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Differences in the Levels of Gastric Cancer Risk Factors Between Nanjing and Minqing Counties,China
Authors:Xiang-Quan Xie  Kui-Cheng Zheng  Bing-Shan Wu  Tie-Hui Chen  Shan-Rong Lai  Zai-Sheng Lin  Kazuo Aoki
Affiliation:1.Fujian Center for Disease Control and Prevention, Fuzhou, China;2.Fujian Medical University School of Public Health, Fuzhou, China;3.Fujian Key Laboratory for Zoonoses Research, Fuzhou,China;4.Department of Public Health and Hygiene, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
Abstract:

Objectives:

In Fujian Province, China, gastric cancer is one of the leading causes of mortality among all malignant tumors. Nanjing county and Minqing county are located in inland Fujian and have similar general demographics. However, the adjusted mortality rate of gastric cancer in Minqing was found to be much higher than that in Nanjing. We sought to explore factors associated with this increased risk of gastric cancer between the two counties.

Methods:

We recruited 231 and 224 residents from Nanjing and Minqing, respectively, and analyzed differences between their dietary habits, Helicobacter pylori infection rates, and concentrations of serum pepsinogen I, pepsinogen II, gastrin-17, and ratio of pepsinogen I:II.

Results:

Subjects in Minqing had more first-degree relatives who had been diagnosed with upper gastrointestinal tumor, more unhealthy dietary habits, a higher Helicobacter pylori positive rate, and greater proportion of abnormal serum gastrin-17 than those in Nanjing did.

Conclusions:

The factors that differed between these two counties might indicate that residents in Minqing have a higher risk for developing gastric cancer than those in Nanjing do.
Keywords:Stomach neoplasms   Food habits   Helicobacter pylori   Pepsinogen   Gastrins
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