Epidemiological investigation of Helicobacter pylori in central and southern area of Anhui province
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摘要: 目的 了解安徽中南部地区居民幽门螺杆菌感染情况,探讨与幽门螺杆菌感染相关的风险因素,指导该地区人群幽门螺杆菌感染的早期预防及干预。 方法 采用整体分层随机抽样的方法选取桐城及歙县20~90岁居民共计1 536人进行调查。受检者在签订知情同意书后,使用统一问卷进行调查。调查结束后进行14C尿素呼气试验评价感染状态,结合问卷调查对相关因素进行分析,应用SPSS 18.0统计学软件分析相关数据,探讨该地区影响幽门螺旋杆菌感染的相关因素。 结果 本次共调查1 536人,结果显示安徽中南部地区人群幽门螺杆菌感染率为63.15%(970/1 536),幽门螺杆菌感染与不同年龄(χ2=70.886,P<0.001)、文化教育程度(χ2=29.754,P<0.001)、睡眠质量(χ2=136.339,P<0.001)、进食豆类及制品(χ2=89.114,P<0.001)、进食瓜果蔬菜(χ2=91.919,P<0.001)、饮酒频率(χ2=266.436,P<0.001)、饮用浓茶(χ2=86.956,P<0.001)、进食腌制食品(χ2=215.677,P<0.001)等有相关性。 结论 安徽中南部地区幽门螺杆菌感染率高于全国平均水平,幽门螺杆菌的感染与多种因素有关。其中较高的文化教育、较好的睡眠质量、进食豆类及其制品、进食瓜果蔬菜、饮用浓茶等是幽门螺杆菌感染的保护性因素,而文化水平较低、睡眠差、饮酒及进食腌制食品是幽门螺杆菌感染的危险因素。Abstract: Objective To investigate the Helicobacter pylori infection among residents in central and southern area of Anhui province, to explore the risk factors associated with Helicobacter pylori infection, and to guide the early prevention and intervention of Helicobacter pylori infection in local population. Methods After signing the informed consent, all the subjects will conduct the investigation with a unified questionnaire. After the end of the questionnaire, the 14C urea breath test was used to evaluate the infection status, analyze the test results, and analyze some related factors by using the questionnaire survey. The SPSS 18.0 statistical software was used to explore the risk factors associated with H. pylori infection in the region. Results A total of 1 536 people were surveyed. The results showed that the Helicobacter pylori infection rate was 63.2%(970/1 536) in central and southern area of Anhui province, Helicobacter pylori infection and age(χ2=70.886, P<0.001),education(χ2=29.754, P<0.001), sleep quality(χ2=136.339, P<0.001), eating beans and products(χ2=89.114, P<0.001), and eating Fruit and Vegetables(χ2=91.919, P<0.001),Alcohol consumption(χ2=266.436, P<0.001), drinking strong tea(χ2=86.956, P<0.001), and pickled food consumption(χ2=215.677, P<0.001) were related. Conclusion The infection rate of Helicobacter pylori in the central and southern area of Anhui is higher than the national average. The infection of Helicobacter pylori is related to demographic characteristics, personal living habits and personal eating habits. Among them, higher cultural education, better quality of sleep, eating beans and their products, eating fruits and vegetables, drinking strong tea, etc. are protective factors for Helicobacter pylori infection, and the cultural level is low, poor sleep, drinking and eating preserved foods is a risk factor for Helicobacter Pylori infection.
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