Bed-wetting in US children: Epidemiology and related behavior problems

Robert S. Byrd, Michael Weitzman, Nancy E. Lanphear, Peggy Auinger

Research output: Contribution to journalArticle

Abstract

Objective. To better understand the epidemiology and behavioral correlates of bed-wetting in a nationally representative sample of children. Methods. Bivariate and multivariate logistic regression analyses of cross- sectional data regarding 10960 children aged 5 through 17 years from the 1981 Child Health Supplement to the National Health Interview Survey. Behavior problems were determined by extreme scores on a 32-item Behavior Problem Index (BPI, >90th percentile). Results. Bed-wetting was reported in 33% of 5- , 18% of 8-, 7% of 11-, and 0.7% of 17-year-olds. At all ages, infrequent bed-wetting (fewer than six episodes per year) accounted for half of all reported bed-wetting. Lower age, male gender, and extreme scores on the BPI all were independently associated with both infrequent and frequent bed- wetting. Extreme scores on the BPI were more common among children with bed- wetting than those who did not wet the bed, and the risk for this was similar among children with infrequent and frequent bed-wetting (adjusted odds ratios, 1.8 and 1.7, respectively). Parents' perceived need for help with emotional and behavioral problems, however, was increased only among children with frequent bed-wetting. Conclusions. Bed-wetting in children aged 5 years and older, irrespective of its frequency, is associated with increased rates of behavior problems. Thus, although infrequent bed-wetting may not warrant medical intervention, this condition should prompt health care providers to explore behavioral issues in greater depth.

Original languageEnglish (US)
Pages (from-to)414-419
Number of pages6
JournalPediatrics
Volume98
Issue number3
StatePublished - Sep 1 1996

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Epidemiology
Health Surveys
Health Personnel
Problem Behavior
Parents
Logistic Models
Odds Ratio
Regression Analysis
Interviews

Keywords

  • bed-wetting
  • behavior problems
  • enuresis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Byrd, R. S., Weitzman, M., Lanphear, N. E., & Auinger, P. (1996). Bed-wetting in US children: Epidemiology and related behavior problems. Pediatrics, 98(3), 414-419.

Bed-wetting in US children : Epidemiology and related behavior problems. / Byrd, Robert S.; Weitzman, Michael; Lanphear, Nancy E.; Auinger, Peggy.

In: Pediatrics, Vol. 98, No. 3, 01.09.1996, p. 414-419.

Research output: Contribution to journalArticle

Byrd, RS, Weitzman, M, Lanphear, NE & Auinger, P 1996, 'Bed-wetting in US children: Epidemiology and related behavior problems', Pediatrics, vol. 98, no. 3, pp. 414-419.
Byrd RS, Weitzman M, Lanphear NE, Auinger P. Bed-wetting in US children: Epidemiology and related behavior problems. Pediatrics. 1996 Sep 1;98(3):414-419.
Byrd, Robert S. ; Weitzman, Michael ; Lanphear, Nancy E. ; Auinger, Peggy. / Bed-wetting in US children : Epidemiology and related behavior problems. In: Pediatrics. 1996 ; Vol. 98, No. 3. pp. 414-419.
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