巴基斯坦拉合尔地区幽门螺杆菌感染危险因素的识别

Ashfaq Ali, M. Ahmad, Z. Iqbal, A. Basit
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引用次数: 2

摘要

在本研究中,通过病例对照研究,采用描述性和分析性方法调查拉合尔市幽门螺杆菌感染的重要危险因素。从拉合尔不同医院的消化内科和门诊选取362名受试者。研究中包括了25个分类别的危险因素。对于双变量分析,使用卡方,phi/v统计和Kendall的tau-b。从描述性分析中发现,在餐馆吃饭的人比在家吃饭的人有更大的感染风险。通过描述性分析,还观察到幽门螺杆菌感染的风险随着每户家庭成员数量和每间房间居住人数的增加而增加。此外,在双变量分析中也观察到类似的结果。在分析中,年龄、吃的食物、喜欢的食物、牙齿抱怨和每间房间居住人数这5个危险因素具有正显著性,其比值比和95%置信区间为(1.025;1.003 - -1.047), (9.596;4.767 - -19.314), (3.500;1.509 - -8.119), (3.204;1.685-6.094)和(2.772;分别为1.496 - -5.139)。而饮茶、受教育程度和污水处理系统这三个危险因素的比值比为负显著,比值比为95%置信区间(0.221;0.119 - -0.411), (0.216;0.115-0.404)和(0.401;0.218-0.738),说明这三种危险因素是预防幽门螺杆菌感染的保护因素。根据这项研究,与其他危险因素相比,在餐馆吃饭的人感染幽门螺杆菌的风险更高。
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Identification of the Risk Factors Associated with Helicobacter pyloriInfection in Lahore, Pakistan
In this study, significant risk factors of Helicobacter pylori infection in Lahore are investigated through a case-control study by using descriptive and analytical approaches. A sample of 362 subjects was selected from the Gastroenterology Departments and OPDs of different hospitals of Lahore. About 25 risk factors with sub categories were included in the study. For bivariate analysis, the chi-square, phi/v statistics and Kendall’s tau-b are used. From descriptive analysis, it was found that the persons who eat from restaurants have more risk of infection as compare to persons who eat homemade food. By the descriptive analysis, it was also observed that risk of Helicobacter pylori infection increases with an increase in the number of family members per house and in the number of persons living per room. Furthermore, similar results were observed in the bivariate analysis. In the analysis, the five risk factors including age, food eat, food liked, dental complains and number of persons living per room are found to be positively significant having the odds ratios and 95% confidence intervals of odds ratios (1.025; 1.003-1.047), (9.596; 4.767-19.314), (3.500; 1.509-8.119), (3.204; 1.685-6.094) and (2.772; 1.496-5.139), respectively. While the three risk factors including usage of tea, educational level and sewerage system are found to be negatively significant having odds ratios and 95% confidence intervals for the odds ratios (0.221; 0.119-0.411), (0.216; 0.115-0.404) and (0.401; 0.218-0.738), respectively, which indicates that these three risk factors are protective factors against Helicobacter pylori infection. According to this study, the subjects who eat from restaurants have higher risk of Helicobacter pylori infection as compared to all other risk factors.
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