Prevalence and associated risk factors of Helicobacter pylori infection in the Wuwei cohort of north‐western China
Objectives To evaluate the prevalence of Helicobacter pylori infection and risk factors and to serotype the strains in Wuwei, located in north‐western China, which has a high incidence of gastric cancer. Methods Helicobacter pylori infection was analysed in 21 291 adults by 14C‐urea breath test, and...
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Published in | Tropical medicine & international health Vol. 26; no. 3; pp. 290 - 300 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Blackwell Publishing Ltd
01.03.2021
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Subjects | |
Online Access | Get full text |
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Abstract | Objectives
To evaluate the prevalence of Helicobacter pylori infection and risk factors and to serotype the strains in Wuwei, located in north‐western China, which has a high incidence of gastric cancer.
Methods
Helicobacter pylori infection was analysed in 21 291 adults by 14C‐urea breath test, and H. pylori antibody were detected in 9183 serum samples by latex immunoturbidimetric method. The correlation of H. pylori infection with demographic–economic, lifestyle factors and medical history among the participants was determined by questionnaire. The antibodies against H. pylori urease, VacA and CagA in serum were determined by dot immunobinding assay.
Results
The infection rate of H. pylori was 53.0%, and 90.1% of strains were type I strains. The H. pylori infection rate was higher among farmers (OR = 1.34, 95% CI: 1.19–1.50) and individuals who had a junior high school or higher education level (OR = 1.10, 95% CI: 1.06–1.15), and was lower in older individuals (OR = 0.86, 95% CI: 0.83–0.90), individuals with high income (OR = 0.93, 95% CI: 0.90–0.95), individuals with a habit of eating quickly (OR = 0.93, 95% CI: 0.87–0.99) and individuals who consumed more fruit and vegetables (OR = 0.90, 95% CI: 0.85–0.95). Individuals with history of cholecystitis/cholecystolithiasis, hypertension and asthma were negatively correlated with H. pylori infection (P < 0.05).
Conclusion
The prevalence of H. pylori infection is high in Wuwei. The major prevalent strain is type I strain. Age, education, occupation, household income, consumption of fruit and vegetables, and habit of eating quickly are independent risk factors for H. pylori infection, which is also associated with individuals with a history of extragastric diseases.
Objectifs
Evaluer la prévalence de l'infection à Helicobacter pylori et les facteurs de risque et déterminer le sérotype des souches à Wuwei, situé dans le nord‐ouest de la Chine, où l'incidence du cancer gastrique est élevée.
Méthodes
L'infection à H. pylori a été analysée chez 21.291 adultes par un test respiratoire à l'urée au 14C, et des anticorps à H. pylori ont été détectés dans 9.183 échantillons de sérum par une méthode immuno‐turbidimétrique au latex. La corrélation entre l'infection à H. pylori et les facteurs démographiques et économiques, le mode de vie et les antécédents médicaux des participants a été déterminée par un questionnaire. Les anticorps contre l’uréase de H. pylori, VacA et CagA dans le sérum ont été déterminés par un test dot par d'immuno‐liaison.
Résultats
Le taux d'infection à H. pylori était 53,0% et 90,1% des souches étaient du type I. Le taux d'infection à H. pylori est plus élevé chez les agriculteurs (OR = 1,34 ; IC95%: 1,19 à 1,50) et les personnes qui avaient un niveau d'instruction du premier cycle secondaire ou supérieur (OR = 1,10 ; IC95%: 01,06 à 01,15) et était plus faible chez les personnes âgées (OR = 0,86 ; IC95%: 0,83‐0,90), les personnes à revenu élevé (OR = 0,93 ; IC95%: 0,90‐0,95), les personnes ayant l'habitude de manger rapidement (OR = 0,93 ; IC9 %: 0,87‐0,99) et les individus qui consommaient plus de fruits et de légumes (OR = 0,90 ; IC95%: 0,85‐0,95). Les personnes ayant des antécédents de cholécystite/cholécystolithiase, d'hypertension et d'asthme avaient une corrélation négative avec l'infection à H. pylori (p <0,05 ).
Conclusion
La prévalence de l'infection à H. pylori est élevée à Wuwei. La principale souche répandue est du type I. L'âge, l'éducation, la profession, le revenu du ménage, la consommation de fruits et de légumes et l'habitude de manger rapidement sont des facteurs de risque indépendants d'infection à H. pylori, qui est également associée à des personnes ayant des antécédents de maladies extra‐gastriques. |
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AbstractList | To evaluate the prevalence of Helicobacter pylori infection and risk factors and to serotype the strains in Wuwei, located in north-western China, which has a high incidence of gastric cancer.
