Peptic ulcer disease and socioeconomic status
DOI:
https://doi.org/10.5457/ams.v45i1-2.411Abstract
The most common reason for peptic ulcer disease is infection with Helicobacter pylori (H.pylori) and the use of drugs such as nonsteroidal anti-inflammatory drugs (NSAID) and aspirin (ASA). Low socioeconomic status (SES) could affect development of ulcer disease. The aim of this work is to determine whether low SES is one of the risk factors for ulcer disease, and to determine whether H.pylori infection, usage of NSAID and ASA is more frequent among patients with low SES. Material and methods: This is a prospective study on 273 consecutive patients which were divided in three groups: first with duodenal ulcer (DU) - 108 patients, second with gastric ulcer (GU) - 104 patients and control group with 61 patients with dyspeptic symptoms without ulcers. All patients had their H.pylori status determined. Through interview other socioepidemiological data and medication history were obtained. Results: Patients with low financial status more often had both types of ulcers (p<0,001). High school was not finished by 140 patients and 46% of them have no qualifications. Only 8% of them have university diploma and 8,9 % is illiterate. Gastric ulcer is more often seen in patients without any school degree, among women and among divorcees and widowers (p<0,001). There were no difference in H. pylori infection and usage of NSAID among population with low and higher SES. ASA is more often used among patients who did not finish high school. Conclusion: Low SES is a risk factor for peptic ulcer disease independent of H,. pylori infection and NSAID.
Downloads
Published
Issue
Section
License
Copyright transfer
The listed authors warrant that they are the authors and sole owners of the submitted manuscript. The authors also warrant that the work is original; that it has not been previously published in print or electronic format and is not under consideration by another publisher or electronic medium; that it has not been previously transferred, assigned, or otherwise encumbered; and that the authors have full power to grant such rights. With respect to the results of this work, the manuscript of this or substantially similar content will not be submitted to any other journal until the review process in the Acta Medica Salinianana has been officially completed (acceptance or rejection of the manuscript). The paper will not be withdrawn from the review process by the Acta Medica Saliniana Editorial Board until the review process is completed. The authors will comply with the requests of the Acta Medica Saliniana Editors and reviewers to improve the paper for publication. The eventual disagreements will be submitted in a written form; the authors are aware that the disagreement(s) with the Acta Medica Saliniana requests may result in the rejection of the manuscript. The authors hereby grant to the Acta Medica Saliniana the right to edit, revise, abridge, and condense the manuscript. If the manuscript is accepted for publication in the Acta Medica Saliniana, the authors hereby transfer the copyright of the paper to the Acta Medica Saliniana. The authors permit the Acta Medica Saliniana to allow third parties to copy any part of the journal without asking for permission, provided that the reference to the source is given. For papers with more than one author: All other co-authors agree to allow the corresponding author to make decisions regarding prepublication release of the information in the paper to the media, federal agencies, or both.
