Non-biological determinants of paediatric bladder bowel dysfunction: AÂ pilot study

Children with BBD attending urology outpatient clinics as new referrals had more severe symptoms when they were born from an unplanned pregnancy, attended daycare and/or had school problems. These findings suggest that interventions aimed at decreasing BBD severity, or preventing its onset in school-aged children, should focus on the environment surrounding them, specifically on the interaction between personal, familial and environmental factors. These factors seem to have an important effect on paediatric continence, as children grow and develop under numerous societal influences and social interactions.Table. Multiple regression models: significant statistical variables and their impact on mean Dysfunctional Voiding Scoring System score.ModelsCoefficientstMultivariate PMultiple regression (personal variables)Intercept6.607.62<0.001Did your child ever have problems at school? (yes)3.303.180.003Has your child gone to daycare? (yes)3.002.950.005R2 = 0.26Multiple regression (family related variables)Intercept11.9311.45<0.001Was your pregnancy planned? (yes)−2.88−2.340.02R2 = 0.08Note: Only P-values <0.05 are shown.R2, determination coefficient.