Table 2.
N | Bedwetting alone | Daytime wetting alone | Delayed | Persistent wetting | p value | |
---|---|---|---|---|---|---|
Biological and developmental factors | ||||||
Developmental level at 18 monthsa | 7301 | 1.04 [0.94–1.15] | 1.43 [1.20–1.70] | 1.52 [1.33–1.72] | 1.35 [1.18–1.55] | < 0.001 |
Gestational age < 37 weeks (ref = ≥ 37 weeks)b | 7771 | 0.87 [0.55–1.38] | 0.84 [0.32–2.21] | 1.48 [0.90–2.43] | 1.17 [0.70–1.93] | 0.511 |
Birth weight < 2.5 kg (ref = ≥ 2.5 kg)b | 7622 | 0.97 [0.59–1.59] | 2.35 [1.27–4.35] | 1.12 [0.57–2.17] | 1.14 [0.64–2.04] | 0.081 |
Maternal history of bedwetting after age 5 (ref = none)c | 8516 | 2.75 [2.08–3.64] | 1.31 [0.82–2.38] | 1.66 [1.07–2.56] | 3.77 [2.81–5.06] | 0.001 |
Maternal history of daytime wetting after age 5 (ref = none)c | 8516 | 0.31 [0.03–3.66] | 2.41 [0.59–9.87] | 2.35 [0.92–6.03] | 3.60 [1.75–7.40] | 0.004 |
Paternal history of bedwetting after age 5 (ref = none)c | 6296 | 1.67 [1.20–2.32] | 1.49 [0.84–2.66] | 1.57 [1.04–2.37] | 1.53 [1.00–2.33] | 0.002 |
Paternal history of daytime wetting after age 5 (ref = none)c | 6296 | 0.95 [0.06–15.13] | 2.91 [0.32–26.47] | 8.82 [3.01–25.8] | 2.34 [0.33–16.81] | 0.002 |
Psychosocial factors | ||||||
Difficult temperament at 2 yearsd | ||||||
Activity | 6613 | 1.13 [1.03–1.25] | 1.07 [0.91–1.26] | 1.27 [1.12–1.44] | 1.03 [0.91–1.17] | < 0.001 |
Adaptability | 6568 | 1.17 [1.06–1.29] | 1.21 [1.02–1.45] | 1.27 [1.12–1.44] | 1.25 [1.10–1.41] | < 0.001 |
Intensity | 6390 | 1.07 [0.97–1.18] | 1.04 [0.87–1.26] | 1.18 [1.01–1.37] | 1.24 [1.09–1.41] | < 0.001 |
Mood | 6590 | 1.12 [1.01–1.23] | 1.34 [1.13–1.58] | 1.33 [1.18–1.51] | 1.26 [1.11–1.44] | < 0.001 |
Persistence | 6508 | 1.09 [0.99–1.21] | 1.04 [0.87–1.24] | 1.15 [1.00–1.33] | 1.21 [1.06–1.38] | 0.003 |
Behavior/emotional problems at 3½ yearse | ||||||
Emotional difficulties | 6696 | 1.04 [0.95–1.14] | 1.11 [0.94–1.32] | 1.21 [1.06–1.38] | 1.20 [1.06–1.36] | < 0.001 |
Conduct difficulties | 6696 | 1.17 [1.06–1.29] | 1.29 [1.08–1.54] | 1.61 [1.42–1.82] | 1.28 [1.14–1.44] | < 0.001 |
Hyperactivity | 6696 | 1.05 [0.95–1.15] | 1.05 [0.88–1.25] | 1.37 [1.22–1.55] | 1.24 [1.11–1.39] | < 0.001 |
Low level of prosocial behaviour | 6696 | 1.02 [0.92–1.13] | 1.05 [0.87–1.28] | 1.39 [1.21–1.59] | 1.17 [1.03–1.32] | < 0.001 |
Total behaviour difficulties | 6696 | 1.20 [1.08–1.32] | 1.33 [1.12–1.59] | 1.80 [1.59–2.03] | 1.56 [1.39–1.74] | < 0.001 |
Temper tantrums at least once a day at 3½ years (ref = once a week or rarer)e | 6644 | 1.15 [0.88–1.52] | 1.26 [0.80–2.00] | 1.37 [0.97–1.96] | 1.55 [1.13–2.13] | 0.010 |
Stressful events between 2½ and 3 years 11 months | 6626 | 1.05 [0.94–1.17] | 1.25 [1.05–1.49] | 1.20 [1.04–1.39] | 1.26 [1.11–1.43] | < 0.001 |
Maternal depression | ||||||
Antenatal (18 weeks)f | 7345 | 1.18 [0.88–1.60] | 0.96 [0.54–1.69] | 1.03 [0.66–1.63] | 1.47 [1.05–2.07] | 0.166 |
