School Toileting Environment, Bullying, and Lower Urinary Tract Symptoms in a Population of Adolescent and Young Adult Girls: Preventing Lower Urinary Tract Symptoms Consortium Analysis of Avon Longitudinal Study of Parents and Children

David A. Shoham; Zhenxun Wang; Sarah Lindberg; Haitao Chu; Linda Brubaker; Sonya S. Brady; Tamera Coyne-Beasley; Colleen M. Fitzgerald; Sheila Gahagan; Bernard L. Harlow; Carol Joinson; Lisa Kane Low; Alayne D. Markland; Diane K. Newman; Ariana L. Smith; Ann Stapleton; Siobhan Sutcliffe; Amanda Berry

doi:10.1016/j.urology.2020.06.060

School Toileting Environment, Bullying, and Lower Urinary Tract Symptoms in a Population of Adolescent and Young Adult Girls: Preventing Lower Urinary Tract Symptoms Consortium Analysis of Avon Longitudinal Study of Parents and Children

David A. Shoham, Zhenxun Wang, Sarah Lindberg, Haitao Chu, Linda Brubaker, Sonya S. Brady, Tamera Coyne-Beasley, Colleen M. Fitzgerald, Sheila Gahagan, Bernard L. Harlow, Carol Joinson, Lisa Kane Low, Alayne D. Markland, Diane K. Newman, Ariana L. Smith, Ann Stapleton, Siobhan Sutcliffe, Amanda Berry

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Objectives: To examine whether the school toilet environment at age 13, including bullying at toilets, is associated with female lower urinary tract symptoms (LUTS) at ages 13 and 19, as little is known about the association among school toilet environment, voiding behaviors, and LUTS in adolescent girls. Methods: The sample comprised 3962 female participants from the Avon Longitudinal Study of Parents and Children. At age 13, participants reported on 7 school toilet environment characteristics and a range of LUTS items. At age 19, participants completed the Bristol Female Lower Urinary Tract Symptoms questionnaire. Results: All toilet environmental factors were associated with at least 1 LUTS outcome at age 13. Holding behavior was associated with all school toilet environmental factors, with odds ratios ranging from 1.36 (95% confidence interval [CI]: 1.05, 1.76) for dirty toilets to 2.38 (95% CI: 1.60, 3.52) for feeling bullied at toilets. Bullying was associated with all daytime LUTS symptoms and nocturia; odds ratios ranged from 1.60 (95% CI: 1.04, 2.07) for nocturia to 2.90 (95% CI: 1.77, 4.75) for urgency. Associations between age 13 school toilets and age 19 LUTS were in the same direction as age 13 LUTS. Conclusion: This is the first examination of associations between school toilets and LUTS. Toileting environments were cross-sectionally associated with LUTS in adolescent girls. While further work is needed to determine whether these associations are causal, school toilet environments are modifiable and thus a promising target for LUTS prevention.

Original language	English (US)
Pages (from-to)	86-93
Number of pages	8
Journal	Urology
Volume	151
Early online date	Jul 15 2020
DOIs	https://doi.org/10.1016/j.urology.2020.06.060
State	Published - May 2021

Bibliographical note

Funding Information:
The Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium is supported by the National Institutes of Health (NIH) through cooperative agreements (grants U01DK106786, U01DK106853, U01DK106858, U01DK106898, U01DK106893, U01DK106827, U01DK106908, U01DK106892 ). Additional support is provided by the National Institute on Aging, NIH Office of Research on Women's Health, and NIH Office of Behavioral and Social Sciences Research . The content of this article is solely the responsibility of the authors and does not necessarily represent the official views of NIH. Funding for the ALSPAC study was provided by the UK Medical Research Council and Wellcome (Grant ref: 217065/Z/19/Z ) and the University of Bristol provide core support for ALSPAC. A comprehensive list of grants funding is available on the ALSPAC website ( http://www.bristol.ac.uk/alspac/external/documents/grant-acknowledgements.pdf ). This publication is the work of the authors and will serve as guarantors for the contents of this paper.

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Shoham, D. A., Wang, Z., Lindberg, S., Chu, H., Brubaker, L., Brady, S. S., Coyne-Beasley, T., Fitzgerald, C. M., Gahagan, S., Harlow, B. L., Joinson, C., Low, L. K., Markland, A. D., Newman, D. K., Smith, A. L., Stapleton, A., Sutcliffe, S., & Berry, A. (2021). School Toileting Environment, Bullying, and Lower Urinary Tract Symptoms in a Population of Adolescent and Young Adult Girls: Preventing Lower Urinary Tract Symptoms Consortium Analysis of Avon Longitudinal Study of Parents and Children. Urology, 151, 86-93. https://doi.org/10.1016/j.urology.2020.06.060

School Toileting Environment, Bullying, and Lower Urinary Tract Symptoms in a Population of Adolescent and Young Adult Girls: Preventing Lower Urinary Tract Symptoms Consortium Analysis of Avon Longitudinal Study of Parents and Children. / Shoham, David A.; Wang, Zhenxun; Lindberg, Sarah et al.
In: Urology, Vol. 151, 05.2021, p. 86-93.

