Abstract：
A possible association between child abuse and neglect (CAN) and functional constipation (FC) has been described in adults, however, limited data are available in children. Our objective was to determine the prevalence of suspected CAN in children with FC as compared with their healthy peers.
A case-control study was carried out in children aged 3-10 years. Children with FC were recruited at a tertiary outpatient clinic, and healthy controls were recruited at schools. Parents were asked to fill out questionnaires about the history and behaviour of their child, children were inquired using a semistructured interview about experienced traumatic events and sexual knowledge. The interview was scored by two independent observers. The prevalence of suspected CAN was determined according to the questionnaires and interview.
In total, 228 children with FC and 153 healthy controls were included. Both groups were age and gender comparable (50% females, median age 6 years (not significant)). No significant difference in the prevalence of suspected CAN was found between children with FC and healthy controls (23.3% vs 30.1%, 95% CI 0.44 to 1.12, p=0.14), including a suspicion of sexual, emotional and physical abuse.
Suspected CAN was detected in both children with FC as in healthy controls. The possible association between CAN and FC in children could not be confirmed.
A case-control study was carried out in children aged 3-10 years. Children with FC were recruited at a tertiary outpatient clinic, and healthy controls were recruited at schools. Parents were asked to fill out questionnaires about the history and behaviour of their child, children were inquired using a semistructured interview about experienced traumatic events and sexual knowledge. The interview was scored by two independent observers. The prevalence of suspected CAN was determined according to the questionnaires and interview.
In total, 228 children with FC and 153 healthy controls were included. Both groups were age and gender comparable (50% females, median age 6 years (not significant)). No significant difference in the prevalence of suspected CAN was found between children with FC and healthy controls (23.3% vs 30.1%, 95% CI 0.44 to 1.12, p=0.14), including a suspicion of sexual, emotional and physical abuse.
Suspected CAN was detected in both children with FC as in healthy controls. The possible association between CAN and FC in children could not be confirmed.
摘要：
在成人中描述了虐待和忽视儿童（CAN）与功能性便秘（FC）之间可能的关联，然而,儿童的数据有限。我们的目的是确定FC患儿与健康同龄人相比，疑似CAN的患病率。
在3-10岁儿童中进行了病例对照研究。患有FC的儿童在三级门诊被招募，学校招募了健康对照。家长被要求填写关于孩子的历史和行为的问卷，使用半结构化访谈询问儿童经历的创伤事件和性知识。采访由两名独立观察员打分。根据问卷调查和访谈确定疑似CAN的患病率。
总共，包括228名FC儿童和153名健康对照。两组的年龄和性别相当(50%为女性，中位年龄6岁（不显著））。FC患儿与健康对照组之间疑似CAN的患病率没有显着差异（23.3％vs30.1％，95%CI0.44至1.12，p=0.14)，包括对性行为的怀疑,情感和身体虐待。
与健康对照一样，在两个FC儿童中均检测到疑似CAN。无法确认儿童中CAN和FC之间的可能关联。
在3-10岁儿童中进行了病例对照研究。患有FC的儿童在三级门诊被招募，学校招募了健康对照。家长被要求填写关于孩子的历史和行为的问卷，使用半结构化访谈询问儿童经历的创伤事件和性知识。采访由两名独立观察员打分。根据问卷调查和访谈确定疑似CAN的患病率。
总共，包括228名FC儿童和153名健康对照。两组的年龄和性别相当(50%为女性，中位年龄6岁（不显著））。FC患儿与健康对照组之间疑似CAN的患病率没有显着差异（23.3％vs30.1％，95%CI0.44至1.12，p=0.14)，包括对性行为的怀疑,情感和身体虐待。
与健康对照一样，在两个FC儿童中均检测到疑似CAN。无法确认儿童中CAN和FC之间的可能关联。
