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Delayed elimination communication is a crucial factor in disposable diaper dependence in Chinese preschool-aged children

PURPOSE: Elimination communication (EC) is considered to be a milestone in a child's development. Nowadays, a trend toward an older age at EC initiation has been observed globally, probably due to the convenience of disposable diaper use in daily life. The study aimed to identify potential risk...

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Autores principales: Yu, Jia-ting, Mao, Qiu-fang, Ji, Feng-ping, Zhao, Ying, Hu, Hui-jie, Zhang, Yan-ping, Yang, Jing, Wang, Qing-wei, Lu, Wei, Wen, Jian Guo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9869372/
https://www.ncbi.nlm.nih.gov/pubmed/36699294
http://dx.doi.org/10.3389/fped.2022.1053118
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author Yu, Jia-ting
Mao, Qiu-fang
Ji, Feng-ping
Zhao, Ying
Hu, Hui-jie
Zhang, Yan-ping
Yang, Jing
Wang, Qing-wei
Lu, Wei
Wen, Jian Guo
author_facet Yu, Jia-ting
Mao, Qiu-fang
Ji, Feng-ping
Zhao, Ying
Hu, Hui-jie
Zhang, Yan-ping
Yang, Jing
Wang, Qing-wei
Lu, Wei
Wen, Jian Guo
author_sort Yu, Jia-ting
collection PubMed
description PURPOSE: Elimination communication (EC) is considered to be a milestone in a child's development. Nowadays, a trend toward an older age at EC initiation has been observed globally, probably due to the convenience of disposable diaper use in daily life. The study aimed to identify potential risk factors for disposable diaper dependence (DDD) and evaluate whether an early/proper EC can reduce the risk of DDD among children in China. METHODS: A cross-sectional study was performed on 13,500 children in mainland China from October 2019 to March 2020. An anonymous questionnaire was used to collect information including the sociodemographic characteristics, details about DDD and EC, and the effect of DDD on the quality of life of children. Data were analyzed by SPSS and R software. RESULTS: The overall prevalence of DDD was 4.17% (4.31% in boys; 4.02% in girls) and decreased with age, from 8.71% at 2 years to 0.73% at 6 years (χ(2)(trend) = 210.392, P < 0.001). In univariable analysis, age, location or EC were associated with DDD. Four independent factors—age, location (urban), caregivers with high education levels (junior college or above) and delayed EC (after 12 months of age)—were identified to be significantly associated with DDD risk in logistic regression model. Compared with EC onset after 12 months of age, EC onset before 12 months of age was associated with a 79.6% (model 2) reduction in DDD. Four independent factors were selected to establish the nomogram for DDD based on the results of logistic regression analysis. The C-index (0.770) and the AUC (>0.7) indicated satisfactory discriminative ability of the nomogram. The calibration diagrams showed favorable consistency between the prediction of the nomogram and actual observations. CONCLUSION: Our findings indicate the joint contribution of age, location, caregivers’ education level and EC to DDD in Chinese preschool-aged children. Timely cessation of the use of disposable diapers and early/proper EC may help to reduce the risk of DDD in children.
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spelling pubmed-98693722023-01-24 Delayed elimination communication is a crucial factor in disposable diaper dependence in Chinese preschool-aged children Yu, Jia-ting Mao, Qiu-fang Ji, Feng-ping Zhao, Ying Hu, Hui-jie Zhang, Yan-ping Yang, Jing Wang, Qing-wei Lu, Wei Wen, Jian Guo Front Pediatr Pediatrics PURPOSE: Elimination communication (EC) is considered to be a milestone in a child's development. Nowadays, a trend toward an older age at EC initiation has been observed globally, probably due to the convenience of disposable diaper use in daily life. The study aimed to identify potential risk factors for disposable diaper dependence (DDD) and evaluate whether an early/proper EC can reduce the risk of DDD among children in China. METHODS: A cross-sectional study was performed on 13,500 children in mainland China from October 2019 to March 2020. An anonymous questionnaire was used to collect information including the sociodemographic characteristics, details about DDD and EC, and the effect of DDD on the quality of life of children. Data were analyzed by SPSS and R software. RESULTS: The overall prevalence of DDD was 4.17% (4.31% in boys; 4.02% in girls) and decreased with age, from 8.71% at 2 years to 0.73% at 6 years (χ(2)(trend) = 210.392, P < 0.001). In univariable analysis, age, location or EC were associated with DDD. Four independent factors—age, location (urban), caregivers with high education levels (junior college or above) and delayed EC (after 12 months of age)—were identified to be significantly associated with DDD risk in logistic regression model. Compared with EC onset after 12 months of age, EC onset before 12 months of age was associated with a 79.6% (model 2) reduction in DDD. Four independent factors were selected to establish the nomogram for DDD based on the results of logistic regression analysis. The C-index (0.770) and the AUC (>0.7) indicated satisfactory discriminative ability of the nomogram. The calibration diagrams showed favorable consistency between the prediction of the nomogram and actual observations. CONCLUSION: Our findings indicate the joint contribution of age, location, caregivers’ education level and EC to DDD in Chinese preschool-aged children. Timely cessation of the use of disposable diapers and early/proper EC may help to reduce the risk of DDD in children. Frontiers Media S.A. 2023-01-09 /pmc/articles/PMC9869372/ /pubmed/36699294 http://dx.doi.org/10.3389/fped.2022.1053118 Text en © 2023 Yu, Mao, Ji, Zhao, Hu, Zhang, Yang, Wang, Lu and Wen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Yu, Jia-ting
Mao, Qiu-fang
Ji, Feng-ping
Zhao, Ying
Hu, Hui-jie
Zhang, Yan-ping
Yang, Jing
Wang, Qing-wei
Lu, Wei
Wen, Jian Guo
Delayed elimination communication is a crucial factor in disposable diaper dependence in Chinese preschool-aged children
title Delayed elimination communication is a crucial factor in disposable diaper dependence in Chinese preschool-aged children
title_full Delayed elimination communication is a crucial factor in disposable diaper dependence in Chinese preschool-aged children
title_fullStr Delayed elimination communication is a crucial factor in disposable diaper dependence in Chinese preschool-aged children
title_full_unstemmed Delayed elimination communication is a crucial factor in disposable diaper dependence in Chinese preschool-aged children
title_short Delayed elimination communication is a crucial factor in disposable diaper dependence in Chinese preschool-aged children
title_sort delayed elimination communication is a crucial factor in disposable diaper dependence in chinese preschool-aged children
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9869372/
https://www.ncbi.nlm.nih.gov/pubmed/36699294
http://dx.doi.org/10.3389/fped.2022.1053118
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