Awadalla Nabil J
Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha, 61421, Saudi Arabia.
Department of Community Medicine, Faculty of Medicine, Mansoura University, Mansoura, 3551, Egypt.
Ann Med Surg (Lond). 2019 Oct 10;47:61-65. doi: 10.1016/j.amsu.2019.10.009. eCollection 2019 Nov.
Gastroesophageal reflux disease (GERD) is a worldwide prevalent gastrointestinal disorder which has negative impacts on quality of life, health and economy. The aims of this study were to assess the prevalence of GERD among college students in southwestern Saudi Arabia and to evaluate its personal, academic and stress correlates.
Through a cross-sectional study design, a self-reported questionnaire was distributed between a representative sample of students in health and non-health care colleges in southwestern Saudi Arabia. The questionnaire included data for personal characteristics, academic study, and Arabic versions of GERD questionnaire (GerdQ) and Cohen's Perceived Stress Scale.
Out of 2878 studied students, GERD was reported by 28.6% and 36.6% of students in health and non-health care colleges respectively with an overall prevalence rate of 33.18%. It was associated with impacts on daily life in 17.2% of students. By multivariable regression analysis, GERD was significantly higher among males (aOR = 1.44, 95% CI:117-1.65), ex-smokers (aOR = 1.87), current smokers (aOR = 1.71), non-health care students (aOR = 1.36) and those exposed to high perceived stress (aOR = 1.30).
GERD is a prevalent problem among college students in southwestern Saudi Arabia as it affects about one third of the students. Considering high prevalence of GERD, associated daily life impacts, young age of the studied subject and the risk of future complications, this condition could represent a challenging health and economic problem. The risk of GERD is higher among; males, smokers, former smokers, non-health care colleges students and subjects exposed to high perceived stress.
胃食管反流病（GERD）是一种在全球范围内普遍存在的胃肠道疾病，对生活质量、健康和经济都有负面影响。本研究的目的是评估沙特阿拉伯西南部大学生中GERD的患病率，并评估其与个人、学业和压力的相关性。
通过横断面研究设计，在沙特阿拉伯西南部健康与非医疗保健专业学院的学生代表性样本中发放了一份自我报告问卷。问卷包括个人特征、学业学习的数据，以及GERD问卷（GerdQ）的阿拉伯语版本和科恩感知压力量表。
在2878名被研究的学生中，健康专业学院和非医疗保健专业学院分别有28.6%和36.6%的学生报告患有GERD，总体患病率为33.18%。17.2%的学生表示其对日常生活有影响。通过多变量回归分析，男性（调整后比值比[aOR]=1.44，95%置信区间[CI]：1.17-1.65）、既往吸烟者（aOR=1.87）、当前吸烟者（aOR=1.71）、非医疗保健专业学生（aOR=1.36）以及那些感知压力较高的学生（aOR=1.30）患GERD的比例显著更高。
GERD是沙特阿拉伯西南部大学生中的一个普遍问题，约三分之一的学生受其影响。鉴于GERD的高患病率、对日常生活的相关影响、被研究对象的年轻年龄以及未来并发症的风险，这种情况可能是一个具有挑战性的健康和经济问题。GERD在男性、吸烟者、既往吸烟者、非医疗保健专业学院学生以及感知压力较高的人群中风险更高。
