Prevalence of irritable bowel syndrome among Qassim school teachers, and its impact on their performance and life duties

OBJECTIVES To determine the prevalence of irritable bowel syndrome (IBS) among school teachers in Qassim region,  Kingdom of Saudi Arabia (KSA) and it's impact on their performance -as teachers- and on life duties.   METHODS A cross-sectional study was held in Qassim region, KSA between 2012 and 2013. The study was conducted among 300 school teachers selected by multistage stratified random sample method in 2013. The sample size was calculated according to the formula: n = (Z2 * (p) * (q))/c2. A confidential, anonymous, and a self-administered questionnaire was used to collect personal and sociodemographic data, teacher  performance  oriented  questions were included. Rome III Criteria were used. Teachers with red flag symptoms were excluded.  RESULTS The prevalence of IBS symptoms among teachers in Qassim region of KSA is 40.7% with no significant gender predilection. The IBS symptoms significantly affect the work performance of the teachers (61.6%) with high absenteeism rate (46.6%), especially among 51-60 years and 21-30 years, age groups (p less than 0.05 in chi-square test). Significant proportion (45.3%) of IBS criteria +ve teachers find IBS symptoms to be hindrance in their life duties.  CONCLUSION Prevalence of IBS in Qassim school teachers is becoming an important issue with 40.7% of teachers reporting symptoms suggestive of IBS in a random sample. Majority of teachers are having frequent performance  problems - as teachers - and in usual life duties associated with their IBS Symptoms. Significantly, IBS criteria +ve teachers are more likely to have discipline problems compared with healthy teachers. We recommend a health care program to tackle the problem among the teachers, to improve their performance and reduce working hours loss. Also, follow up studies need to be conducted to assess the health care of IBS patients in local public health care centers.