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Risk Factors Associated with Helicobacter pylori Infection in the Urban Population of China: A Nationwide, Multi-Center, Cross-Sectional Study

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机构： [1]Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China [2]Department of Intelligent Medical Laboratory, School of Medical Informatics and Engineering, Xuzhou Medical University, Xuzhou, Jiangsu Province, China [3]Division of Microbiology and Immunology, School of Biomedical Sciences, University of Western Australia, Perth, Western Australia, Australia [4]Centre for Precision Health, School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia [5]Global Health Research Center, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China [6]Huangshi Aikang Hospital, Hubei University of Technology, Huangshi, Hubei Province, China [7]The 910 Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army, Quanzhou, Fujian Province, China [8]Department of Clinical Laboratory, Hospital of Xinjiang Production and Construction Corps, Urumqi, Xinjiang, China [9]Department of Clinical Laboratory, The Second Affiliation Hospital of Soochow University, Suzhou, Jiangsu Province, China [10]Chongqing Health Statistics Information Center, Chongqing, China [11]Shehong Municipal Hospital of Traditional Chinese Medicine, Suining, Sichuan Province, China [12]Department of Gastroenterology of Guiyang Huaxi District People’s Hospital, Guiyang, Guizhou Province, China [13]Jinsha Lindong Hospital, Bijie, Guizhou Province, China [14]The People’s Hospital of Chizhou, Chizhou, Anhui Province, China [15]Haikou People’s hospital, Haikou, Hainan Province, China [16]Anxi County Hospital, Quanzhou, Fujian Province, China [17]Huai’an Hospital affiliate to Yangzhou University (The Fifth People’s Hospital of Huai’an), Huaian, Jiangsu Province, China [18]Shenzhen Samii Medical Center (The Fourth People Hospital of Shenzhen), Shenzhen, Guangdong Province, China [19]The First People’s Hospital of Foshan, Foshan, Guangdong Province, China [20]The First People’s Hospital of Zhaoqing, Zhaoqing, Guangdong Province, China [21]Huabei Petroleum Administration Bureau General Hospital, Cangzhou, Hebei Province, China [22]The First People’s Hospital of Qinzhou, the Tenth Affiliated Hospital of Guangxi Medical University, Qinzhou, Guangxi Zhuang Autonomous Region, China [23]Guiyi Anshun Hospital,Anshun, Guizhou Province, China [24]Guangdong Provincial People’s Hospital Heyuan Hospital, Heyuan, Guangdong Province, China [25]The Third People’s Hospital of Yunnan Province, Kunming, Yunnan Province, China [26]The Second Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, Inner Mongolia Autonomous Region, China [27]Liuzhou Key Laboratory of Precision Medicine for Viral Diseases, Liuzhou, Guangxi Zhuang Autonomous Region, China [28]Liupanshui Municipal People’s Hospital, Liupanshui, Guizhou Province, China [29]Marshall Laboratory of Biomedical Engineering, School of Biomedical Engineering, Shenzhen University Medical School, Shenzhen University, Shenzhen, China [30]People’s Hospital of Tongshan District, Xuzhou, Jiangsu Province, China [31]Shengli Oilfield Central Hospital, Dongying, Shandong Province, China [32]The First People’s Hospital of Yangquan, Yangquan, Shanxi Province, China [33]Shanxi Traditional Chinese Medicine Hospital, Taiyuan, Shanxi Province, China [34]People’s Hospital of Ningxia Hui Autonomous Region, The Third Clinical Medical College of Ningxia Medical University), Yinchuan, Ningxia Hui Autonomous Region, China [35]Liaoyuan City Central Hospital, Liaoyuan, Jilin Province, China [36]YunFu People’s Hospital, Yunfu, Guangdong Province, China [37]First Hospital of Jilin University, Changchun, Jilin Province, China [38]Department of Gastroenterology of Qiqihar First Hospital (North), Qiqihar, Heilongjiang Province, China [39]Luopu Community Medical Care Center, Guangzhou, Guangdong Province, China [40]The Fifth Division Hospital of Xinjiang Production and Construction Corps, Boertala, Xinjiang Uygur Autonomous Region, China [41]Ganzhou Municipal Hospital, Guangdong Provincial People’s Hospital, Ganzhou, Guangdong Province, China [42]Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong Province, China [43]People’s Hospital of Yingtan City, Yingtan, Jiangxi Province, China [44]Second People’s Hospital of Qujing City, Qujing, Yunnan Province, China [45]Foshan Sanshui District People’s Hospital, Foshan, Guangdong Province, China [46]The Marshall Centre for Infectious Diseases Research and Training, University of Western Australia, Perth, Western Australia, Australia

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关键词： Helicobacter pylori Socioeconomic status Risk factors Lifestyle Public understanding

摘要：

To assess the risk factors associated with H. pylori infection in the urban Chinese population.The study was conducted from March to November 2023, including 12,902 urban participants aged 18-60 years across 52 cities distributed over 26 provinces in China. Risk factors included socioeconomic status, lifestyles, and public understanding. Univariate and multivariate logistic regression analysis was used to calculate corrected odds ratios (ORs) and 95% confidence intervals (CIs).According to multivariate logistic regression, risk factors associated with significantly higher H. pylori infection rates included residency in developing (OR 1.27, 95% CI 1.13-1.43) and undeveloped cities (OR 1.15, 95% CI 1.02-1.29), obesity (OR 1.37, 95% CI 1.05-1.78), alcohol consumption (OR 1.16, 95% CI 1.05-1.29), tea consumption (OR 1.11, 95% CI 1.01-1.21), and soft drink consumption (OR 1.24, 95% CI 1.09-1.40). Conversely, individuals with moderate awareness (OR 0.79, 95% CI 0.71-0.88) and high awareness (OR 0.57, 95% CI 0.48-0.69) of H. pylori had lower infection rates.Our findings highlight the importance of promoting a healthy lifestyle and improving the understanding of H. pylori in reducing the infection rate of the bacterial pathogen in the urban Chinese population.Copyright © 2025. Published by Elsevier Ltd.

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大类 | 2 区医学

小类 | 2 区传染病学

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第一作者机构： [1]Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China [2]Department of Intelligent Medical Laboratory, School of Medical Informatics and Engineering, Xuzhou Medical University, Xuzhou, Jiangsu Province, China [3]Division of Microbiology and Immunology, School of Biomedical Sciences, University of Western Australia, Perth, Western Australia, Australia [4]Centre for Precision Health, School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia

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Risk Factors Associated with Helicobacter pylori Infection in the Urban Population of China: A Nationwide, Multi-Center, Cross-Sectional Study

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