Irritable bowel syndrome and its associated factors in adolescents
Abstract
Background Irritable bowel syndrome (IBS) is a common
functional gastrointestinal disorder. Increasing prevalences have
been reported in Asian adolescent populations, however, there
have been few reports on Indonesian adolescents.
Objective To investigate the prevalence of IBS and associated
factors among adolescents in Jakarta.
Methods This cross-sectional study included senior high school
students in a district of Jakarta. Students were asked to fill
questionnaires based on the Rome III criteria for IBS. They were
then divided into groups: those with IBS and those without IBS,
for the purposes of comparison.
Results Out of 232 adolescents (145 females and 87 males) with
mean age of 16.06 (SD 0.91) years, 14 (6.0%) had IBS. Eleven
out of 14 adolescents with IBS reported upper abdominal pain
as well as periumbilical/lower abdominal pain. Irritable bowel
syndrome was not associated with socioeconomic status, food and
drink habits, the use of antibiotics, or scolding as a parental form
of discipline. However, a significant higher proportion in the use
of corporal punishment was found in IBS adolescents compared
to the non-IBS (P=0.034). In addition, stress related to scolding,
as a parental form of discipline was more likely to be found in the
IBS group than in the non-IBS group (P=0.019).
Conclusion The prevalence of IBS among adolescents in Jakarta
is 6%, which is lower compared to those of other Asian countries.
Corporal punishment at home and stress related to scolding at
home are found to be associated with IBS.
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Accepted 2017-02-01
Published 2014-12-30
