Factors Associated With Helicobacter Pylori Infection Among School-Aged Children From a High Prevalence Area in Vietnam

Objectives: The study aimed to identify prevalence of H. pylori infection and associated risk factors among pupils of Ho Chi Minh city (HCMC).Methods: A total of 1,476 pupils aged 6–15 years were enrolled in this cross-sectional study using multiple-stage sampling method. Infection status was assess...

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Main Authors: Thai Hoang Che, Tu Cam Nguyen, Vy Ngoc Thao Vu, Hiep Thanh Nguyen, Dung Thi Phuong Hoang, Xuan Minh Ngo, Dinh Quang Truong, Patrick Bontems, Annie Robert, Phuong Ngoc Van Nguyen
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605908/full
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author Thai Hoang Che
Thai Hoang Che
Tu Cam Nguyen
Vy Ngoc Thao Vu
Hiep Thanh Nguyen
Dung Thi Phuong Hoang
Xuan Minh Ngo
Dinh Quang Truong
Patrick Bontems
Annie Robert
Phuong Ngoc Van Nguyen
author_facet Thai Hoang Che
Thai Hoang Che
Tu Cam Nguyen
Vy Ngoc Thao Vu
Hiep Thanh Nguyen
Dung Thi Phuong Hoang
Xuan Minh Ngo
Dinh Quang Truong
Patrick Bontems
Annie Robert
Phuong Ngoc Van Nguyen
author_sort Thai Hoang Che
collection DOAJ
description Objectives: The study aimed to identify prevalence of H. pylori infection and associated risk factors among pupils of Ho Chi Minh city (HCMC).Methods: A total of 1,476 pupils aged 6–15 years were enrolled in this cross-sectional study using multiple-stage sampling method. Infection status was assessed using stool antigen-test. A questionnaire was used to obtain socio-demographic, behavioral, and environmental factors. Logistic regression was performed to assess possible factors related to the infection.Results: Of the 1,409 children included in the analysis, 49.2% were male and 95.8% were of Kinh ethnicity. About 43.5% of parents completed college or university. The overall prevalence of H. pylori was 87.7%. Infrequency of handwashing with soap after toilet, the use of only water to clean after toilet, crowded living areas, larger family size, and younger age were independently contributing to an increased prevalence of H. pylori.Conclusion:H. pylori infection is highly prevalent in HCMC, and is associated with poor hygienic practices, crowded living areas, larger family size, and younger age. These findings highlight the importance of fecal-oral route and the attribution of crowded living conditions to the spreading of H. pylori in HCMC. Therefore, preventive programs should be set up with a focus on education of hygiene practices, and oriented to those living in crowded conditions.
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spelling doaj.art-24a0d3b9b2d94c9bbb5c370cbfa59e902023-05-11T04:11:08ZengFrontiers Media S.A.International Journal of Public Health1661-85642023-05-016810.3389/ijph.2023.16059081605908Factors Associated With Helicobacter Pylori Infection Among School-Aged Children From a High Prevalence Area in VietnamThai Hoang Che0Thai Hoang Che1Tu Cam Nguyen2Vy Ngoc Thao Vu3Hiep Thanh Nguyen4Dung Thi Phuong Hoang5Xuan Minh Ngo6Dinh Quang Truong7Patrick Bontems8Annie Robert9Phuong Ngoc Van Nguyen10Department of Biostatistics and Informatics, Faculty of Public Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, VietnamPôle Epidémiologie et Biostatistique (EPID), Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique (FSP), Université Catholique de Louvain, Brussels, BelgiumDepartment of Gastroenterology, City Children’s Hospital, Ho Chi Minh, VietnamDepartment of Biostatistics and Informatics, Faculty of Public Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, VietnamFaculty of Public Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, VietnamDepartment of Microbiology, Fundamental Sciences and Basic Medical Sciences, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, VietnamFaculty of Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, VietnamDepartment of Surgery, City Children’s Hospital, Ho Chi Minh City, VietnamGastroenterology, Hôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, BelgiumPôle Epidémiologie et Biostatistique (EPID), Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique (FSP), Université Catholique de Louvain, Brussels, BelgiumDepartment of Biostatistics and Informatics, Faculty of Public Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, VietnamObjectives: The study aimed to identify prevalence of H. pylori infection and associated risk factors among pupils of Ho Chi Minh city (HCMC).Methods: A total of 1,476 pupils aged 6–15 years were enrolled in this cross-sectional study using multiple-stage sampling method. Infection status was assessed using stool antigen-test. A questionnaire was used to obtain socio-demographic, behavioral, and environmental factors. Logistic regression was performed to assess possible factors related to the infection.Results: Of the 1,409 children included in the analysis, 49.2% were male and 95.8% were of Kinh ethnicity. About 43.5% of parents completed college or university. The overall prevalence of H. pylori was 87.7%. Infrequency of handwashing with soap after toilet, the use of only water to clean after toilet, crowded living areas, larger family size, and younger age were independently contributing to an increased prevalence of H. pylori.Conclusion:H. pylori infection is highly prevalent in HCMC, and is associated with poor hygienic practices, crowded living areas, larger family size, and younger age. These findings highlight the importance of fecal-oral route and the attribution of crowded living conditions to the spreading of H. pylori in HCMC. Therefore, preventive programs should be set up with a focus on education of hygiene practices, and oriented to those living in crowded conditions.https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605908/fullrisk factorsHelicobacter pyloriHo Chi Minh Cityschool-aged childrentransmission route
spellingShingle Thai Hoang Che
Thai Hoang Che
Tu Cam Nguyen
Vy Ngoc Thao Vu
Hiep Thanh Nguyen
Dung Thi Phuong Hoang
Xuan Minh Ngo
Dinh Quang Truong
Patrick Bontems
Annie Robert
Phuong Ngoc Van Nguyen
Factors Associated With Helicobacter Pylori Infection Among School-Aged Children From a High Prevalence Area in Vietnam
International Journal of Public Health
risk factors
Helicobacter pylori
Ho Chi Minh City
school-aged children
transmission route
title Factors Associated With Helicobacter Pylori Infection Among School-Aged Children From a High Prevalence Area in Vietnam
title_full Factors Associated With Helicobacter Pylori Infection Among School-Aged Children From a High Prevalence Area in Vietnam
title_fullStr Factors Associated With Helicobacter Pylori Infection Among School-Aged Children From a High Prevalence Area in Vietnam
title_full_unstemmed Factors Associated With Helicobacter Pylori Infection Among School-Aged Children From a High Prevalence Area in Vietnam
title_short Factors Associated With Helicobacter Pylori Infection Among School-Aged Children From a High Prevalence Area in Vietnam
title_sort factors associated with helicobacter pylori infection among school aged children from a high prevalence area in vietnam
topic risk factors
Helicobacter pylori
Ho Chi Minh City
school-aged children
transmission route
url https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605908/full
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