The Age Distribution among Children Seeking Medical Treatment for Precocious Puberty in Taiwan
| Autor: | Pen-Hua Su, Cho-Shun Li, Hua-Pin Chang, Jing-Yang Huang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Pediatric endocrinology seeking medical care Health Toxicology and Mutagenesis Prevalence Taiwan Puberty Precocious lcsh:Medicine 030209 endocrinology & metabolism Article precocious puberty 03 medical and health sciences 0302 clinical medicine Age Distribution children 030225 pediatrics medicine Precocious puberty Outpatient clinic Humans Child business.industry Incidence (epidemiology) Incidence Puberty lcsh:R Public Health Environmental and Occupational Health Infant Newborn Infant medicine.disease Confidence interval Child Preschool Age distribution Female prevalence and incidence business Sex ratio Demography |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 17, Iss 6765, p 6765 (2020) International Journal of Environmental Research and Public Health Volume 17 Issue 18 |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | Objective: Children with precocious puberty (PP) may have increased physiological and psychological problems. In this study, we aimed to explore the trend of parents seeking medical care for their children with precocious puberty. Methods: The Taiwan National Health Insurance Research Dataset (NHIRD) was used to estimate the prevalence (2000&ndash 2013) and incidence (2002&ndash 2013) of PP (ICD-9 code: 259.1) among boys aged 0&ndash 11 years and girls aged 0&ndash 10 years. The proportions of PP management within 1 year from the date of first diagnosis were also compared between two periods (2002&ndash 2007 and 2008&ndash 2012). The trends of PP prevalence or incidence were determined by join-point regression. Results: In 2000, 309 boys and 2706 girls had at least one visit for PP, the crude prevalence rates (per 10,000 persons) were 0.99 (95% confidence interval, 95% CI 0.87&ndash 1.14) and 13.56 (95% CI 13.01&ndash 14.13) in boys and girls, respectively. In 2013, the crude prevalence rates increased to 7.01 (95% CI 6.56&ndash 7.84) and 110.95 (95% CI 108.97&ndash 112.96) in boys and girls, respectively. A total of 2584 girls and 207 boys with incident PP cases were identified in 2002, and 7498 girls and 739 boys were identified in 2013. For girls, the incidence rates (per 10,000 person-years) were 16.17 (95% CI 15.55&ndash 16.80) and 70.23 (95% CI 68.65&ndash 71.83) in 2002 and 2013, respectively. For boys, the incidence rates were 1.09 (95% CI 0.95&ndash 1.24) and 5.72 (95% CI 5.32&ndash 6.15) in 2002 and 2013, respectively. The sex ratio (F:M) of the incidence of PP cases was 14.89 in 2002 and 12.28 in 2013. Conclusion: In this study, from 2000 to 2013, the frequency of visiting pediatric endocrinology outpatient clinics for precocious puberty increased in both genders. We advocate that it is important to pay increased attention to children&rsquo s health, environmental hormones, and diet. Researchers should consider how to survey precocious puberty and offer parents more education to avoid the waste of medical resources or delays in seeking medical care. |
| Databáze: | OpenAIRE |
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