Yu Jianwei, An Hejuan, Su Hui, Li Shujun, Yang Lang, Xie Hui, Jin Peng, Li Aiqin, Sheng Jianqiu
Department of Gastroenterology, General Hospital of Beijing Command, Beijing 100700, China.
Department of Gastroenterology, General Hospital of Beijing Command, Beijing 100700, China. Email:
Zhonghua Yi Xue Za Zhi. 2015 Jan 13;95(2):138-41.
To explore the Helicobacter pylori (Hp) infection rate among army and navy recruits, examine its associated risk factors and provide theoretic rationales for Hp control.
A cross-sectionalstudy was performed for 1 732 subjects (aged 17-24 years) selected from 18 new recruit populations in Inner Mongolia and Zhoushan area from September 2013 to November 2013.Hp infection was detected by (13)C-urea breath test. Meanwhile, a questionnaire containing 62 potential factors related to Hp infection was surveyed. In addition, (13)C-urea breath test was performed in 513 navy veterans (aged 19-51 years) in Zhoushan area from April 2013 to October 2013. The data of risk factors were analyzed by χ(2) test and multivariate Logistic regression.
A total of 2 162 soldiers were enrolled and 1 649 new recruits completed two surveys. The overall Hp infection rate was 46.5% (768/1 649), which is lower than the previous studies (52.9%). And it was 47.0% (377/802) in army new recruits and 46.0% (390/847) in navy new recruits. For new recruits, Hp infection was associated with number of family members, washing tableware with detergents, first drinking age and paring fruits before eating (all P < 0.05). However, there was no association with age, education level or washing hands before meal (all P > 0.05). The Hp infection rate was higher in recruits from the West China and North China.In addition, the infection rate was 60.8% (312/513) in a population of 513 veterans. It was 46.6% (768/1 649) in recruits less than onemonth of service, 59.2% (180/304) in recruits less than two years of service and 63.2% (132/209) in recruits more than two years of service, the difference had statistical significance(P < 0.05). Logistic analysis of multiple variables showed that number of family members, washing tableware with detergents, first drinking age and paring fruits before eating were independent risk factors (OR = 1.574, 0.538, 0.638, 0.855; 95%CI:1.077-2.301, 0.362-0.798, 0.486-0.837, 0.457-0.961).
The Hp infection rate is similar between army and navy recruits. It has dropped significantly and its epidemic region changed in new male recruits compared to a decade ago in china. Hp infection clustered within families. The factors including fewer family members, washing tableware without detergents, first drinking at young age and no paring fruits before eating are risk factors of Hpinfection. And a longer service time is associated with higher Hp infection rate in recruits.
探讨陆海新兵幽门螺杆菌（Hp）感染率，分析其相关危险因素，为Hp防控提供理论依据。
2013年9月至11月，选取内蒙古和舟山地区18个新兵群体中的1732名17 - 24岁受试者进行横断面研究。采用（13）C - 尿素呼气试验检测Hp感染情况。同时，对62个可能与Hp感染相关的因素进行问卷调查。另外，2013年4月至10月，对舟山地区513名19 - 51岁海军退伍军人进行（13）C - 尿素呼气试验。采用χ（2）检验和多因素Logistic回归分析危险因素数据。
共纳入2162名士兵，1649名新兵完成两项调查。总体Hp感染率为46.5%（768/1649），低于以往研究（52.9%）。陆军新兵感染率为47.0%（377/802），海军新兵感染率为46.0%（390/847）。对于新兵，Hp感染与家庭成员数量（P < 0.05）、用洗涤剂洗碗筷、初次饮酒年龄、饭前削水果（P < 0.05）有关。与年龄、文化程度、饭前洗手无关（P > 0.05）。来自中国西部和北部的新兵Hp感染率较高。另外，513名退伍军人感染率为60.8%（312/513）。服役不足1个月的新兵感染率为46.6%（768/1649），服役不足2年的新兵感染率为59.2%（180/304），服役超过2年的新兵感染率为63.2%（132/209），差异有统计学意义（P < 0.05）。多因素Logistic分析显示，家庭成员数量、用洗涤剂洗碗筷、初次饮酒年龄、饭前削水果是独立危险因素（OR = 1.574，0.538，0.638，0.855；95%CI：1.077 - 2.301，0.362 - 0.798，0.486 - 0.
