西安地区居民幽门螺杆菌感染现状及生活方式相关性研究

doi:10.12183/j.scjpm.2023.1233

摘要/Abstract

摘要： 目的调查西安地区居民幽门螺杆菌感染现状,并分析幽门螺杆菌感染与居民生活方式的相关性。方法采用多阶段抽样法于2022年1月至12月抽取西安地区社区居民为研究对象进行问卷调查及¹⁴C尿素呼气试验用于评估居民幽门螺杆菌情况,采用描述性分析方法对居民幽门螺杆菌感染情况进行分析,并采用单、多因素分析方法对该人群幽门螺杆菌感染与生活方式相关性进行分析。结果共纳入1 089名居民的调查结果进行分析,幽门螺杆菌感染率为43.62%（475/1 089）。多因素logistic回归结果显示高龄（OR=1.340）、超重或肥胖（BMI≥24.0 kg/m²）（OR=1.146）、文化程度较低（OR=0.453）、脑力劳动为主（OR=1.745）、吸烟（OR=1.245）、饮酒（OR=2.203）、每天吃早餐（OR=0.378）、三餐不规律（OR=4.595）、经常饮用牛乳或酸奶（OR=4.035）为影响幽门螺杆菌感染的独立因素。结论西安地区居民幽门螺杆菌感染率较高,且幽门螺杆菌感染与居民吸烟、饮酒、饮食习惯等生活方式密切相关。

关键词: 消化系统疾病, 幽门螺杆菌, 健康行为, 生活方式

Abstract: Objective To investigate the status of Helicobacter pylori infection among residents in Xi’an and analyze the correlation between Helicobacter pylori infection and residents’ lifestyle. Methods A multi-stage sampling method was used to select community residents in Xi’an from January to December 2022 for a questionnaire survey and a ¹⁴C urea breath test to evaluate the status of Helicobacter pylori infection. Descriptive analysis was used to analyze the status of Helicobacter pylori infection among residents, and univariate and multivariate analysis methods were used to analyze the correlation between Helicobacter pylori infection and lifestyle in this population. Results A total of 1 089 residents were included for analysis, and the infection rate of Helicobacter pylori was 43.62% （475/1 089）. Multivariate logistic regression analysis showed that older age （OR=1.340）, overweight or obese （BMI≥24.0 kg/m²）（OR=1.146）, lower education level （OR=0.453）, predominantly mental labor （OR=1.745）, smoking （OR=1.245）, alcohol consumption （OR=2.203）, daily breakfast （OR=0.378）, irregular meals （OR=4.595）, and frequent consumption of milk or yogurt （OR=4.035） were independent factors affecting Helicobacter pylori infection. Conclusion The prevalence of Helicobacter pylori infection among residents in Xi’an is relatively high, and it is closely related to lifestyle factors such as smoking, drinking, and dietary habits.

Key words: Digestive system disease, Helicobacter pylori, Healthy behavior, Lifestyle

中图分类号:

R193

常婧, 冯燕, 曹睿, 朱可. 西安地区居民幽门螺杆菌感染现状及生活方式相关性研究[J]. 华南预防医学, 2023, 49(10): 1233-1238.

CHANG Jing, FENG Yan, CAO Rui, ZHU Ke. Status of Helicobacter pylori infection among residents in Xi'an and its correlation with their lifestyle[J]. South China Journal of Preventive Medicine, 2023, 49(10): 1233-1238.

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