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Prevalence and risk factors of Helicobacter pylori infection among healthy 3- to 5-year-old Israeli Arab children

Published online by Cambridge University Press:  02 March 2006

KH. MUHSEN ,
A. ATHAMNA ,
M. ATHAMNA ,
A. SPUNGIN-BIALIK  and
D. COHEN
KH. MUHSEN
Affiliation:
Department of Epidemiology and Preventive Medicine, Sackler Faculty of Medicine, Tel Aviv University The Meshulash Research & Development Center, Kfar Qaraa, Israel
A. ATHAMNA
Affiliation:
The Meshulash Research & Development Center, Kfar Qaraa, Israel
M. ATHAMNA
Affiliation:
The Meshulash Research & Development Center, Kfar Qaraa, Israel
A. SPUNGIN-BIALIK
Affiliation:
Department of Epidemiology and Preventive Medicine, Sackler Faculty of Medicine, Tel Aviv University
D. COHEN
Affiliation:
Department of Epidemiology and Preventive Medicine, Sackler Faculty of Medicine, Tel Aviv University
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Abstract

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We determined the prevalence and risk factors of H. pylori infection among 197 healthy 3- to 5-year-old Israeli Arab children, in a population under socioeconomic and environmental transition. Data on the socioeconomic and environmental characteristics were obtained by personal interviews. The presence of H. pylori infection was identified using an ELISA kit for detection of H. pylori antigens in stool specimens. The prevalence rate of H. pylori infection was 49·7% (95% CI 42·8–56·67). It varied significantly among the different villages. In the univariate analysis stratified by village, the risk of infection increased according to household crowding, number of siblings younger than 5 years and siblings' H. pylori positivity. In the multivariate analysis the village of residence and siblings' H. pylori positivity were the only variables that remained strongly associated with H. pylori infection. In a population such as that described in this study the socioeconomic and living conditions are major risk factors of H. pylori infection and the intra-familial transmission of H. pylori in early childhood has an important role.

Type
Research Article
Information
Epidemiology & Infection , Volume 134 , Issue 5 , October 2006 , pp. 990 - 996
Copyright
2006 Cambridge University Press