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  • Agreus, LarsKarolinska Institutet,Karolinska Inst, Div Family Med, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden. (author)

Towards a healthy stomach? : Helicobacter pylori prevalence has dramatically decreased over 23 years in adults in a Swedish community

  • Article/chapterEnglish2016

Publisher, publication year, extent ...

  • 2016-10
  • Wiley,2016
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-306752
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-306752URI
  • https://doi.org/10.1177/2050640615623369DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-130068URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:134337601URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-135232URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background In Western countries the prevalence of Helicobacter pylori (H. pylori) infection may be declining but there is a lack of recent longitudinal population studies. We evaluated the changing epidemiology over a 23-year period in Sweden.Materials and methods In 1989, the validated Abdominal Symptom Questionnaire (ASQ) was mailed to a random sample of inhabitants (ages 22-80 years) in a Swedish community, and 1097 (87%) responded. H. pylori serology was analysed in a representative subsample (n=145). Twenty-three years later, the ASQ was mailed again using similar selection criteria, and 388 out of 1036 responders had an upper endoscopy with assessment of H. pylori and corpus atrophy status.Results The prevalence of positive H. pylori serology decreased from 37.9% (1989) to 15.8% (2012), corresponding to a decrease in odds of 75% per decade (odds ratio (OR): 0.25; 95% confidence interval (CI): 0.11-0.59, p=0.001) independent of age, gender, body mass index (BMI) and level of education, with a pattern consistent with a birth cohort effect. The prevalence increased with increasing age (p=0.001). The prevalence of H. pylori on histology in 2012 was 11.4% (95% CI 8.6-15.0). The prevalence of corpus atrophy on serology and/or histology in 2012 was 3.2% (95% CI 1.8-5.5); all cases were 57 years old.Conclusion The stomach is healthier in 2012 compared with 1989. H. pylori prevalence in adults has decreased over the last two decades to a level where clinical management might be affected.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Hellström, Per M.Uppsala universitet,Gastroenterologi/hepatologi(Swepub:uu)perhe742 (author)
  • Talley, Nicholas J.Univ Newcastle, Fac Hlth & Med, Newcastle, NSW, Australia. (author)
  • Wallner, BengtUmeå universitet,Kirurgi,Umea Univ, Dept Surg, Umea, Sweden.(Swepub:umu)bewa0005 (author)
  • Forsberg, AnnaKarolinska Institutet,Karolinska Inst, Mol Med & Surg, Stockholm, Sweden. (author)
  • Vieth, MichaelKlinikum Bayreuth, Inst Pathol, Bayreuth, Germany. (author)
  • Veits, LotharKlinikum Bayreuth, Inst Pathol, Bayreuth, Germany. (author)
  • Björkegren, KarinUppsala universitet,Allmänmedicin och preventivmedicin(Swepub:uu)karinbjo (author)
  • Engstrand, LarsKarolinska Institutet,Karolinska Inst, Dept Microbiol Tumor & Cell Biol, Stockholm, Sweden. (author)
  • Andreasson, AnnaStockholms universitet,Karolinska Institutet,Karolinska Inst, Div Family Med, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.;Stockholm Univ, Stress Res Inst, Stockholm, Sweden.,Stressforskningsinstitutet,Karolinska Institutet, Sweden(Swepub:su)anan6088 (author)
  • Karolinska InstitutetKarolinska Inst, Div Family Med, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden. (creator_code:org_t)

Related titles

  • In:United European Gastroenterology journal: Wiley4:5, s. 686-6962050-64062050-6414

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