@inproceedings{01JNBA4CK7SHQ8C8Y8T03BQRJC,
  abstract     = {{Introduction: This study systematically reviews evidence concerning the influence of school characteristics on the prevalence of lower urinary tract symptoms (LUTS) and related conditions in primary and secondary school children, recognizing school's significance to children's health. Participants and methods: Following the Preferred Reported Items for Systematic reviews and Meta-Analysis recommendations, the systematic review involved a search in PubMed, Web of Science and CINAHL in November 2022. Initial screening was based on title and abstract, followed by full-text screening. Articles reporting the influence of school characteristics on LUTS and related conditions in school going children were eligible. Methodological and reporting quality and level of evidence were defined using the QualSyst tool for Assessment and the EBRO guidelines, respectively. Results: Among the six included studies, two were case-control studies and four were cross-sectional studies. Four eligible studies examined the impact of bullying on LUTS, finding significantly higher LUTS severity among bullied children, especially with physical bullying or high self-perceived victimization. No cause-effect link was established. One study surveyed teachers’ beliefs and knowledge on bathroom use, revealing that 49.3% were unaware of the required amount of drinking and 24.6% of urination needs. Two studies linked LUTS to inadequate bathroom infrastructure, with significant associations found between facility deficiencies and various LUTS. Substandard school toilets often lead children to delay urination or defecation, contributing to LUTS. Conclusion: Although schools play a key role in preventing or treating LUTD, this review found that teachers' limited knowledge and practice often hinder proper lower urinary tract health.}},
  author       = {{D'Haene, Loïc and Joos, Mathilde and Van den Broeck, Christine and Van Laecke, Erik and Vandamme, Ellen and Samijn, Bieke}},
  booktitle    = {{EACD & IAACD 2025, Abstracts}},
  keywords     = {{Lower urinary tract symptoms,Bladder and bowel dysfunctions,School characteristics,School-going children,Risk factors}},
  language     = {{eng}},
  location     = {{Heidelberg, Germany}},
  title        = {{The role of school characteristics in lower urinary tract symptoms : a systematic review}},
  url          = {{https://eacd-iaacd2025.org/}},
  year         = {{2025}},
}