{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:31:32Z","timestamp":1786728692513,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>Childhood constipation is presenting with increasing frequency at pediatric surgical clinics. The caregiver's role in prevention and management is pivotal. This study aimed at determining mothers' knowledge, attitudes, and practices with regard to childhood constipation and the association of these with demographic variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This was a survey-based descriptive study conducted at a tertiary care hospital in South India. Randomly selected mothers of children aged 1\u201310 years consulting for any problem other than constipation were included in the study. Data collection was done by means of a pretested and prevalidated questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were 169 mothers with a median age of 30 years. Over half were homemakers and of a rural background. Urban mothers scored better than their rural counterparts in the attitude section (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.034). Mothers with greater knowledge had better attitude (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001) and practice (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.020) scores. Those with higher attitude scores also fared better in the practice section (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Knowledge, attitude and practice concerning childhood constipation are connected to each other. South Indian mothers are sufficiently aware of the nuances surrounding childhood constipation, but focused large-scale outreach programs and health education are necessary to bridge the gaps.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_103_23","type":"journal-article","created":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T03:02:31Z","timestamp":1693882951000},"page":"400-406","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Understanding Childhood Constipation Through the Prism of the Caretaker"],"prefix":"10.4103","volume":"28","author":[{"given":"Aureen Ruby","family":"DCunha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep B.","family":"Rai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swathi Sunil","family":"Rao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neevan","family":"D'Souza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-7-20240905","first-page":"J7","article-title":"Epidemiology, demographic profile and clinical variability of functional constipation: A retrospective study in North Bihar","volume":"5","author":"Vishal","year":"2018","journal-title":"International Journal of Contemporary Medical Research"},{"key":"R2-7-20240905","first-page":"25","article-title":"Eating habits, lifestyle and intestinal constipation in children aged four to seven years","volume":"36","author":"Andreoli","year":"2019","journal-title":"Nutr Hosp"},{"key":"R3-7-20240905","doi-asserted-by":"crossref","first-page":"600","DOI":"10.12968\/bjon.2003.12.10.11302","article-title":"Nurse's knowledge of prevention and management of constipation","volume":"12","author":"Richmond","year":"2003","journal-title":"Br J Nurs"},{"key":"R4-7-20240905","doi-asserted-by":"crossref","first-page":"154","DOI":"10.4103\/jiaphd.jiaphd_52_21","article-title":"Updated BG Prasad socioeconomic status classification for the year 2021","volume":"19","author":"Khairnar","year":"2021","journal-title":"J Indian Assoc Public Health Dent"},{"key":"R5-7-20240905","doi-asserted-by":"crossref","first-page":"e50","DOI":"10.1097\/MPG.0000000000003163","article-title":"Impact of infant milk-type and childhood eating behaviors on functional constipation in preschool children","volume":"73","author":"de Oliveira","year":"2021","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"R6-7-20240905","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.jpeds.2021.09.010","article-title":"Nonpharmacologic treatment for children with functional constipation: A systematic review and meta-analysis","volume":"240","author":"Wegh","year":"2022","journal-title":"J Pediatr"},{"key":"R7-7-20240905","doi-asserted-by":"crossref","first-page":"e89965","DOI":"10.5812\/ijp.89965","article-title":"A study of familial aggregation of habitual constipation","volume":"29","author":"Yousefi","year":"2019","journal-title":"Iran J Pediatr"},{"key":"R8-7-20240905","first-page":"194","article-title":"Functional constipation in children \u2013 Evaluation and management","volume":"9","author":"Gibas-Dorna","year":"2014","journal-title":"Prz Gastroenterol"},{"key":"R9-7-20240905","first-page":"91","article-title":"Effect of cow's-milk-free diet on chronic constipation in children; A randomized clinical trial","volume":"12","author":"Mohammadi Bourkheili","year":"2021","journal-title":"Caspian J Intern Med"},{"key":"R10-7-20240905","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/1475-2891-10-19","article-title":"Is Bifidobacterium breve effective in the treatment of childhood constipation? 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