0.137; 95% CI, 0.024 to 0.778), parental conflict (OR = 1.981; 95% CI, 0.950 to 3.831), doting or authoritarian parenting style (OR = 1.644; 95% CI, 1.067 to 2.534, OR = 2.481; 95% CI, 1.362 to 4.519), and anxiety control or temper control in children (OR = 0.492; 95% CI, 0.303 to 0.799, OR = 0.189; 95% CI, 0.103 to 0.348). Conclusions This study identified the significant associations between family-related factors and functional constipation in preschool children, which provide implications for healthcare professionals to address functional constipation in early childhood using a preventive lens.
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spelling doaj.art-be6bfa7840cd4ca58605a4b08be5d1b32022-12-22T01:32:21ZengBMCBMC Pediatrics1471-24312022-08-0122111010.1186/s12887-022-03521-wRelationship between family-related factors and functional constipation among Chinese preschoolers: a case–control studyYushuo Niu0Ting Liu1Ni Ran2Kuinan Li3Yaru Sun4Xin Wang5Kun Guo6Xiuling Yang7School of Nursing, Qingdao UniversitySchool of Nursing, Qingdao UniversityThe Affiliated Hospital of Qingdao UniversitySchool of Nursing, Qingdao UniversitySchool of Nursing, Qingdao UniversitySchool of Nursing, Qingdao UniversitySchool of Nursing, Qingdao UniversitySchool of Nursing, Qingdao UniversityAbstract Background Constipation is one of the common symptoms in childhood. The prevalence of FC is about 0.5% to 32% and still on the rise according to global statistics. The aim of this study is to explore the associations between family-related factors (e.g., parental conflict, parenting style, and parent–child relationship) and functional constipation of preschool children based on family system theory. Methods The study is a case–control survey of preschoolers in China. In total, 108 preschoolers with functional constipation diagnosed with pediatric Rome IV criteria and 324 healthy examination preschoolers without functional constipation were enrolled in the study. Parents completed the following 5 instruments: General information questionnaire, the Parental Conflict Scale, the Parenting Style Questionnaire, the Child-parent Relationship Scale and the Children’s Emotional Adjustment Scale-Preschool Version. Results Nine categories of factors which significantly predicted functional constipation in preschoolers were retained in the final logistic regression model: Second child in birth order (OR = 0.456; 95% CI, 0.229 to 0.910), children picky eating (OR = 2.936; 95% CI, 1.133 to 7.611), bad bowel habits (OR = 2.896; 95% CI, 1.391 to 6.028), parental history of constipation (OR = 3.259; 95% CI, 1.600 to 6.639), parents blaming the child for having a bad bowel movement (OR = 3.788; 95% CI, 1.391 to 10.318), more than 3 h of fathers-child interaction time per day (OR = 0.137; 95% CI, 0.024 to 0.778), parental conflict (OR = 1.981; 95% CI, 0.950 to 3.831), doting or authoritarian parenting style (OR = 1.644; 95% CI, 1.067 to 2.534, OR = 2.481; 95% CI, 1.362 to 4.519), and anxiety control or temper control in children (OR = 0.492; 95% CI, 0.303 to 0.799, OR = 0.189; 95% CI, 0.103 to 0.348). Conclusions This study identified the significant associations between family-related factors and functional constipation in preschool children, which provide implications for healthcare professionals to address functional constipation in early childhood using a preventive lens.https://doi.org/10.1186/s12887-022-03521-wFunctional constipationPreschoolersFamilyRisk factors
spellingShingle Yushuo Niu
Ting Liu
Ni Ran
Kuinan Li
Yaru Sun
Xin Wang
Kun Guo
Xiuling Yang
Relationship between family-related factors and functional constipation among Chinese preschoolers: a case–control study
BMC Pediatrics
Functional constipation
Preschoolers
Family
Risk factors
title Relationship between family-related factors and functional constipation among Chinese preschoolers: a case–control study
title_full Relationship between family-related factors and functional constipation among Chinese preschoolers: a case–control study
title_fullStr Relationship between family-related factors and functional constipation among Chinese preschoolers: a case–control study
title_full_unstemmed Relationship between family-related factors and functional constipation among Chinese preschoolers: a case–control study
title_short Relationship between family-related factors and functional constipation among Chinese preschoolers: a case–control study
title_sort relationship between family related factors and functional constipation among chinese preschoolers a case control study
topic Functional constipation
Preschoolers
Family
Risk factors
url https://doi.org/10.1186/s12887-022-03521-w
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