From my experience, this is a fascinating and important topic and I am eager to hear what you learn. In the U.s. I have seen that many low income families have diets that are high in processed foods, low in fruits and vegetable, and often high in milk, contributing to constipation which contributes to overflow soiling.
In the U.S: many latino families start shaming children at a very young age for wetting or soilig, and there is pediatric literature showing that African american children are out of diaper (nappies) at a younger age than their white counterparts, on average.
I think cultural sensitivity would be terribly important here. I am reminded of that important artcle from the 80-s I believe, from Child Abuse and Nglect, The Seven Deadly Sins of CHildhood, by Schmidt, that showed that toileting problems were one of the 7 most common reasons parents ended up striking fatal flows against their children.
Lisa fontes, Ph.D.
Union Institute & University
---- Original message ----
>Date: Sun, 4 Mar 2007 22:31:08 -0000
>From: Eve Fleming <[log in to unmask]>
>Subject: ethnic aspects of chilhood incontinence
>To: [log in to unmask]
>
> I have just joined the list and am a Paediatrician
> working with children in the community. I am
> interested in cultural factors that influence toilet
> training in children and attitudes to incontinence.
> I see children with bed wetting and/or day time
> wetting and soiling, and am interested in how these
> problems are seen in different cutlures. I wonder
> how this impacts upon access to services and whether
> these are sufficiently sensitive to the needs of
> families from different ethnic groups. Treatment
> programmes have not been evaluated to take these
> factors into consideration, and our experience would
> suggest that there is a need for study in this area.
> I feel that current treatment programmes with
> bedwetting alarms do not meet the needs of many
> families. There is no information about the
> acceptability of treatments such as enemas and
> laxatives for children with constipation and
> overflow soiling. I am part of a national
> organisation that promotes services for families
> with these difficulties -ERIC (Education and
> Resources for improving childhood Continence). There
> is not alot of information about this for
> professionals providing services for families. I
> would welcome contact and discussion from anyone
> with and interest and information in this area.
> regards Eve Fleming
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