Helicobacter pylori infection in a multi-ethnic population in east coast of Borneo, Malaysia: The effects of ethnicity

Objective: To determine the prevalence of Helicobacter (H.) pylori infection among the population of east coast of Borneo and explore the relationship between demographic factors, ethnicity and risk of H. pylori infection. Methods: This cross-sectional study enrolled 211 patients who underwent elect...

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Main Authors: Ooi-Cheng Lee, Chung-Ket Lai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:​​​One Health Bulletin
Subjects:
Online Access:http://www.johb.info/article.asp?issn=2773-0344;year=2022;volume=2;issue=1;spage=4;epage=4;aulast=Lee
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author Ooi-Cheng Lee
Chung-Ket Lai
author_facet Ooi-Cheng Lee
Chung-Ket Lai
author_sort Ooi-Cheng Lee
collection DOAJ
description Objective: To determine the prevalence of Helicobacter (H.) pylori infection among the population of east coast of Borneo and explore the relationship between demographic factors, ethnicity and risk of H. pylori infection. Methods: This cross-sectional study enrolled 211 patients who underwent elective oesophagogastroduodenoscopy in 2017. Demographic data, endoscopic indications as well as the results of the mucosal biopsy were obtained and analysed from the endoscopy unit registry. Results: A total of 211 patients from 14 ethnic groups were enrolled in the study, most of were Chinese (28.4%), followed by Dusun (14.7%) and Songgai (13.7%). Overall, the period prevalence for 2017 was 44.5%. Multivariate logistic regression analysis showed an association between ethnicity and H. pylori. Bajau (adjusted odds ratio=5.612, P=0.005) and Dusun ethnic groups (adjusted odds ratio=7.359, P=0.001) were at a significantly higher risk of H. pylori infection compared to Chinese. However, the regression model only explained 11.6% (Cox & Snell Pseudo R2) of the prevalence of H. pylori infection. Conclusions: The period prevalence for 2017 was 44.5%, with certain indigenous ethnic groups having a higher risk than others. Clinicians should consider obtaining further history regarding the ethnic’s culture and dietary practice prior to starting H. pylori eradication therapy.
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spelling doaj.art-a72523e13bd84bb6b866427dd51ad3832024-02-07T09:10:01ZengWolters Kluwer Medknow Publications​​​One Health Bulletin2773-03442773-03522022-01-01214410.4103/2773-0344.345316Helicobacter pylori infection in a multi-ethnic population in east coast of Borneo, Malaysia: The effects of ethnicityOoi-Cheng LeeChung-Ket LaiObjective: To determine the prevalence of Helicobacter (H.) pylori infection among the population of east coast of Borneo and explore the relationship between demographic factors, ethnicity and risk of H. pylori infection. Methods: This cross-sectional study enrolled 211 patients who underwent elective oesophagogastroduodenoscopy in 2017. Demographic data, endoscopic indications as well as the results of the mucosal biopsy were obtained and analysed from the endoscopy unit registry. Results: A total of 211 patients from 14 ethnic groups were enrolled in the study, most of were Chinese (28.4%), followed by Dusun (14.7%) and Songgai (13.7%). Overall, the period prevalence for 2017 was 44.5%. Multivariate logistic regression analysis showed an association between ethnicity and H. pylori. Bajau (adjusted odds ratio=5.612, P=0.005) and Dusun ethnic groups (adjusted odds ratio=7.359, P=0.001) were at a significantly higher risk of H. pylori infection compared to Chinese. However, the regression model only explained 11.6% (Cox & Snell Pseudo R2) of the prevalence of H. pylori infection. Conclusions: The period prevalence for 2017 was 44.5%, with certain indigenous ethnic groups having a higher risk than others. Clinicians should consider obtaining further history regarding the ethnic’s culture and dietary practice prior to starting H. pylori eradication therapy.http://www.johb.info/article.asp?issn=2773-0344;year=2022;volume=2;issue=1;spage=4;epage=4;aulast=Leehelicobacter pylori; prevalence; borneo; ethnicity
spellingShingle Ooi-Cheng Lee
Chung-Ket Lai
Helicobacter pylori infection in a multi-ethnic population in east coast of Borneo, Malaysia: The effects of ethnicity
​​​One Health Bulletin
helicobacter pylori; prevalence; borneo; ethnicity
title Helicobacter pylori infection in a multi-ethnic population in east coast of Borneo, Malaysia: The effects of ethnicity
title_full Helicobacter pylori infection in a multi-ethnic population in east coast of Borneo, Malaysia: The effects of ethnicity
title_fullStr Helicobacter pylori infection in a multi-ethnic population in east coast of Borneo, Malaysia: The effects of ethnicity
title_full_unstemmed Helicobacter pylori infection in a multi-ethnic population in east coast of Borneo, Malaysia: The effects of ethnicity
title_short Helicobacter pylori infection in a multi-ethnic population in east coast of Borneo, Malaysia: The effects of ethnicity
title_sort helicobacter pylori infection in a multi ethnic population in east coast of borneo malaysia the effects of ethnicity
topic helicobacter pylori; prevalence; borneo; ethnicity
url http://www.johb.info/article.asp?issn=2773-0344;year=2022;volume=2;issue=1;spage=4;epage=4;aulast=Lee
work_keys_str_mv AT ooichenglee helicobacterpyloriinfectioninamultiethnicpopulationineastcoastofborneomalaysiatheeffectsofethnicity
AT chungketlai helicobacterpyloriinfectioninamultiethnicpopulationineastcoastofborneomalaysiatheeffectsofethnicity