Helicobacter pylori infection was analysed in 21 291 adults by
C-urea breath test, and H. pylori antibody were detected in 9183 serum samples by latex immunoturbidimetric method. The correlation of H. pylori infection with demographic-economic, lifestyle factors and medical history among the participants was determined by questionnaire. The antibodies against H. pylori urease, VacA and CagA in serum were determined by dot immunobinding assay.
The infection rate of H. pylori was 53.0%, and 90.1% of strains were type I strains. The H. pylori infection rate was higher among farmers (OR = 1.34, 95% CI: 1.19-1.50) and individuals who had a junior high school or higher education level (OR = 1.10, 95% CI: 1.06-1.15), and was lower in older individuals (OR = 0.86, 95% CI: 0.83-0.90), individuals with high income (OR = 0.93, 95% CI: 0.90-0.95), individuals with a habit of eating quickly (OR = 0.93, 95% CI: 0.87-0.99) and individuals who consumed more fruit and vegetables (OR = 0.90, 95% CI: 0.85-0.95). Individuals with history of cholecystitis/cholecystolithiasis, hypertension and asthma were negatively correlated with H. pylori infection (P < 0.05).
The prevalence of H. pylori infection is high in Wuwei. The major prevalent strain is type I strain. Age, education, occupation, household income, consumption of fruit and vegetables, and habit of eating quickly are independent risk factors for H. pylori infection, which is also associated with individuals with a history of extragastric diseases. Objectives To evaluate the prevalence of Helicobacter pylori infection and risk factors and to serotype the strains in Wuwei, located in north‐western China, which has a high incidence of gastric cancer. Methods Helicobacter pylori infection was analysed in 21 291 adults by 14C‐urea breath test, and H. pylori antibody were detected in 9183 serum samples by latex immunoturbidimetric method. The correlation of H. pylori infection with demographic–economic, lifestyle factors and medical history among the participants was determined by questionnaire. The antibodies against H. pylori urease, VacA and CagA in serum were determined by dot immunobinding assay. Results The infection rate of H. pylori was 53.0%, and 90.1% of strains were type I strains. The H. pylori infection rate was higher among farmers (OR = 1.34, 95% CI: 1.19–1.50) and individuals who had a junior high school or higher education level (OR = 1.10, 95% CI: 1.06–1.15), and was lower in older individuals (OR = 0.86, 95% CI: 0.83–0.90), individuals with high income (OR = 0.93, 95% CI: 0.90–0.95), individuals with a habit of eating quickly (OR = 0.93, 95% CI: 0.87–0.99) and individuals who consumed more fruit and vegetables (OR = 0.90, 95% CI: 0.85–0.95). Individuals with history of cholecystitis/cholecystolithiasis, hypertension and asthma were negatively correlated with H. pylori infection (P < 0.05). Conclusion The prevalence of H. pylori infection is high in Wuwei. The major prevalent strain is type I strain. Age, education, occupation, household income, consumption of fruit and vegetables, and habit of eating quickly are independent risk factors for H. pylori infection, which is also associated with individuals with a history of extragastric diseases. Objectifs Evaluer la prévalence de l'infection à Helicobacter pylori et les facteurs de risque et déterminer le sérotype des souches à Wuwei, situé dans le nord‐ouest de la Chine, où l'incidence du cancer gastrique est élevée. Méthodes L'infection à H. pylori a été analysée chez 21.291 adultes par un test respiratoire à l'urée au 14C, et des anticorps à H. pylori ont été détectés dans 9.183 échantillons de sérum par une méthode immuno‐turbidimétrique au latex. La corrélation entre l'infection à H. pylori et les facteurs démographiques et économiques, le mode de vie et les antécédents médicaux des participants a été déterminée par un questionnaire. Les anticorps contre l’uréase de H. pylori, VacA et CagA dans le sérum ont été déterminés par un test dot par d'immuno‐liaison. Résultats Le taux d'infection à H. pylori était 53,0% et 90,1% des souches étaient du type I. Le taux d'infection à H. pylori est plus élevé chez les agriculteurs (OR = 1,34 ; IC95%: 1,19 à 1,50) et les personnes qui avaient un niveau d'instruction du premier cycle secondaire ou supérieur (OR = 1,10 ; IC95%: 01,06 à 01,15) et était plus faible chez les personnes âgées (OR = 0,86 ; IC95%: 0,83‐0,90), les personnes à revenu élevé (OR = 0,93 ; IC95%: 0,90‐0,95), les personnes ayant