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埃及本科医学生中的胃食管反流病:患病率及危险因素

Gastroesophageal Reflux Disease Among Undergraduate Medical Students in Egypt: Prevalence and Risk Factors.

作者信息

Essa Ali, Nasser Ahmed, Noureldeen Ibrahim Mohamed, Ebeid Ibrahim, Ebeid Ahmed, Ahmed Baraa, Allam Heba Khodary, Shehab-Eldeen Somaia, Essa Abdallah

机构信息

Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt.

Faculty of Medicine, Cairo University, Cairo, Egypt.

出版信息

Int J Gen Med. 2024 Dec 11;17:6037-6046. doi: 10.2147/IJGM.S503049. eCollection 2024.

DOI:10.2147/IJGM.S503049
PMID:39678676
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11646440/
Abstract

BACKGROUND

Gastroesophageal reflux disease (GERD) is a prevalent gastrointestinal condition that has a detrimental impact on one's quality of life because of acid reflux causing damage to the esophagus. Primary symptoms consist of heartburn and regurgitation, although patients may also encounter chest pain, nausea, and dysphagia. Medical students may be particularly susceptible due to stressful lifestyles and unhealthy habits. This study investigates the prevalence of GERD among medical students in Egypt and explores associated risk factors.

SUBJECTS AND METHODS

This is a cross-sectional observational study that was conducted among undergraduate medical students at 21 medical schools across Egypt. The study included 602 participants from medical schools. The study utilized a pre-designed, self-administered questionnaire that includes questions about sociodemographic and lifestyle attributes, accompanied by the GERDQ questionnaire used to diagnose gastroesophageal reflux disease.

RESULTS

A total of 602 undergraduate medical students completed the questionnaire. The prevalence of GERD was found to be 28.4%, with heartburn and regurgitation being the most prevalent symptoms among participants. Univariate and multivariate logistic regression revealed family history of GERD and stress after medical school enrollment as significant predictors of GERD symptoms (p=0.043 and p=0.044, respectively).

CONCLUSION

GERD has become increasingly common among medical students in Egypt. Contributing factors include medical students' stressful lifestyles and familial predispositions. To address this, it is essential to implement counseling programs and raise awareness as initial steps toward reducing GERD prevalence.

摘要

背景

胃食管反流病(GERD)是一种常见的胃肠道疾病,由于胃酸反流会对食管造成损害,从而对患者的生活质量产生不利影响。主要症状包括烧心和反流,不过患者也可能出现胸痛、恶心和吞咽困难等症状。医学生由于生活压力大以及生活习惯不健康,可能特别容易患上这种疾病。本研究调查了埃及医学生中胃食管反流病的患病率,并探讨了相关的危险因素。

研究对象与方法

这是一项横断面观察性研究,在埃及21所医学院校的本科医学生中开展。该研究纳入了来自医学院校的602名参与者。研究使用了一份预先设计的自填式问卷,其中包括有关社会人口统计学和生活方式特征的问题,同时还使用了GERDQ问卷来诊断胃食管反流病。

结果

共有602名本科医学生完成了问卷。发现胃食管反流病的患病率为28.4%,烧心和反流是参与者中最常见的症状。单因素和多因素逻辑回归分析显示,胃食管反流病家族史以及医学院入学后的压力是胃食管反流病症状的重要预测因素(p值分别为0.043和0.044)。

结论

胃食管反流病在埃及医学生中越来越普遍。促成因素包括医学生压力大的生活方式和家族易感性。为了解决这一问题,实施咨询项目并提高认识是降低胃食管反流病患病率的初步措施,这至关重要。

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