Upper socioeconomic status is associated with lower Helicobacter pylori infection rate among patients undergoing gastroscopy

Socioeconomic factors play an important role in the prevalence of Helicobacter pylori (HP) infection. The aim of this study is to investigate HP prevalence among symptomatic patients in the upper socioeconomic segment of the population undergoing gastroscopy in an endemic urban region. Over a 12-mon...

Full description

Saved in:
Bibliographic Details
Published in:Journal of infection in developing countries 2020-03, Vol.14 (3), p.298-303
Main Authors: Attila, Tan, Zeybel, Mujdat, Yigit, Yesim Esen, Baran, Bulent, Ahishali, Emel, Alper, Emrah, Aslan, Fatih, Ergonul, Onder, Mungan, Zeynel
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Female
Gastritis - epidemiology
Gastritis - etiology
Gastroscopy
Helicobacter Infections - epidemiology
Helicobacter Infections - etiology
Helicobacter pylori
Hospitals, University
Humans
Infections
Male
Middle Aged
Prospective Studies
Social Class
Socioeconomic factors
Socioeconomic status
Turkey - epidemiology
Young Adult
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Socioeconomic factors play an important role in the prevalence of Helicobacter pylori (HP) infection. The aim of this study is to investigate HP prevalence among symptomatic patients in the upper socioeconomic segment of the population undergoing gastroscopy in an endemic urban region. Over a 12-month period, data were collected from the first consecutive 1000 patients (500 from university hospital, 500 from community hospital) who had gastroscopy and HP evaluation. Overall, 211/1000 patients (21.1 %) were found to have HP in gastric biopsies. The specificity, sensitivity, positive predictive value, negative predictive value and diagnostic accuracy of rapid urease test were 87.5%, 99.7%, 99%, 96.5%, and 96.9% respectively. Atrophic gastritis, gastric and duodenal ulcers were significantly more common in HP positive patients. Age based distribution of HP prevalence: > 6 decades (15.5%), 3rd-5th decades (26.1%), < 3rd decades (10.4%). In an HP endemic country, the prevalence of HP infection among symptomatic patients belonging to the upper socioeconomic segment of the population appears to be markedly lower. The lowest prevalence in young patients is expected to result in future decrease in HP prevalence.
ISSN:1972-2680
2036-6590
1972-2680
DOI:10.3855/jidc.11877