l'habitude de manger rapidement (OR = 0,93 ; IC9 %: 0,87‐0,99) et les individus qui consommaient plus de fruits et de légumes (OR = 0,90 ; IC95%: 0,85‐0,95). Les personnes ayant des antécédents de cholécystite/cholécystolithiase, d'hypertension et d'asthme avaient une corrélation négative avec l'infection à H. pylori (p <0,05 ). Conclusion La prévalence de l'infection à H. pylori est élevée à Wuwei. La principale souche répandue est du type I. L'âge, l'éducation, la profession, le revenu du ménage, la consommation de fruits et de légumes et l'habitude de manger rapidement sont des facteurs de risque indépendants d'infection à H. pylori, qui est également associée à des personnes ayant des antécédents de maladies extra‐gastriques. OBJECTIVESTo evaluate the prevalence of Helicobacter pylori infection and risk factors and to serotype the strains in Wuwei, located in north-western China, which has a high incidence of gastric cancer. METHODSHelicobacter pylori infection was analysed in 21 291 adults by 14 C-urea breath test, and H. pylori antibody were detected in 9183 serum samples by latex immunoturbidimetric method. The correlation of H. pylori infection with demographic-economic, lifestyle factors and medical history among the participants was determined by questionnaire. The antibodies against H. pylori urease, VacA and CagA in serum were determined by dot immunobinding assay. RESULTSThe infection rate of H. pylori was 53.0%, and 90.1% of strains were type I strains. The H. pylori infection rate was higher among farmers (OR = 1.34, 95% CI: 1.19-1.50) and individuals who had a junior high school or higher education level (OR = 1.10, 95% CI: 1.06-1.15), and was lower in older individuals (OR = 0.86, 95% CI: 0.83-0.90), individuals with high income (OR = 0.93, 95% CI: 0.90-0.95), individuals with a habit of eating quickly (OR = 0.93, 95% CI: 0.87-0.99) and individuals who consumed more fruit and vegetables (OR = 0.90, 95% CI: 0.85-0.95). Individuals with history of cholecystitis/cholecystolithiasis, hypertension and asthma were negatively correlated with H. pylori infection (P < 0.05). CONCLUSIONThe prevalence of H. pylori infection is high in Wuwei. The major prevalent strain is type I strain. Age, education, occupation, household income, consumption of fruit and vegetables, and habit of eating quickly are independent risk factors for H. pylori infection, which is also associated with individuals with a history of extragastric diseases. ObjectivesTo evaluate the prevalence of Helicobacter pylori infection and risk factors and to serotype the strains in Wuwei, located in north‐western China, which has a high incidence of gastric cancer.MethodsHelicobacter pylori infection was analysed in 21 291 adults by 14C‐urea breath test, and H. pylori antibody were detected in 9183 serum samples by latex immunoturbidimetric method. The correlation of H. pylori infection with demographic–economic, lifestyle factors and medical history among the participants was determined by questionnaire. The antibodies against H. pylori urease, VacA and CagA in serum were determined by dot immunobinding assay.ResultsThe infection rate of H. pylori was 53.0%, and 90.1% of strains were type I strains. The H. pylori infection rate was higher among farmers (OR = 1.34, 95% CI: 1.19–1.50) and individuals who had a junior high school or higher education level (OR = 1.10, 95% CI: 1.06–1.15), and was lower in older individuals (OR = 0.86, 95% CI: 0.83–0.90), individuals with high income (OR = 0.93, 95% CI: 0.90–0.95), individuals with a habit of eating quickly (OR = 0.93, 95% CI: 0.87–0.99) and individuals who consumed more fruit and vegetables (OR = 0.90, 95% CI: 0.85–0.95). Individuals with history of cholecystitis/cholecystolithiasis, hypertension and asthma were negatively correlated with H. pylori infection (P < 0.05).ConclusionThe prevalence of H. pylori infection is high in Wuwei. The major prevalent strain is type I strain. Age, education, occupation, household income, consumption of fruit and vegetables, and habit of eating quickly are independent risk factors for H. pylori infection, which is also associated with individuals with a history of extragastric diseases. Abstract Objectives To evaluate the prevalence of Helicobacter pylori infection and risk factors and to serotype the strains in Wuwei, located in north‐western China, which has a high incidence of gastric cancer. Methods Helicobacter pylori infection was analysed in 21 291 adults by 14 C‐urea breath test, and