ZHUANG Yuxiao, XU Jun, ZHOU Hongyan, XU Huixian, WANG Zhiyong, HU Ying. Screening of functional constipation among adolescents in Chongming District, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1391-1395. doi: 10.16835/j.cnki.1000-9817.2022.09.027
Citation: ZHUANG Yuxiao, XU Jun, ZHOU Hongyan, XU Huixian, WANG Zhiyong, HU Ying. Screening of functional constipation among adolescents in Chongming District, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1391-1395. doi: 10.16835/j.cnki.1000-9817.2022.09.027

Screening of functional constipation among adolescents in Chongming District, Shanghai

doi: 10.16835/j.cnki.1000-9817.2022.09.027
  • Received Date: 2022-03-09
  • Rev Recd Date: 2022-05-18
  • Available Online: 2022-09-23
  • Publish Date: 2022-09-25
  •   Objective  To understand the prevalence and risk factors for functional constipation (FC) among high school students in Chongming District of Shanghai.  Methods  A cross-sectional study was conducted in Chongming District of Shanghai from March-June 2019.A total of 4 969 adolescents under the age of 18 were recruited high schools, using a stratified random sampling technique.A validated self-administered questionnaire on Rome Ⅳ criteria for diagnosing FC and predisposing factors was filled by each student in a classroom setting.  Results  The prevalence of FC among middle school students in Chongming District of Shanghai was 13.95%.There were no significant differences in the prevalence between males and females, middle and high school groups, and urban and rural areas (P>0.05).In senior high schools, students in the graduation year were more likely to suffer from FC (17.36%, 130/749) than other students (13.77%, 201/1 460)(χ2=5.01, P=0.03).The prevalence of FC in the key senior high schools (18.23%, 115/631) was significantly higher than that in ordinary high schools (13.07%, 49/375)(χ2=7.43, P=0.02).Multivariate Logistic regression analysis showed that frequency of physical exercise, and consumption of spicy foods, proportion of spicy foods in the diet, consumption of vegetables, a lower proportion of vegetables in the diet, drinking water, anorexia, quality of sleep and school type were associated with FC in high school students (OR=0.11-7.71, P < 0.05).  Conclusion  FC is prevalent among high school students on Chongming District of Shanghai, especially among middle school graduates, and many risk factors were significantly associated with the occurrence of FC.
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