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Increasing our knowledge about the epidemiology of Helicobacter pylori in Nunavik's Inuit population (Québec, Canada) using Qanuilirpitaa? 2017 cross-sectional survey.
Ducrocq, Julie; Lévesque, Benoit; De Serres, Gaston; Boiteau, Véronique; Yansouni, Cedric P; Proulx, Jean-François; Talbot, Denis.
Afiliación
  • Ducrocq J; Département de médecine sociale et préventive, Université Laval, Québec, Québec, Canada.
  • Lévesque B; Axe Santé des populations et pratiques optimales en santé, Centre Hospitalier Universitaire de Québec, Québec, Québec, Canada.
  • De Serres G; Département de médecine sociale et préventive, Université Laval, Québec, Québec, Canada.
  • Boiteau V; Direction de la santé environnementale et de la toxicologie, Institut national de santé publique du Québec, Québec, Québec, Canada.
  • Yansouni CP; Département de médecine sociale et préventive, Université Laval, Québec, Québec, Canada.
  • Proulx JF; Axe Maladies infectieuses et immunitaires, Centre Hospitalier Universitaire de Québec, Québec, Québec, Canada.
  • Talbot D; Direction des risques biologiques et de la santé au travail, Institut national de santé publique du Québec, Québec, Québec, Canada.
Int J Circumpolar Health ; 83(1): 2398864, 2024 Dec.
Article en En | MEDLINE | ID: mdl-39283038
ABSTRACT
Helicobacter pylori is a bacterium that may colonise and proliferate in human stomachs, leading invariably to chronic inflammation and, to a lesser extent, to peptic ulcers and cancer. The main objective of this study is to describe the epidemiology surrounding H. pylori in Nunavik's Inuit population using the 2004 and 2017 Health Surveys. Estimated prevalences were 70.9% for bacterial colonisation using a stool antigens test (SAT), 72.5% for anti-H. pylori antibodies, 12.7% for faecal occult blood in participants aged ≥ 50 and respectively of 28.4%, 11.2% and 2.4% for a prior diagnosis of colonisation, gastritis and peptic ulcer in the medical charts, with under five cases of gastric cancer reported. Variables associated with higher SAT+ prevalence were the number of household members (prevalence ratio [PR] = 1.03) and age (quadratic relationship), whereas mainly drinking municipal (PR = 0.84) and natural water (PR = 0.72) compared to bottled water, and increasing alcohol consumption (PR = 0.96) were associated with reduced prevalence. Despite current regional guidelines targeting high risk individuals in the context of high prevalence, Nunavik's health authorities must remain vigilant by following gastric cancer incidence and the rapid evolution of guidelines, while considering local realities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inuk / Helicobacter pylori / Infecciones por Helicobacter Límite: Adolescent / Adult / Aged / Child / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Int J Circumpolar Health Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inuk / Helicobacter pylori / Infecciones por Helicobacter Límite: Adolescent / Adult / Aged / Child / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Int J Circumpolar Health Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos