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Predictors of health-care consultation for recurrent abdominal pain among urban schoolchildren in Malaysia
Aim: To look at the predictors of health‐care consultation for recurrent abdominal pain among urban schoolchildren in Malaysia. Methods: Recurrent abdominal pain was defined as ‘at least three episodes of abdominal pain, severe enough to affect a child's activities over a period longer than 3 m...
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| Published in: | Journal of gastroenterology and hepatology 2001-02, Vol.16 (2), p.154-159 |
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| container_title | Journal of gastroenterology and hepatology |
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| creator | Boey, Christopher Chiong Meng Goh, Khean-Lee |
| description | Aim: To look at the predictors of health‐care consultation for recurrent abdominal pain among urban schoolchildren in Malaysia.
Methods: Recurrent abdominal pain was defined as ‘at least three episodes of abdominal pain, severe enough to affect a child's activities over a period longer than 3 months. A health‐care consulter was defined as a child who had been brought to see a doctor regarding recurrent abdominal pain at least once in the past year. Children aged between 9 and 15 years were randomly chosen from schools in the city of Petaling Jaya, given questionnaires to fill in and interviewed to determine whether they fulfilled the above criteria for having symptoms of recurrent abdominal pain and for being a consulter. Bivariate analysis and multiple logistic regression analysis were performed on the data obtained.
Results: One hundred and forty‐three (9.61%) children fulfilled the criteria for recurrent abdominal pain out of a total of 1488 schoolchildren interviewed. There were 65 (45.5%) consulters and 78 (54.5%) non‐consulters. Among the consulters, the male to female ratio was 1:1.4, while among the non‐consulters, the ratio was 1:1.1. On bivariate analysis, the Chinese had a significantly lower likelihood to consult a doctor (P = 0.02), while the other two races did not show any increase in consultation (Malays, P = 0.08; Indians, P = 0.21). Among those with severe pain, there was a significantly higher prevalence of consulters (P < 0.01). Furthermore, those whose sleep was interrupted by abdominal pain were more likely to consult (P < 0.01). Children who had consulted a doctor were more likely to be missing school because of abdominal pain (P < 0.01). Following multiple logistic regression analysis, ethnicity was no longer a significant predictor.
Conclusions: Approximately 45.5% of schoolchildren with recurrent abdominal pain in an urban setting were brought to see a doctor. Predictors of recent health‐care consultation were school absence, pain severity and interruption of sleep caused by abdominal pain. |
| doi_str_mv | 10.1046/j.1440-1746.2001.02434.x |
| format | article |
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Methods: Recurrent abdominal pain was defined as ‘at least three episodes of abdominal pain, severe enough to affect a child's activities over a period longer than 3 months. A health‐care consulter was defined as a child who had been brought to see a doctor regarding recurrent abdominal pain at least once in the past year. Children aged between 9 and 15 years were randomly chosen from schools in the city of Petaling Jaya, given questionnaires to fill in and interviewed to determine whether they fulfilled the above criteria for having symptoms of recurrent abdominal pain and for being a consulter. Bivariate analysis and multiple logistic regression analysis were performed on the data obtained.
Results: One hundred and forty‐three (9.61%) children fulfilled the criteria for recurrent abdominal pain out of a total of 1488 schoolchildren interviewed. There were 65 (45.5%) consulters and 78 (54.5%) non‐consulters. Among the consulters, the male to female ratio was 1:1.4, while among the non‐consulters, the ratio was 1:1.1. On bivariate analysis, the Chinese had a significantly lower likelihood to consult a doctor (P = 0.02), while the other two races did not show any increase in consultation (Malays, P = 0.08; Indians, P = 0.21). Among those with severe pain, there was a significantly higher prevalence of consulters (P < 0.01). Furthermore, those whose sleep was interrupted by abdominal pain were more likely to consult (P < 0.01). Children who had consulted a doctor were more likely to be missing school because of abdominal pain (P < 0.01). Following multiple logistic regression analysis, ethnicity was no longer a significant predictor.
