Current Status and Influencing Factors of Helicobacter pylori Infection in Health Examination Population and Outpatients in Baoshan District, Shanghai
10.3969/j.issn.1008-7125.2019.06.002
- Author:
Lili ZHANG
1
Author Information
1. Department of Gastroenterology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
- Publication Type:Journal Article
- Keywords:
Epidemiology;
Helicobacter pylori;
Infection Status;
Questionnaires;
Root Cause Analysis
- From:
Chinese Journal of Gastroenterology
2019;24(6):326-330
- CountryChina
- Language:Chinese
-
Abstract:
Background: Helicobacter pylori (Hp) infection is closely related to the occurrence of gastric cancer and other gastrointestinal and extra-gastrointestinal diseases. Detection and eradication of Hp infection is of great importance for prevention and treatment of the related diseases. Understanding the local Hp infection status may provide a reference for formulating targeted strategy for management of Hp infection. Aims: To investigate the current status and influencing factors of Hp infection in health examination population and outpatients in Baoshan District, Shanghai. Methods: Residents of Baoshan District for physical examination (including 13C-urea breath test, 13C-UBT) in Shanghai Ninth People's Hospital (North Branch), Shanghai Jiao Tong University School of Medicine from Jan. 2017 to Jan. 2018 were enrolled.Also, local outpatients of the same hospital for 13C-UBT from Aug. 2017 to Aug. 2018 were enrolled. The results of 13C-UBT were used for the study of Hp infection status, and a questionnaire survey was conducted in outpatients for understanding the influencing factors of Hp infection. Results: Altogether 5 164 health examination subjects were included, and the prevalence of Hp infection was 36.3%. Of the 800 questionnaires conducted in outpatients enrolled, 746 valid questionnaires were collected for analysis. The prevalence of Hp infection in outpatients was 58.0%. Univariate analysis showed that occupation, married, alcohol drinking, frequently taking meals outside, high salt/fat diet, smoked food, and family history of Hp infection were identified as the influencing factors for Hp infection (P<0.05). Conclusions: The prevalence of Hp infection in health examination population in Baoshan District, Shanghai is lower than the national average, however, the infection rate of outpatients is still relatively high. Eating separately, less taking meals outside, abstinence of wine, and light diet might be helpful for preventing Hp infection and its spreading.