H. pylori antibody were detected in 9183 serum samples by latex immunoturbidimetric method. The correlation of H. pylori infection with demographic–economic, lifestyle factors and medical history among the participants was determined by questionnaire. The antibodies against H. pylori urease, VacA and CagA in serum were determined by dot immunobinding assay. Results The infection rate of H. pylori was 53.0%, and 90.1% of strains were type I strains. The H. pylori infection rate was higher among farmers (OR = 1.34, 95% CI: 1.19–1.50) and individuals who had a junior high school or higher education level (OR = 1.10, 95% CI: 1.06–1.15), and was lower in older individuals (OR = 0.86, 95% CI: 0.83–0.90), individuals with high income (OR = 0.93, 95% CI: 0.90–0.95), individuals with a habit of eating quickly (OR = 0.93, 95% CI: 0.87–0.99) and individuals who consumed more fruit and vegetables (OR = 0.90, 95% CI: 0.85–0.95). Individuals with history of cholecystitis/cholecystolithiasis, hypertension and asthma were negatively correlated with H. pylori infection ( P < 0.05). Conclusion The prevalence of H. pylori infection is high in Wuwei. The major prevalent strain is type I strain. Age, education, occupation, household income, consumption of fruit and vegetables, and habit of eating quickly are independent risk factors for H. pylori infection, which is also associated with individuals with a history of extragastric diseases. Objectifs Evaluer la prévalence de l'infection à Helicobacter pylori et les facteurs de risque et déterminer le sérotype des souches à Wuwei, situé dans le nord‐ouest de la Chine, où l'incidence du cancer gastrique est élevée. Méthodes L'infection à H. pylori a été analysée chez 21.291 adultes par un test respiratoire à l'urée au 14 C, et des anticorps à H. pylori ont été détectés dans 9.183 échantillons de sérum par une méthode immuno‐turbidimétrique au latex. La corrélation entre l'infection à H. pylori et les facteurs démographiques et économiques, le mode de vie et les antécédents médicaux des participants a été déterminée par un questionnaire. Les anticorps contre l’uréase de H. pylori , VacA et CagA dans le sérum ont été déterminés par un test dot par d'immuno‐liaison. Résultats Le taux d'infection à H. pylori était 53,0% et 90,1% des souches étaient du type I. Le taux d'infection à H. pylori est plus élevé chez les agriculteurs (OR = 1,34 ; IC95%: 1,19 à 1,50) et les personnes qui avaient un niveau d'instruction du premier cycle secondaire ou supérieur (OR = 1,10 ; IC95%: 01,06 à 01,15) et était plus faible chez les personnes âgées (OR = 0,86 ; IC95%: 0,83‐0,90), les personnes à revenu élevé (OR = 0,93 ; IC95%: 0,90‐0,95), les personnes ayant l'habitude de manger rapidement (OR = 0,93 ; IC9 %: 0,87‐0,99) et les individus qui consommaient plus de fruits et de légumes (OR = 0,90 ; IC95%: 0,85‐0,95). Les personnes ayant des antécédents de cholécystite/cholécystolithiase, d'hypertension et d'asthme avaient une corrélation négative avec l'infection à H. pylori ( p <0,05 ). Conclusion La prévalence de l'infection à H. pylori est élevée à Wuwei. La principale souche répandue est du type I. L'âge, l'éducation, la profession, le revenu du ménage, la consommation de fruits et de légumes et l'habitude de manger rapidement sont des facteurs de risque indépendants d'infection à H. pylori , qui est également associée à des personnes ayant des antécédents de maladies extra‐gastriques. |
Author | Hu, Xiaobin Guan, Quanlin Chen, Zhaofeng Ji, Rui Zhang, Fuhua An, Feng Zhang, Jinhua Zhao, Yue Ye, Yuwei Wang, Yuling Hu, Zenan Zhou, Yongning Wang, Yuping Yuan, Hao Pu, Ke Guo, Qinghong Zhang, Zhiyi Shu, Xiaochuang Wu, Zhengqi Liu, Min Wang, Jun Li, Qiang Lu, Hong Zhang, Hongling Li, Youpeng Ren, Qian Liu, Xin Zhao, Shijun Gou, Xi Zheng, Ya Ding, Xiangping |
Author_xml | – sequence: 1 givenname: Fuhua surname: Zhang fullname: Zhang, Fuhua organization: First Hospital of Lanzhou University – sequence: 2 givenname: Ke surname: Pu fullname: Pu, Ke organization: First Hospital of Lanzhou University – sequence: 3 givenname: Zhengqi surname: Wu fullname: Wu, Zhengqi organization: Gansu Province Wuwei Cancer Hospital – sequence: 4 givenname: Zhiyi surname: Zhang fullname: Zhang, Zhiyi organization: Gansu Province Wuwei Cancer Hospital – sequence: 5 givenname: Xin surname: Liu fullname: Liu, Xin organization: Joint Logistic Support Force of PLA – sequence: 6 givenname: Zhaofeng surname: Chen fullname: Chen, Zhaofeng organization: First Hospital