Conclusions: Approximately 45.5% of schoolchildren with recurrent abdominal pain in an urban setting were brought to see a doctor. Predictors of recent health‐care consultation were school absence, pain severity and interruption of sleep caused by abdominal pain.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1046/j.1440-1746.2001.02434.x</identifier><identifier>PMID: 11207895</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Science Pty</publisher><subject>Abdominal Pain - epidemiology ; Abdominal Pain - ethnology ; Adolescent ; Biological and medical sciences ; Child ; Child Welfare ; Cross-Sectional Studies ; Delivery of Health Care - statistics & numerical data ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; health-care seeking ; Humans ; Malaysia - epidemiology ; Malaysia - ethnology ; Male ; Medical sciences ; Other diseases. Semiology ; Predictive Value of Tests ; Prevalence ; Recurrence ; recurrent abdominal pain ; Referral and Consultation - statistics & numerical data ; Regression Analysis ; School Health Services ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Tropical medicine ; Urban Health ; urban Malaysian schoolchildren</subject><ispartof>Journal of gastroenterology and hepatology, 2001-02, Vol.16 (2), p.154-159</ispartof><rights>2001 Blackwell Science Asia Pty Ltd</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4314-574bece4be302e73c1e11be7d2942dafc11ef78adf20d814cff43155fce06a243</citedby><cites>FETCH-LOGICAL-c4314-574bece4be302e73c1e11be7d2942dafc11ef78adf20d814cff43155fce06a243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1440-1746.2001.02434.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1440-1746.2001.02434.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=909014$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11207895$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boey, Christopher Chiong Meng</creatorcontrib><creatorcontrib>Goh, Khean-Lee</creatorcontrib><title>Predictors of health-care consultation for recurrent abdominal pain among urban schoolchildren in Malaysia</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>Aim: To look at the predictors of health‐care consultation for recurrent abdominal pain among urban schoolchildren in Malaysia.
Methods: Recurrent abdominal pain was defined as ‘at least three episodes of abdominal pain, severe enough to affect a child's activities over a period longer than 3 months. A health‐care consulter was defined as a child who had been brought to see a doctor regarding recurrent abdominal pain at least once in the past year. Children aged between 9 and 15 years were randomly chosen from schools in the city of Petaling Jaya, given questionnaires to fill in and interviewed to determine whether they fulfilled the above criteria for having symptoms of recurrent abdominal pain and for being a consulter. Bivariate analysis and multiple logistic regression analysis were performed on the data obtained.
Results: One hundred and forty‐three (9.61%) children fulfilled the criteria for recurrent abdominal pain out of a total of 1488 schoolchildren interviewed. There were 65 (45.5%) consulters and 78 (54.5%) non‐consulters. Among the consulters, the male to female ratio was 1:1.4, while among the non‐consulters, the ratio was 1:1.1. On bivariate analysis, the Chinese had a significantly lower likelihood to consult a doctor (P = 0.02), while the other two races did not show any increase in consultation (Malays, P = 0.08; Indians, P = 0.21). Among those with severe pain, there was a significantly higher prevalence of consulters (P < 0.01). Furthermore, those whose sleep was interrupted by abdominal pain were more likely to consult (P < 0.01). Children who had consulted a doctor were more likely to be missing school because of abdominal pain (P < 0.01). Following multiple logistic regression analysis, ethnicity was no longer a significant predictor.
Conclusions: Approximately 45.5% of schoolchildren with recurrent abdominal pain in an urban setting were brought to see a doctor. Predictors of recent health‐care consultation were school absence, pain severity and interruption of sleep caused by abdominal pain.</description><subject>Abdominal Pain - epidemiology</subject><subject>Abdominal Pain - ethnology</subject><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child Welfare</subject><subject>Cross-Sectional Studies</subject><subject>Delivery of Health Care - statistics & numerical data</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>health-care seeking</subject><subject>Humans</subject><subject>Malaysia - epidemiology</subject><subject>Malaysia - ethnology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Predictive Value of Tests</subject><subject>Prevalence</subject><subject>Recurrence</subject><subject>recurrent abdominal pain</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Regression Analysis</subject><subject>School Health Services</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Tropical medicine</subject><subject>Urban Health</subject><subject>urban Malaysian schoolchildren</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNqNkMuO0zAUQC0EYsrALyBLSOwS7MSukwULNGI6MyqPRRESG-vGuaYuTlzsRLR_TzKtypaNbcnn-FqHEMpZzplYvtvlXAiWcSWWecEYz1khSpEfnpDF5eIpWbCKy6wueX1FXqS0Y4wJpuRzcsV5wVRVywXZfY3YOjOEmGiwdIvgh21mICI1oU-jH2Bwoac2RBrRjDFiP1Bo2tC5Hjzdg-spdKH_ScfYQE-T2Ybgzdb5dkLpdPsJPByTg5fkmQWf8NV5vybfbj9ubu6y9ZfV_c2HdWZEyUUmlWjQ4LSUrEBVGo6cN6jaohZFC9ZwjlZV0NqCtRUXxtrJk9IaZEuYOlyTt6d39zH8HjENunPJoPfQYxiTVooVhZJyAqsTaGJIKaLV--g6iEfNmZ47652ec-o5p54768fO-jCpr88zxqbD9p94DjsBb84AJAPeRuiNSxeuZjXj81ffn6g_zuPxv8frh9XdfJr87OS7NODh4kP8pZeqVFJ__7zSPza3otqsV_qh_AuBXKnT</recordid><startdate>200102</startdate><enddate>200102</enddate><creator>Boey, Christopher