Research output: Contribution to journal › Article › peer-review

Shoham, DA, Wang, Z, Lindberg, S, Chu, H, Brubaker, L, Brady, SS, Coyne-Beasley, T, Fitzgerald, CM, Gahagan, S, Harlow, BL, Joinson, C, Low, LK, Markland, AD, Newman, DK, Smith, AL, Stapleton, A, Sutcliffe, S & Berry, A 2021, 'School Toileting Environment, Bullying, and Lower Urinary Tract Symptoms in a Population of Adolescent and Young Adult Girls: Preventing Lower Urinary Tract Symptoms Consortium Analysis of Avon Longitudinal Study of Parents and Children', Urology, vol. 151, pp. 86-93. https://doi.org/10.1016/j.urology.2020.06.060

Shoham DA, Wang Z, Lindberg S, Chu H, Brubaker L, Brady SS et al. School Toileting Environment, Bullying, and Lower Urinary Tract Symptoms in a Population of Adolescent and Young Adult Girls: Preventing Lower Urinary Tract Symptoms Consortium Analysis of Avon Longitudinal Study of Parents and Children. Urology. 2021 May;151:86-93. Epub 2020 Jul 15. doi: 10.1016/j.urology.2020.06.060

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title = "School Toileting Environment, Bullying, and Lower Urinary Tract Symptoms in a Population of Adolescent and Young Adult Girls: Preventing Lower Urinary Tract Symptoms Consortium Analysis of Avon Longitudinal Study of Parents and Children",

abstract = "Objectives: To examine whether the school toilet environment at age 13, including bullying at toilets, is associated with female lower urinary tract symptoms (LUTS) at ages 13 and 19, as little is known about the association among school toilet environment, voiding behaviors, and LUTS in adolescent girls. Methods: The sample comprised 3962 female participants from the Avon Longitudinal Study of Parents and Children. At age 13, participants reported on 7 school toilet environment characteristics and a range of LUTS items. At age 19, participants completed the Bristol Female Lower Urinary Tract Symptoms questionnaire. Results: All toilet environmental factors were associated with at least 1 LUTS outcome at age 13. Holding behavior was associated with all school toilet environmental factors, with odds ratios ranging from 1.36 (95% confidence interval [CI]: 1.05, 1.76) for dirty toilets to 2.38 (95% CI: 1.60, 3.52) for feeling bullied at toilets. Bullying was associated with all daytime LUTS symptoms and nocturia; odds ratios ranged from 1.60 (95% CI: 1.04, 2.07) for nocturia to 2.90 (95% CI: 1.77, 4.75) for urgency. Associations between age 13 school toilets and age 19 LUTS were in the same direction as age 13 LUTS. Conclusion: This is the first examination of associations between school toilets and LUTS. Toileting environments were cross-sectionally associated with LUTS in adolescent girls. While further work is needed to determine whether these associations are causal, school toilet environments are modifiable and thus a promising target for LUTS prevention.",

author = "Shoham, {David A.} and Zhenxun Wang and Sarah Lindberg and Haitao Chu and Linda Brubaker and Brady, {Sonya S.} and Tamera Coyne-Beasley and Fitzgerald, {Colleen M.} and Sheila Gahagan and Harlow, {Bernard L.} and Carol Joinson and Low, {Lisa Kane} and Markland, {Alayne D.} and Newman, {Diane K.} and Smith, {Ariana L.} and Ann Stapleton and Siobhan Sutcliffe and Amanda Berry",

note = "Funding Information: The Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium is supported by the National Institutes of Health (NIH) through cooperative agreements (grants U01DK106786, U01DK106853, U01DK106858, U01DK106898, U01DK106893, U01DK106827, U01DK106908, U01DK106892 ). Additional support is provided by the National Institute on Aging, NIH Office of Research on Women's Health, and NIH Office of Behavioral and Social Sciences Research . The content of this article is solely the responsibility of the authors and does not necessarily represent the official views of NIH. Funding for the ALSPAC study was provided by the UK Medical Research Council and Wellcome (Grant ref: 217065/Z/19/Z ) and the University of Bristol provide core support for ALSPAC. A comprehensive list of grants funding is available on the ALSPAC website ( http://www.bristol.ac.uk/alspac/external/documents/grant-acknowledgements.pdf ). This publication is the work of the authors and will serve as guarantors for the contents of this paper. Publisher Copyright: {\textcopyright} 2020",

year = "2021",

month = may,

doi = "10.1016/j.urology.2020.06.060",

language = "English (US)",

volume = "151",

pages = "86--93",

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T1 - School Toileting Environment, Bullying, and Lower Urinary Tract Symptoms in a Population of Adolescent and Young Adult Girls

T2 - Preventing Lower Urinary Tract Symptoms Consortium Analysis of Avon Longitudinal Study of Parents and Children

AU - Shoham, David A.