Antenatal (32 weeks)f | 7711 | 1.29 [0.98–1.69] | 1.27 [0.79–2.02] | 1.31 [0.89–1.92] | 1.29 [0.93–1.78] | 0.085 |
Postnatal (21 months)g | 6880 | 1.30 [0.93–1.83] | 2.38 [1.46–3.88] | 1.19 [0.69–2.03] | 2.09 [1.48–2.95] | < 0.001 |
Toilet training and constipation | ||||||
Age at initiation of toilet training (ref = 15–24 months)h | ||||||
Before 6 months | 6615 | 0.78 [0.36–1.69] | 0.71 [0.15–3.26] | 0.31 [0.02–4.06] | 1.08 [0.45–2.60] | 0.001 |
6–15 months | 1.12 [0.84–1.49] | 1.31 [0.78–2.20] | 0.89 [0.54–1.48] | 1.10 [0.74–1.64] | ||
After 24 months | 1.01 [0.82–1.25] | 1.73 [1.18–2.55] | 1.58 [1.18–2.10] | 1.59 [1.19–2.21] | ||
Constipation at 4 years 9 months (ref = none)i | 6624 | 0.82 [0.60–1.11] | 1.29 [0.74–2.27] | 1.49 [1.06–2.09] | 1.14 [0.81–1.61] | 0.035 |
The exact sample size for each analysis differed depending on the availability of non-missing data on biopsychosocial factors and confounders. Odds ratios for these analyses were derived in relation to the normative class. For the continuous variables (developmental level, difficult temperament, psychological problems, stressful events), results show the increase in odds of membership to each latent class per one standard deviation (SD) increase in the score
aAdjusted for child’s sex (0 = female vs. 1 = male), socioeconomic variables (parental social class [0 = non-manual: professional, managerial or skilled professions vs. 1 = manual: partly or unskilled occupations], early parenthood [0 = child born when mother was >=19 years vs. 1 = child born when mother was < 19 years], maternal education [0 = high school qualifications or greater vs. 1 = vocational or none], housing adequacy [0 = yes vs. 1 = no: comprising crowding, periods of homelessness, living conditions, major defects/infestation], major financial difficulties [0 = no vs. 1 = yes], family size [0 = less than 3 children vs. 1 = 3 or more children], presence of a social network [0 = presence of network vs. 1 = no network: comprising lack of emotional, practical and/or financial support], maternal antenatal depression (32 weeks) and postnatal depression (21 months)
bAdjusted for child’s sex, socioeconomic variables, and maternal antenatal depression (32 weeks)
cAdjusted for child’s sex
dAdjusted for child’s sex, socioeconomic variables, developmental level of child at 18 months, and maternal postnatal depression (21 months)
eAdjusted for child’s sex, socioeconomic variables, developmental level of child at 18 months, and maternal postnatal depression (33 months)
fAdjusted for child’s sex and socioeconomic variables
gAdjusted for child’s sex, socioeconomic variables, and maternal antenatal depression (18 weeks)
hAdjusted for child’s sex, socioeconomic variables, developmental level of child at 18 months, and maternal postnatal depression (21 months)
iAdjusted for child’s sex, socioeconomic variables, developmental level of child at 18 months, and maternal postnatal depression (33 months)