Seroprevalence and Determinants of Helicobacter Pylori among Primary Health Care Centers Attendants in AL-Nassiryia City at 2017

Abstract

Background: H. pylori are a gram-negative, spiral shaped; flagellated bacteria adapted to colonized the gastric mucosal layer. It is affects nearly one half of the world population, mainly in the developing countries. Increasing prevalence in developing countries is due to socio-economic status such as poor hygiene, overcrowding household and deficient sanitation. Methods: A cross-sectional study was conducted in Al-Nasiryia city in to twenty primary health care centers among general population for all age groups and both sex. The sample size was 386 individual from 4-75 years old age. In questionnaire we used collect socio-demographic data of studied population. The laboratory test used blood sample to estimate the H. pylori antibody, that by using special kit. Data were analyzed by (SPSS) version 24 to estimated frequency, percentage, Chi-square test, Fisher exact test, and logistic regression , in all cases p-value <0.05 was considered as statistical significant. Results: the overall prevalence of H. pylori infection among studied population of PHC attendants was 49.48%. In this study there was statistical association between H. pylori and some risk factors such as age, sex, marital status, smoking habit, occupation and cardiovascular disease were (0.0001) respectively.  Multivariate analysis to showing the effect and association of variable on positivity of H. pylori antibody result in sex, occupation , CVD, smoking habit, difficulty swallowing to solid food, were p-value less than 0,05 and exponential B were 0.343, 0.381, 0.368, 0.401, 0.215, 1.772 respectively. Conclusion: The study shows about half of studied population was infected with H. pylori. the highest prevalence of H. pylori antibody was among age >65 years old, male gender, divorced, illiterate level of education, of retired occupation, of urban residence, family size more than 7, of outer RO water supplement, having CVS disease, and very sever obese .  

Keywords: H. pylori, Sero-prevalence, H. pylori antibody test. Thi-Qar.