Chiong Meng</creator><creator>Goh, Khean-Lee</creator><general>Blackwell Science Pty</general><general>Blackwell Science</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200102</creationdate><title>Predictors of health-care consultation for recurrent abdominal pain among urban schoolchildren in Malaysia</title><author>Boey, Christopher Chiong Meng ; Goh, Khean-Lee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4314-574bece4be302e73c1e11be7d2942dafc11ef78adf20d814cff43155fce06a243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Abdominal Pain - epidemiology</topic><topic>Abdominal Pain - ethnology</topic><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child Welfare</topic><topic>Cross-Sectional Studies</topic><topic>Delivery of Health Care - statistics & numerical data</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>health-care seeking</topic><topic>Humans</topic><topic>Malaysia - epidemiology</topic><topic>Malaysia - ethnology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Predictive Value of Tests</topic><topic>Prevalence</topic><topic>Recurrence</topic><topic>recurrent abdominal pain</topic><topic>Referral and Consultation - statistics & numerical data</topic><topic>Regression Analysis</topic><topic>School Health Services</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Tropical medicine</topic><topic>Urban Health</topic><topic>urban Malaysian schoolchildren</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boey, Christopher Chiong Meng</creatorcontrib><creatorcontrib>Goh, Khean-Lee</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boey, Christopher Chiong Meng</au><au>Goh, Khean-Lee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of health-care consultation for recurrent abdominal pain among urban schoolchildren in Malaysia</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>J Gastroenterol Hepatol</addtitle><date>2001-02</date><risdate>2001</risdate><volume>16</volume><issue>2</issue><spage>154</spage><epage>159</epage><pages>154-159</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><notes>istex:8C980EC90307BB5EAE07BBC1E2108208D4C4CC40</notes><notes>ark:/67375/WNG-ZTF48TLG-J</notes><notes>ArticleID:JGH2434</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Aim: To look at the predictors of health‐care consultation for recurrent abdominal pain among urban schoolchildren in Malaysia.
Methods: Recurrent abdominal pain was defined as ‘at least three episodes of abdominal pain, severe enough to affect a child's activities over a period longer than 3 months. A health‐care consulter was defined as a child who had been brought to see a doctor regarding recurrent abdominal pain at least once in the past year. Children aged between 9 and 15 years were randomly chosen from schools in the city of Petaling Jaya, given questionnaires to fill in and interviewed to determine whether they fulfilled the above criteria for having symptoms of recurrent abdominal pain and for being a consulter. Bivariate analysis and multiple logistic regression analysis were performed on the data obtained.
Results: One hundred and forty‐three (9.61%) children fulfilled the criteria for recurrent abdominal pain out of a total of 1488 schoolchildren interviewed. There were 65 (45.5%) consulters and 78 (54.5%) non‐consulters. Among the consulters, the male to female ratio was 1:1.4, while among the non‐consulters, the ratio was 1:1.1. On bivariate analysis, the Chinese had a significantly lower likelihood to consult a doctor (P = 0.02), while the other two races did not show any increase in consultation (Malays, P = 0.08; Indians, P = 0.21). Among those with severe pain, there was a significantly higher prevalence of consulters (P < 0.01). Furthermore, those whose sleep was interrupted by abdominal pain were more likely to consult (P < 0.01). Children who had consulted a doctor were more likely to be missing school because of abdominal pain (P < 0.01). Following multiple logistic regression analysis, ethnicity was no longer a significant predictor.
Conclusions: Approximately 45.5% of schoolchildren with recurrent abdominal pain in an urban setting were brought to see a doctor. Predictors of recent health‐care consultation were school absence, pain severity and interruption of sleep caused by abdominal pain.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Science Pty</pub><pmid>11207895</pmid><doi>10.1046/j.1440-1746.2001.02434.x</doi><tpages>6</tpages></addata></record> |
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| subjects | Abdominal Pain - epidemiology Abdominal Pain - ethnology Adolescent Biological and medical sciences Child Child Welfare Cross-Sectional Studies Delivery of Health Care - statistics & numerical data Female Gastroenterology. Liver. Pancreas. Abdomen health-care seeking Humans Malaysia - epidemiology Malaysia - ethnology Male Medical sciences Other diseases. Semiology Predictive Value of Tests Prevalence Recurrence recurrent abdominal pain Referral and Consultation - statistics & numerical data Regression Analysis School Health Services Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tropical medicine Urban Health urban Malaysian schoolchildren |
| title | Predictors of health-care consultation for recurrent abdominal pain among urban schoolchildren in Malaysia |
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