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International Journal of Pediatrics، جلد ۷، شماره ۸، صفحات ۹۸۷۳-۹۸۸۲
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عنوان انگلیسی The Relationship of Child Abuse and Functional Constipation in Children: A Case-Control Study
چکیده انگلیسی مقاله Background: Child abuse is a serious global problem and can be in the form of physical, sexual, emotional or neglect by not providing for the child's needs. Functional constipation (FC) is a common functional gastrointestinal (GI) disorder in children. This study was aimed to assess the relationship between child abuse and functional constipation in children. Materials and Methods In this age frequency-matched case-control study, 100 children with FC were compared with 100 healthy children as control. The diagnosis of FC was based on history and physical examination. Child abuse in three sub-groups (physical, emotional and neglect) were assessed by ISPCAN Child Abuse Screening Tool Children's Version (ICAST-C). The data were analyzed by Stata software (version 13.0). Results: The results of this study revealed that the frequency of any kind of child abuse in case (children with functional constipation), and control group (children without functional constipation) is 93% and 84%, respectively, OR: 2.53 (95% CI: 1.00-6.45), P=0.052. The most frequent abuse in both groups was emotional abuse (91% vs. 81%) followed by physical (61% vs. 47%), and neglect (19% vs. 8%). There was a significant association between frequency of emotional (OR: 2.37, P=0.046), physical (OR: 1.76, P=0.048) and neglect abuse (OR: 2.70, P=0.027) among case and control groups. However, after controlling the confounding variables, the association between child abuse and FC remained clinically important but was not statistically significant (P>0.05). Conclusion Notwithstanding emotional abuse, physical abuse and child neglect rate were more frequent among children with FC, this study demonstrates that child abuse is not associated with FC occurrence.
کلیدواژه‌های انگلیسی مقاله Child Abuse, Children, Constipation, Functional Constipation
نویسندگان مقاله | Sima Zahedi
Student Research Committee, Arak University of Medical Sciences, Arak, Iran.


| Saeed Alinejad
Department of Pediatric Cardiology, Arak University of Medical Sciences, Arak, Iran.


| Yazdan Ghandi
Department of Pediatric Cardiology, Arak University of Medical Sciences, Arak, Iran.


| Parsa Yousefichaijan
Department of Pediatric Nephrology, Arak University of Medical Sciences, Arak, Iran.


| Bahman Salehi
Department of Psychiatry, Arak University of Medical Sciences, Arak, Iran.


| Mohammad Rafiei
Department of Biostatistics, Arak University of Medical Sciences, Arak, Iran.


| Amir Almasi-Hashiani
Department of Epidemiology, Arak University of Medical Sciences, Arak, Iran.


| Mojtaba Hashemi
Department of Pediatric Gastroenterology, Arak University of Medical Sciences, Arak, Iran.
نشانی اینترنتی http://ijp.mums.ac.ir/article_13223.html
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