ESPN 51th Annual Meeting

ESPN 2018


 
Socioeconomic factors in pathogenesis of enuresis
BRITT WOLFS CHARLOTTE VANHERZEELE ANN RAES 1 LIEN DOSSCHE 1 SEVASTI KARAMARIA 1 TOVE HOLM-LARSEN 1 JOHAN VANDE WALLE 1

1- UGENT, SAFEPEDRUG
 
Introduction:

 Multiple studies have been conducted on the correlation between a socioeconomic status and overall health. Thisis the first study investigating  specific relations between a socioeconomic status and enuresis.

Material and methods:

Literature study, databases “Pubmed”, “Web of Science” and “Google Scholar”plotted against expertise of various specialists in the field of pediatric nephrology, pediatric psychology.

Results:

Literature indicates that a low socioeconomic status causes a higher prevalence of enuresis, has a negative impact on the vision on enuresis, on the degree of which the parents take this disease for serious, on the therapy compliance and on the effectiveness of treatment. Vice versa, enuresis has a strong negative impact on the patient’s socioeconomic status, due to higher direct and indirect costs and cost related to a lower quality of life. Furthermore, enuresis negatively impacts a patient’s relationship with family and friends. Moreover, a correlation between enuresis, socioeconomic status, toilet training, sleeping problems, school problems and behavioral problems have been shown.

Conclusions:

To indicate how a low socioeconomic status impacts enuresis, a hypothetical model has been established. It is proven that a lower socioeconomic status leads to obesity, smoking, obstructive sleep apnea syndrome and teenage pregnancy, which all increase the risk for enuresis. Besides, etiological aspects such as the influence of an irregular lifestyle, a higher consumption of cheap food containing more salt and proteins, a higher consumption of soft drinks and other drinks containing high concentrations of caffeine and carbon acid gas and the mechanisms behind these and enuresis have been studied. Moreover, existing research indicates that a lower consumption of fibers and fluids leads to constipation which on its turn negatively impacts the treatment. In addition, parents who do not consider enuresis as pathology postpone treatments and use more punishment methods, which has a negative impact on the outcome of the therapy. Finally, lower financial strength leads to a therapy selection based on costs, instead of selecting the best therapy for the patient.Furthermore, a basic cost estimation has been made for the potential costs related to enuresis, which indicates the current lack of validated financial numbers in this area of research.Conclusion: This literature study concludes that socioeconomic status and enuresis are correlated in both directions.