Document Detail


Prevalence of Helicobacter pylori in Indigenous Western Australians: comparison between urban and remote rural populations.
MedLine Citation:
PMID:  15748129     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine and compare the prevalence of Helicobacter pylori in an urban and a remote rural Western Australian Indigenous community. DESIGN: Cross-sectional study of Helicobacter pylori status determined by urea breath tests between mid-January 2003 and the end of June 2004. PARTICIPANTS: 520 self-selected fasting participants, comprising 270 members of the Martu community at Jigalong, Punmu and Parnngurr in the East Pilbara region (129 men, 141 women; age range, 2-90 years) and 250 people from the Perth Indigenous community (96 men, 154 women; age range, 3-75 years. RESULTS: The overall prevalence of H. pylori was 76%, but the prevalence in the remote rural community was 91%, compared with 60% in the urban community. The odds of having H. pylori were six times greater for rural than for urban participants (odds ratio [OR], 6.34; 95% CI, 3.89-10.33). Further, the overall odds of H. pylori infection in males (rural and urban combined) were greater than for females (OR, 1.61; 95% CI, 1.02-2.54). In both communities, the prevalence of infection remained relatively constant after the age of 10. CONCLUSIONS: The prevalence of H. pylori in the two Indigenous communities was two to three times higher than that in the non-Indigenous Australian population and higher than that shown in previous studies in Indigenous Australians.
Authors:
Helen M Windsor; Emmanuel A Abioye-Kuteyi; Jacqueline M Leber; Susan D Morrow; Max K Bulsara; Barry J Marshall
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  182     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-03-07     Completed Date:  2006-03-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  210-3     Citation Subset:  IM    
Affiliation:
NHMRC Helicobacter Research Laboratory, Microbiology, University of Western Australia, Perth, WA 6009, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Breath Tests
Carbon Isotopes / diagnostic use
Child
Child, Preschool
Cross-Sectional Studies
Female
Gastritis / epidemiology,  microbiology*
Helicobacter Infections / epidemiology*
Helicobacter pylori / physiology*
Humans
Male
Middle Aged
Oceanic Ancestry Group / statistics & numerical data*
Prevalence
Rural Health / statistics & numerical data*
Sex Factors
Urban Health / statistics & numerical data*
Urea / diagnostic use
Western Australia / epidemiology
Chemical
Reg. No./Substance:
0/Carbon Isotopes; 57-13-6/Urea
Comments/Corrections
Comment In:
Med J Aust. 2005 Mar 7;182(5):205-6   [PMID:  15748127 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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