Personal and familial factors associated with toilet training

Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied...

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Bibliographic Details
Published in:	International Brazilian Journal of Urology Vol. 47; no. 1; pp. 169 - 177
Main Authors:	Bastos, Netto, José Murillo, de Paula, Juliane Cristine, Bastos, Cassandra Ribeiro, Soares, Daniela Gonçalves, de Castro, Nathália Cristina Toledo, Sousa, Katia Kalianne do Vale, do Carmo, Ademar Vasconcellos, de Miranda, Ricelly Lignani, Mrad, Flávia Cristina de Carvalho, de Bessa, Jr, José
Format:	Journal Article
Language:	English
Published:	Brazil Sociedade Brasileira de Urologia 01-01-2021
Subjects:	Child Constipation Family Female Humans Lower Urinary Tract Symptoms Male Original Personal Health Services Surveys and Questionnaires Toilet Training Family Personal Health Services Toilet Training
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Summary:	Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied at school exits when parents went to pick their children up and at public parks. Questions included demographics, aspects related to TT, dysfunction voiding symptom score and evaluation of constipation. The interviews were performed at a mean of 15.3±10.4 (0 to 47) months after the end of TT. Girls accounted for 53% of the sample. The mean age at finishing TT was 31.6±9.3 months and similar in both genders (p=0.77). TT occurred before school entry in 45.7% of the children and medical advice for TT was sought only by 4.8% of the parents. No association was observed of age at completing TT and presence of lower urinary tract symptoms (LUTS) (p=0.57) and/or constipation (p=0.98). In the univariate analysis, prematurity (OR=2.7 [95% CI 2.3-3.1], p <0.0001) and mothers who work outside their household (OR=1.8 [95% CI 1.4-2.3], p <0.0001) were associated to delayed TT. Children completed TT at a mean of 2 years and 7 months of age. The age of completing TT was not related to LUTS and/or constipation. Premature children and those whose mothers work outside the home finish TT later.
Bibliography:	CONFLICT OF INTEREST None declared.
ISSN:	1677-5538 1677-6119
DOI:	10.1590/S1677-5538.IBJU.2020.0129