{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T07:30:30Z","timestamp":1771399830288,"version":"3.50.1"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the status of behavioral problems in children with congenital hypospadias and analyze their influencing factors, providing a scientific basis for improving behavioral issues in these children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From May to October 2024, 143 children with hypospadias and their families were recruited using convenience sampling. Assessments were conducted using a general information questionnaire and the Conners Parent Rating Scale. Univariate and multivariate logistic analyses were employed to identify the influencing factors of behavioral problems in children with congenital hypospadias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The incidence rate of behavioral problems among children with congenital hypospadias was 23.8%. The number of surgeries and urination status were identified as influencing factors for behavioral problems (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The incidence of behavioral problems is high among children with congenital hypospadias, and their levels are influenced by multiple factors. Medical professionals and family members should pay attention to the impact of the disease on the children\u2019s psychological well-being. Interventions should be implemented based on the identified influencing factors to encourage positive and proactive treatment among the children and their families. This approach aims to reduce the impact of the disease on behavioral problems during the children\u2019s growth process and enhance their social adaptability as adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1743923","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T06:56:09Z","timestamp":1771397769000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The ripple effect of stigmatization on children with congenital hypospadias: impacts on psychological and behavioral aspects"],"prefix":"10.3389","volume":"14","author":[{"given":"Wei","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Operating, Children\u2019s Hospital of Chongqing Medical University, National Clinical Research Center for Children and Adolescents\u2019 Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Mo","sequence":"additional","affiliation":[{"name":"Department of Outpatient, Children\u2019s Hospital of Chongqing Medical University, National Clinical Research Center for Children and Adolescents\u2019 Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Outpatient, Children\u2019s Hospital of Chongqing Medical University, National Clinical Research Center for Children and Adolescents\u2019 Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1846","DOI":"10.1093\/eurheartj\/ehac152","article-title":"Increased cardiovascular risk in boys born with hypospadias: intriguing observations and remaining questions","volume":"43","author":"Kr\u00e4nkel","year":"2022","journal-title":"Eur Heart J"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1007\/s00431-017-2864-5","article-title":"Hypospadias, all there is to know","volume":"176","author":"van der Horst","year":"2017","journal-title":"Eur J Pediatr"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1628435","DOI":"10.3389\/fped.2025.1628435","article-title":"Acellular foreskin dermal matrix is efficient in supporting the growth of urothelial cells derived from hypospadias 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