Digital Repository

Determinants of healthcare consultation behavior in children with chronic constipation: a school based survey

Show simple item record

dc.contributor.author Rajindrajith, S. en_US
dc.contributor.author Devanarayana, N.M. en_US
dc.contributor.author Benninga, M.A. en_US
dc.date.accessioned 2015-12-23T05:11:01Z en_US
dc.date.available 2015-12-23T05:11:01Z en_US
dc.date.issued 2011 en_US
dc.identifier.citation Journal of Pediatric Gastroenterology and Nutrition. 2011; 53(Supp 2): S82 en_US
dc.identifier.issn 0277-2116 (Print)
dc.identifier.issn 1536-4801 (Electronic)
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/10927
dc.description Poster Session Abstract (PP-46), 5th European Pediatric Gastrointestinal Motility Meeting(EPGS), December 8–10, 2011, The Academic Medical Center (AMC) Amsterdam, Netherlands en_US
dc.description.abstract BACKGROUND: Constipation is a common pediatric disorder associated with poor quality of life and high healthcare expenditure. Healthcare consultation patterns in childhood functional gastrointestinal diseases are poorly understood. To date there are no community-based studies to identify factors determining healthcare consultation in children with functional constipation. AIMS: To assess the healthcare consultation patterns in Sri Lankan children with constipation and identifying socio-demographic and clinical factors that predict consultation behavior. METHODS: Island-wide cross-sectional survey was conducted among 10–16 years old children. Five schools were randomly selected from 3 randomly selected provinces of Sri Lanka. From each school, children were randomly selected from academic years (grades) 6–11. Previously pretested questionnaire based on Rome III criteria was used in the survey and questions were included regarding healthcare seeking for symptoms of constipation. RESULTS: Of the 2770 questionnaires distributed, 2694 (97.3%) properly filled questionnaires were included in the analysis. From 416 (15.4%) children with chronic constipation, only 16 (3.8%) had sought medical advice for their symptoms during previous 12 months. Children < 0.05). Healthcare consultation in children with stool frequency less than 3 per week, hard stools, painful defecation, large volume stool, fecal incontinence, with-holding posture and blood stained stools were respectively 7.5%, 2.7%, 6.6%, 11.6%, 11.1%, 7.7% and 14.3%. Exposure to stressful life events show no association with healthcare consultation (p=0.82). CONCLUSIONS: Healthcare consultation for chronic constipation in Sri Lankan school children and adolescents is quite low, despite the majority of them having features suggestive of significant constipation. Socio-demographic factors such as younger age and family history of constipation were significantly associated with healthcare seeking. It is essential to educate general public regarding features of chronic constipation and bring their children to medical attention early to avoid complications. en_US
dc.language.iso en_US en_US
dc.publisher Lippincott Williams & Wilkins en_US
dc.subject Gastrointestinal Diseases en_US
dc.subject Constipation en
dc.subject Constipation-diagnosis en
dc.subject Constipation-complications en
dc.subject Child en
dc.subject Adolescent en
dc.title Determinants of healthcare consultation behavior in children with chronic constipation: a school based survey en_US
dc.type Conference Abstract en_US
dc.creator.corporateauthor North American Society for Pediatric Gastroenterology and Nutrition en
dc.creator.corporateauthor European Society for Paediatric Gastroenterology and Nutrition en
dc.creator.corporateauthor European Society for Pediatric Gastroenterology Hepatology and Nutrition en


Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

  • Conference Papers
    Papers presented at local and international conferences by the Staff of the Faculty of Medicine

Show simple item record

Search Digital Repository


Browse

My Account