AU - Wang, Zhenxun

AU - Lindberg, Sarah

AU - Chu, Haitao

AU - Brubaker, Linda

AU - Brady, Sonya S.

AU - Coyne-Beasley, Tamera

AU - Fitzgerald, Colleen M.

AU - Gahagan, Sheila

AU - Harlow, Bernard L.

AU - Joinson, Carol

AU - Low, Lisa Kane

AU - Markland, Alayne D.

AU - Newman, Diane K.

AU - Smith, Ariana L.

AU - Stapleton, Ann

AU - Sutcliffe, Siobhan

AU - Berry, Amanda

N1 - Funding Information: The Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium is supported by the National Institutes of Health (NIH) through cooperative agreements (grants U01DK106786, U01DK106853, U01DK106858, U01DK106898, U01DK106893, U01DK106827, U01DK106908, U01DK106892 ). Additional support is provided by the National Institute on Aging, NIH Office of Research on Women's Health, and NIH Office of Behavioral and Social Sciences Research . The content of this article is solely the responsibility of the authors and does not necessarily represent the official views of NIH. Funding for the ALSPAC study was provided by the UK Medical Research Council and Wellcome (Grant ref: 217065/Z/19/Z ) and the University of Bristol provide core support for ALSPAC. A comprehensive list of grants funding is available on the ALSPAC website ( http://www.bristol.ac.uk/alspac/external/documents/grant-acknowledgements.pdf ). This publication is the work of the authors and will serve as guarantors for the contents of this paper. Publisher Copyright: © 2020

PY - 2021/5

Y1 - 2021/5

N2 - Objectives: To examine whether the school toilet environment at age 13, including bullying at toilets, is associated with female lower urinary tract symptoms (LUTS) at ages 13 and 19, as little is known about the association among school toilet environment, voiding behaviors, and LUTS in adolescent girls. Methods: The sample comprised 3962 female participants from the Avon Longitudinal Study of Parents and Children. At age 13, participants reported on 7 school toilet environment characteristics and a range of LUTS items. At age 19, participants completed the Bristol Female Lower Urinary Tract Symptoms questionnaire. Results: All toilet environmental factors were associated with at least 1 LUTS outcome at age 13. Holding behavior was associated with all school toilet environmental factors, with odds ratios ranging from 1.36 (95% confidence interval [CI]: 1.05, 1.76) for dirty toilets to 2.38 (95% CI: 1.60, 3.52) for feeling bullied at toilets. Bullying was associated with all daytime LUTS symptoms and nocturia; odds ratios ranged from 1.60 (95% CI: 1.04, 2.07) for nocturia to 2.90 (95% CI: 1.77, 4.75) for urgency. Associations between age 13 school toilets and age 19 LUTS were in the same direction as age 13 LUTS. Conclusion: This is the first examination of associations between school toilets and LUTS. Toileting environments were cross-sectionally associated with LUTS in adolescent girls. While further work is needed to determine whether these associations are causal, school toilet environments are modifiable and thus a promising target for LUTS prevention.

AB - Objectives: To examine whether the school toilet environment at age 13, including bullying at toilets, is associated with female lower urinary tract symptoms (LUTS) at ages 13 and 19, as little is known about the association among school toilet environment, voiding behaviors, and LUTS in adolescent girls. Methods: The sample comprised 3962 female participants from the Avon Longitudinal Study of Parents and Children. At age 13, participants reported on 7 school toilet environment characteristics and a range of LUTS items. At age 19, participants completed the Bristol Female Lower Urinary Tract Symptoms questionnaire. Results: All toilet environmental factors were associated with at least 1 LUTS outcome at age 13. Holding behavior was associated with all school toilet environmental factors, with odds ratios ranging from 1.36 (95% confidence interval [CI]: 1.05, 1.76) for dirty toilets to 2.38 (95% CI: 1.60, 3.52) for feeling bullied at toilets. Bullying was associated with all daytime LUTS symptoms and nocturia; odds ratios ranged from 1.60 (95% CI: 1.04, 2.07) for nocturia to 2.90 (95% CI: 1.77, 4.75) for urgency. Associations between age 13 school toilets and age 19 LUTS were in the same direction as age 13 LUTS. Conclusion: This is the first examination of associations between school toilets and LUTS. Toileting environments were cross-sectionally associated with LUTS in adolescent girls. While further work is needed to determine whether these associations are causal, school toilet environments are modifiable and thus a promising target for LUTS prevention.

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School Toileting Environment, Bullying, and Lower Urinary Tract Symptoms in a Population of Adolescent and Young Adult Girls: Preventing Lower Urinary Tract Symptoms Consortium Analysis of Avon Longitudinal Study of Parents and Children

Abstract

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