The prevalence and habit-associated risk factors of gastroesophageal reflux disease among fishermen in Indonesia

A. Zein, Catur Setiya Sulistiyana, T. Permatasari, U. Khasanah, T. Pratamawati, Ismayanti Ismayanti, Dwi Listiany Corneli, Eni Suhaeni
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Abstract

Background. This study was aimed to investigate the prevalence and habit-associated risk factors of gastroesophageal reflux disease (GERD) among fishermen.Methods. A cross-sectional study was conducted among 168 adult fishermen in Cirebon Regency, West Java, Indonesia. A self-administered questionnaire was given. The questionnaire consisted of demographic characteristics and validated GERD questionnaire (GERDQ) in Indonesian language. Data were analyzed using descriptive statistics and chi-square test. The study has been approved by the Medical Research Ethic Comiittee.Results. The medan age of the participants was 39.0 (24-86) years old. They were predominanty (60.7%) female. The prevalence of GERD was 22.6%. According to bivariate analysis, there was association between smoking (PR 1.181; 95%CI 1.013-1.377;p 0.041), high-salt intake (PR 2.419;95%CI 1.079-5.424; p 0.029), herb consumption (PR 3.068; 95%CI 1.307-7.200; p 0.008), poor hand hygiene (PR 3.202; 95%ci 1.445-7.095; p 0.003), and non-steroidal anti-inflammatory drug (NSAID) consumption (PR 3.062; 95%CI 1.446-6.488; p 0.00) with GERD. Tea consumption, coffee consumption, and raw vegetable eating were not associated with GERD.Conclusions This population-based study showed that the prevalence of GERD among fishermen in Indonesia is high. Habits associated with GERD in this study were smoking, high-salt intake, herb consumption poor, hand hygiene,
印尼渔民胃食管反流病患病率及习惯相关危险因素
背景。本研究旨在调查渔民胃食管反流病(GERD)的患病率及与习惯相关的危险因素。在印度尼西亚西爪哇的Cirebon Regency对168名成年渔民进行了横断面研究。给出了一份自我管理的问卷。问卷由人口学特征和印尼语GERDQ组成。资料分析采用描述性统计和卡方检验。该研究已获得医学研究伦理委员会的批准。参与者的平均年龄为39.0岁(24-86岁)。以女性居多(60.7%)。胃反流发生率为22.6%。根据双变量分析,吸烟与肺癌之间存在相关性(PR为1.181;95%CI 1.013-1.377;p 0.041),高盐摄入(PR 2.419;95%CI 1.079-5.424;p 0.029),草药消费(PR 3.068;95%可信区间1.307 - -7.200;p 0.008),手卫生差(PR 3.202;95%可信区间1.445 - -7.095;p 0.003),非甾体抗炎药(NSAID)的使用(PR 3.062;95%可信区间1.446 - -6.488;p 0.00)。喝茶、喝咖啡和吃生蔬菜与胃反流没有关系。结论:这项基于人群的研究表明,印度尼西亚渔民中GERD的患病率很高。在这项研究中,与胃反流相关的习惯包括吸烟、高盐摄入、草药摄入不足、手卫生、
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