台湾青少年幽门螺杆菌血清流行病学研究。

L Y Wang, J T Lin, Y W Cheng, S J Chou, C J Chen
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引用次数: 0

摘要

幽门螺杆菌已被证实与慢性B型胃炎、消化性溃疡和胃癌有关。为了解台湾地区幽门螺杆菌感染的血清患病率及危险因素,在20个研究区和乡镇随机抽取初中生871名。采用市售试剂盒,采用酶联免疫吸附法检测血清中抗幽门螺杆菌IgG抗体。血清总阳性率为21.1%,无性别差异。20个区(镇)幽门螺杆菌血清感染阳性率在4.6% ~ 37.1%之间,存在显著的地理差异。阳性率以北部最高(25.4%),中部中等(21.9%),南部最低(18.7%)。某一研究地区胃癌的年龄校正死亡率越高,该地区幽门螺杆菌的血清阳性率也越高。都市及原住民区血清患病率高于都市及乡村,但差异无统计学意义。无兄弟姐妹(29.4%)或兄弟姐妹人数>或= 6(31.1%)的血清患病率高于兄弟姐妹人数为1-5的(20.0%),但差异无统计学意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Seroepidemiology of Helicobacter pylori among adolescents in Taiwan.

Helicobacter pylori has been documented to be associated with chronic type B gastritis, peptic ulcer and gastric cancer. In order to examine the seroprevalence and risk factors for Helicobacter pylori infection in Taiwan, a total of 871 adolescents were selected randomly from junior high school children in 20 study precincts and townships. Serum samples collected were tested for IgG antibodies against Helicobacter pylori by enzyme-linked immunosorbent assay using commercial kits. The overall seropositive rate was 21.1% showing no gender difference. There was a striking geographical variation in seroprevalence of Helicobacter pylori infection ranging from 4.6% to 37.1% in 20 precincts and townships. The seroprevalence was highest in the north (25.4%), medium in central Taiwan (21.9%), and lowest in the south (18.7%). The higher the age-adjusted mortality from gastric cancer in a given study area, the higher the seroprevalence of Helicobacter pylori in the area. Metropolitan and aboriginal areas had higher seroprevalences than urban and rural areas, but the difference was not statistically significant. The seroprevalence was higher for those who had no sibling (29.4%) or had a sibship size of > or = 6 (31.1%) than for those with a sibship size of 1-5 (20.0%), but the difference was not statistically significant either.

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