Functional gastrointestinal disorders in children from low socio‐economic status and Helicobacter pylori infection.

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Title: Functional gastrointestinal disorders in children from low socio‐economic status and Helicobacter pylori infection.
Authors: Jaime, F., Villagrán, A., Hernández, C., Ortiz, M., Serrano, C., Harris, P. R.
Source: Child: Care, Health & Development. Mar2018, Vol. 44 Issue 2, p319-325. 7p. 5 Charts.
Subjects: Stomach tumors, Abdominal pain, Breath tests, Confidence intervals, Gastrointestinal diseases, Helicobacter diseases, Multivariate analysis, Poverty, Questionnaires, Surveys, Urea, Socioeconomic factors, Educational attainment, Disease prevalence, Odds ratio, Genetics
Geographic Terms: Chile
Abstract: Abstract: Background: Most studies on functional gastrointestinal disorders (FGIDs) in children are based on data from the northern hemisphere. Scientific reports are arising in South American population, but little is still known about children from low socio‐economic status (SES), where Helicobacter pylori infection is endemic. Our objective was to evaluate the prevalence of FGIDs in school children from low SES and its relationship with H. pylori infection. Methods: Children from 3 public schools of low SES from Santiago de Chile were included. Students completed the Rome III Questionnaire and a survey about other symptoms. Also, the 13C urea breath test determined the presence of H. pylori infection. Results: Five hundred six children were included, where 48% were male, with a median age of 15.7 years (range 7.1–19.6). Forty‐two percent had some FGID, aerophagia and functional constipation being the most frequent. Females (adjusted OR 1.5, 95% CI [1.1, 2.2]), those children with parents within the lowest level of education (adjusted OR 1.6, 95% CI: 1.1–2.4), and family history of gastric cancer (adjusted OR 1.9, 95% CI: 1.2–3.1) were related to FGIDs. The prevalence of H. pylori infection was 55.9% (95% CI [50.7, 60.9]). In multivariable analysis, the presence of abdominal pain (OR 1.55, 95% CI [1.02, 2.36]), but not FGIDs, was related to H. pylori infection. Conclusions: FGIDs are common in low SES students. A low educational level of the household head, family history of gastric cancer. and being female are related to the development of FGIDs. In this study, no relationship between the presence of H. pylori and FGIDs was found. [ABSTRACT FROM AUTHOR]
Copyright of Child: Care, Health & Development is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Functional gastrointestinal disorders in children from low socio‐economic status and Helicobacter pylori infection.
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  Data: <searchLink fieldCode="AR" term="%22Jaime%2C+F%2E%22">Jaime, F.</searchLink><br /><searchLink fieldCode="AR" term="%22Villagrán%2C+A%2E%22">Villagrán, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Hernández%2C+C%2E%22">Hernández, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Ortiz%2C+M%2E%22">Ortiz, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Serrano%2C+C%2E%22">Serrano, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Harris%2C+P%2E+R%2E%22">Harris, P. R.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Child%3A+Care%2C+Health+%26+Development%22">Child: Care, Health & Development</searchLink>. Mar2018, Vol. 44 Issue 2, p319-325. 7p. 5 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Stomach+tumors%22">Stomach tumors</searchLink><br /><searchLink fieldCode="DE" term="%22Abdominal+pain%22">Abdominal pain</searchLink><br /><searchLink fieldCode="DE" term="%22Breath+tests%22">Breath tests</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Gastrointestinal+diseases%22">Gastrointestinal diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Helicobacter+diseases%22">Helicobacter diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Poverty%22">Poverty</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Urea%22">Urea</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+attainment%22">Educational attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Genetics%22">Genetics</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Chile%22">Chile</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Abstract: Background: Most studies on functional gastrointestinal disorders (FGIDs) in children are based on data from the northern hemisphere. Scientific reports are arising in South American population, but little is still known about children from low socio‐economic status (SES), where Helicobacter pylori infection is endemic. Our objective was to evaluate the prevalence of FGIDs in school children from low SES and its relationship with H. pylori infection. Methods: Children from 3 public schools of low SES from Santiago de Chile were included. Students completed the Rome III Questionnaire and a survey about other symptoms. Also, the 13C urea breath test determined the presence of H. pylori infection. Results: Five hundred six children were included, where 48% were male, with a median age of 15.7 years (range 7.1–19.6). Forty‐two percent had some FGID, aerophagia and functional constipation being the most frequent. Females (adjusted OR 1.5, 95% CI [1.1, 2.2]), those children with parents within the lowest level of education (adjusted OR 1.6, 95% CI: 1.1–2.4), and family history of gastric cancer (adjusted OR 1.9, 95% CI: 1.2–3.1) were related to FGIDs. The prevalence of H. pylori infection was 55.9% (95% CI [50.7, 60.9]). In multivariable analysis, the presence of abdominal pain (OR 1.55, 95% CI [1.02, 2.36]), but not FGIDs, was related to H. pylori infection. Conclusions: FGIDs are common in low SES students. A low educational level of the household head, family history of gastric cancer. and being female are related to the development of FGIDs. In this study, no relationship between the presence of H. pylori and FGIDs was found. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Child: Care, Health & Development is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1111/cch.12486
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 7
        StartPage: 319
    Subjects:
      – SubjectFull: Stomach tumors
        Type: general
      – SubjectFull: Abdominal pain
        Type: general
      – SubjectFull: Breath tests
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Gastrointestinal diseases
        Type: general
      – SubjectFull: Helicobacter diseases
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Poverty
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Urea
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Educational attainment
        Type: general
      – SubjectFull: Disease prevalence
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      – SubjectFull: Odds ratio
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      – SubjectFull: Genetics
        Type: general
      – SubjectFull: Chile
        Type: general
    Titles:
      – TitleFull: Functional gastrointestinal disorders in children from low socio‐economic status and Helicobacter pylori infection.
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              Text: Mar2018
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