of Lanzhou University – sequence: 7 givenname: Yuwei surname: Ye fullname: Ye, Yuwei organization: First Hospital of Lanzhou University – sequence: 8 givenname: Yuping surname: Wang fullname: Wang, Yuping organization: First Hospital of Lanzhou University – sequence: 9 givenname: Ya surname: Zheng fullname: Zheng, Ya organization: First Hospital of Lanzhou University – sequence: 10 givenname: Jinhua surname: Zhang fullname: Zhang, Jinhua organization: Affiliated Hospital of Northwest Minzu University – sequence: 11 givenname: Feng surname: An fullname: An, Feng organization: Wuwei People's Hospital – sequence: 12 givenname: Shijun surname: Zhao fullname: Zhao, Shijun organization: Wuwei Liangzhou Hospital – sequence: 13 givenname: Xiaobin surname: Hu fullname: Hu, Xiaobin organization: Lanzhou University – sequence: 14 givenname: Youpeng surname: Li fullname: Li, Youpeng organization: Minqin County People's Hospital – sequence: 15 givenname: Qiang surname: Li fullname: Li, Qiang organization: First Hospital of Lanzhou University – sequence: 16 givenname: Min surname: Liu fullname: Liu, Min organization: First Hospital of Lanzhou University – sequence: 17 givenname: Hong surname: Lu fullname: Lu, Hong organization: First Hospital of Lanzhou University – sequence: 18 givenname: Hongling surname: Zhang fullname: Zhang, Hongling organization: First Hospital of Lanzhou University – sequence: 19 givenname: Yue surname: Zhao fullname: Zhao, Yue organization: First Hospital of Lanzhou University – sequence: 20 givenname: Hao surname: Yuan fullname: Yuan, Hao organization: First Hospital of Lanzhou University – sequence: 21 givenname: Xiangping surname: Ding fullname: Ding, Xiangping organization: Affiliated Hospital of Northwest Minzu University – sequence: 22 givenname: Xiaochuang surname: Shu fullname: Shu, Xiaochuang organization: First Hospital of Lanzhou University – sequence: 23 givenname: Qian surname: Ren fullname: Ren, Qian organization: First Hospital of Lanzhou University – sequence: 24 givenname: Xi surname: Gou fullname: Gou, Xi organization: First Hospital of Lanzhou University – sequence: 25 givenname: Zenan surname: Hu fullname: Hu, Zenan organization: First Hospital of Lanzhou University – sequence: 26 givenname: Jun surname: Wang fullname: Wang, Jun organization: First Hospital of Lanzhou University – sequence: 27 givenname: Yuling surname: Wang fullname: Wang, Yuling organization: First Hospital of Lanzhou University – sequence: 28 givenname: Quanlin surname: Guan fullname: Guan, Quanlin organization: the First Hospital of Lanzhou University – sequence: 29 givenname: Qinghong surname: Guo fullname: Guo, Qinghong email: guoqh13@lzu.edu.cn organization: First Hospital of Lanzhou University – sequence: 30 givenname: Rui surname: Ji fullname: Ji, Rui email: jir@lzu.edu.cn organization: First Hospital of Lanzhou University – sequence: 31 givenname: Yongning surname: Zhou fullname: Zhou, Yongning email: zhouyn@lzu.edu.cn organization: First Hospital of Lanzhou University |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33159827$$D View this record in MEDLINE/PubMed |
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To evaluate the prevalence of Helicobacter pylori infection and risk factors and to serotype the strains in Wuwei, located in north‐western China,... To evaluate the prevalence of Helicobacter pylori infection and risk factors and to serotype the strains in Wuwei, located in north-western China, which has a... Abstract Objectives To evaluate the prevalence of Helicobacter pylori infection and risk factors and to serotype the strains in Wuwei, located in north‐western... ObjectivesTo evaluate the prevalence of Helicobacter pylori infection and risk factors and to serotype the strains in Wuwei, located in north‐western China,... OBJECTIVESTo evaluate the prevalence of Helicobacter pylori infection and risk factors and to serotype the strains in Wuwei, located in north-western China,... |
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SubjectTerms | Agricultural economics Antibodies associated factors Asthma Cancer Cholecystitis Eating Education Fruits Gastric cancer Health risks Helicobacter pylori Hypertension Income Infections Latex prevalence Questionnaires Risk analysis Risk factors serotyping Urea Urease Vegetables Wuwei cohort |
Title | Prevalence and associated risk factors of Helicobacter pylori infection in the Wuwei cohort of north‐western China |
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