Seroprevalence of Helicobacter pylori infection in Polish children and adults depending on socioeconomic status and living conditions |
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| Affiliation: | 1. U.O.C. di Gastroenterologia ed Endoscopia Digestiva “Casa Sollievo della Sofferenza”, San Giovanni Rotondo, Foggia, Italy;2. S. A. di Endoscopia Digestiva e Gastroenterologia “Istituti Ospedalieri”, Cremona, Italy;3. U.O. di Gastroenterologia e Dietetica Clinica “S. Maria delle Croci”, Ravenna, Italy;4. U.O.C. di Gastroenterologia ed Endoscopia Digestiva “A.Maresca”, Torre del Greco, Naples, Italy;5. S.C. di Endoscopia Digestiva “S.Agostino — Estense”, Baggiovara, Modena, Italy;6. U.O.C. di Endoscopia Digestiva Chirurgica “A. Gemelli”, Rome, Italy;7. UOC di Gastroenterologia “S.Maria del Prato”, Feltre, Belluno, Italy;8. U.O.M. di Gastroenterologia ed Endoscopia Digestiva “Santa Maria del Carmine”, Rovereto, Trento, Italy;9. U.O. di Gastroenterologia ed Endoscopia Digestiva “San Paolo”, Bari, Italy;10. U.O.D. di Endoscopia Digestiva “Sant''Andrea”, Rome, Italy;11. S.C. di Gastroenterologia “S.Maria di Ca'' Fondello”, Treviso, Italy;12. U.O.C. di Endoscopia Digestiva Chirurgica “Sacro Cuore”, Campobasso, Italy;13. U.O.C. di Gatroenterologia ed Endoscopia Digestiva “L.Curto”, Polla e S.Arsenio, Salerno, Italy;14. S.C. di Gastroenterologia ed Endoscopia Digestiva “San Bassiano”, Bassano del Grappa, Vicenza, Italy;15. U.O.C. di Gastroenterologia ed Endoscopia Digestiva “San Gennaro”, Naples, Italy;16. U.O Gastroenterologia — Servizio di Endoscopia Digestiva “V. Cervello”, Palermo, Italy;17. U.O.S.D. di Gastroenterologia ed Endoscopia Digestiva “SS. Annunziata”, Chieti, Italy;18. S. C. di Gastroenterologia ed Endoscopia Digestiva “A.Manzoni”, Lecco, Italy;19. S.C. di Gastroenterologia 2 — A.O. Universitaria “San Giovanni Battista”, Turin, Italy;20. U.O.C. di Epato-Gastroenterologia — Unità di Endoscopia Digestiva “II° Policlinico”, Naples, Italy;21. U.O. Clinica Gastroenterologica con Endoscopia-Dipart. Medicina Interna “San Martino”, Genova, Italy;22. Gastroenterologia ed Endoscopia Digestiva “Ospedali Riuniti”, Foggia, Italy;23. U.O.C. di Gastroenterologia ed Endoscopia Digestiva “San Camillo de Lellis”, Rieti, Italy;1. Gastroenterology and Digestive Endoscopy, ‘Nuovo Regina Margherita’ Hospital, Rome, Italy;2. Department of Digestive and Liver Disease, Sant''Andrea Hospital, University Sapienza of Rome, Rome, Italy;3. Department of Gastroenterology and Digestive Endoscopy, “Casa Sollievo della Sofferenza” Hospital, IRCCS, San Giovanni Rotondo, Foggia, Italy;4. Gastroenterology, Maresca Hospital, Torre del Greco, Naples, Italy;5. Gastroenterology Unit ‘Riuniti’ Hospital, Foggia, Italy;6. Department of Gastroenterology, HHT Center, Maggiore Hospital, Crema, Italy;1. Department of Tumor Etiology and Screening, Cancer Institute and General Surgery, the First Affiliated Hospital of China Medical University, and Key Laboratory of Cancer Etiology and Prevention, Liaoning Provincial Education Department, Shenyang 110001, China;2. Health Examination Center, the First Affiliated Hospital of China Medical University, 155 North Nanjing Street, Heping District, Shenyang City, 110001, China;1. Laboratorio de Microbiología, Hospital Universitario Virgen de las Nieves, Spain;2. Departamento de Microbiología, Universidad de Granada, 18014 Granada, Spain |
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| Abstract: | PurposeHelicobacter pylori (H. pylori) is one of the causes of gastritis, peptic ulcer disease, gastric cancer and MALT-lymphoma. The frequency of H. pylori infection is different in various regions of the world and dependent on age, socioeconomic and hygiene status. The objective of this study was to assess seroprevalence and the associated socioeconomic and sociodemographic characteristics influencing H. pylori infection in children and adults in Polish population.Material/methodsIn multicenter epidemiological studies, H. pylori infection occurrence was assessed in Poland in the years 2002 and 2003. The seroprevalence of H. pylori infection diagnosis was based on IgG anti-H. pylori antibodies concentration above 24 UI/ml, which was measured using ELISA test. The study included 6565 subjects: 3307 adults (50.37%) and 3258 children (49.63%).ResultsPositive result was observed in 3827 subjects (58.29%), i.e. 1043 children (32.01%) and 2784 adults (84.19%). H. pylori infection prevalence was greater in children of poor economic status, who were born in a rural area, lived in crowded houses with no running tap water and with toilet outside the house, and who did not observe hygiene rules. In adults, the factors predisposing to higher probability of being H. pylori infected included: being born in a rural area, having low family income and elementary education, smoking tobacco, drinking high proof alcohols as well as not observing of hygiene rules.ConclusionsImprovement of socioeconomic status, sanitary and hygienic conditions and the education of the society might decrease H. pylori infection prevalence in children and in adults. |
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| Keywords: | Seroprevalence Epidemiology Risk factors Children Adults |
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