American Journal of Epidemiology Vol. 144, No. 3: 290-299
Copyright © 1996 by The Johns Hopkins University School of Hygiene and Public Health
other |
Helicobacter pylori Infection in the Colombian Andes: A Population-based Study of Transmission Pathways
1Department of Epidemiology, School of Public Hearth, University of California Los Angeles, CA
2Department of Pathology, Louisiana State University Medical Center, New Orleans LA
3Instituto de Seguros Sociales, Seccional Narlño, Pasto, Colombia
4Departamento de Patología, Facuttad de Medicina, Universidad del Valle Cali, Colombia
5Pennlngton Biomedical Research Center, Louisiana State University Baton Rouge, LA
6AWana Hearth Center, Naririo Health Department, Aldana , Colombia
Reprint requests to Dr. Karen Goodman, School of Public Health, University of Texas Health Science Center, P.O. Box 20186, Houston, TX 77225.
In 1992, the authors studied Helicobacter pylori infection and exposures relevant to person-to-person, waterbome, foodbome, and zoonotic transmission in a census sample of 684 2–9-year-old children in Aldana, Narifio, a rural community in the Colombian Andes. H. pylori prevalence, as determined by the 13C-urea breath test, was 69%, and prevalence increased from 53% in 2 year-olds to 87% in 9 year-olds. Beginning at 3 years of age, a higher percentage of males compared with females were infected. Odds ratios were estimated by multivariate logistic regression to control for mutual confounding by transmission-pathway proxy variables and socioeconomic indicators. Among transmission-pathway proxies, the strongest predictor of H. pylori status was the number of persons who lived in the home, with the number of children apparently being of greater importance than the number of adults. Swimming in rivers, streams, or pools increased the odds of infection, as did using streams as a drinking water source. Children who frequently consumed raw vegetables were more likely to have the infection, and children who had contact with sheep also had increased prevalence odds. Because the results did not implicate a single mode of transmission, the possibility of multiple pathways is indicated. Am J Epidemiol 1996; 144: 290–9.
child; diet; Helicobacter pylori; hygiene; infection; socioeconomic status; transmission
*Deceased.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  E. Altman, H. Fernandez, V. Chandan, B. A. Harrison, M. W. Schuster, L. O. Rademacher, and C. Toledo Analysis of Helicobacter pylori isolates from Chile: occurrence of selective type 1 Lewis b antigen expression in lipopolysaccharide J. Med. Microbiol., May 1, 2008; 57(5): 585 - 591. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. J Blaser, Y. Chen, and J. Reibman Does Helicobacter pylori protect against asthma and allergy? Gut, May 1, 2008; 57(5): 561 - 567. [Full Text] [PDF]
|
|
|
|
 |
|
 A. B. C. Braga, A. M. N. Fialho, M. N. Rodrigues, D. M. M. Queiroz, A. M. C. Rocha, and L. L. B. C. Braga Helicobacter pylori Colonization Among Children up to 6 Years: Results of a Community-based Study from Northeastern Brazil J Trop Pediatr, December 1, 2007; 53(6): 393 - 397. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. J. Windle, D. Kelleher, and J. E. Crabtree Childhood Helicobacter pylori Infection and Growth Impairment in Developing Countries: A Vicious Cycle? Pediatrics, March 1, 2007; 119(3): e754 - e759. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. V. NGUYEN, K. G. NGUYEN, C. D. PHUNG, O. KREMP, N. KALACH, C. DUPONT, J. RAYMOND, and G. VIDAL-TRECAN PREVALENCE OF AND FACTORS ASSOCIATED WITH HELICOBACTER PYLORI INFECTION IN CHILDREN IN THE NORTH OF VIETNAM Am J Trop Med Hyg, April 1, 2006; 74(4): 536 - 539. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M Kudo, O Gutierrez, H M T El-Zimaity, H Cardona, Z Z Nurgalieva, J Wu, and D Y Graham CagA in Barrett's oesophagus in Colombia, a country with a high prevalence of gastric cancer J. Clin. Pathol., March 1, 2005; 58(3): 259 - 262. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J E Thomas, A Dale, J E G Bunn, M Harding, W A Coward, T J Cole, and L T Weaver Early Helicobacter pylori colonisation: the association with growth faltering in The Gambia Arch. Dis. Child., December 1, 2004; 89(12): 1149 - 1154. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. O'Rourke, K. J. Goodman, M. Grazioplene, T. Redlinger, and R. S. Day Determinants of Geographic Variation in Helicobacter pylori Infection among Children on the US-Mexico Border Am. J. Epidemiol., October 15, 2003; 158(8): 816 - 824. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Correa Helicobacter Pylori Infection and Gastric Cancer Cancer Epidemiol. Biomarkers Prev., March 1, 2003; 12(3): 238s - 241s. [Full Text] [PDF]
|
|
|
|
 |
|
 S. Suerbaum and P. Michetti Helicobacter pylori Infection N. Engl. J. Med., October 10, 2002; 347(15): 1175 - 1186. [Full Text] [PDF]
|
|
|
|
|
|
A. BERROTERAN, M. PERRONE, M. CORRENTI, M. E. CAVAZZA, C. TOMBAZZI, R. GONCALVEZ, and V. LECUNA Detection of Helicobacter pylori DNA in the oral cavity and gastroduodenal system of a Venezuelan population J. Med. Microbiol., September 1, 2002; 51(9): 764 - 770. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. M. Brown, T. L Thomas, J.-L. Ma, Y.-S. Chang, W.-C. You, W.-D. Liu, L. Zhang, D. Pee, and M. H Gail Helicobacter pylori infection in rural China: demographic, lifestyle and environmental factors Int. J. Epidemiol., June 1, 2002; 31(3): 638 - 645. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R.P. ALLAKER, K.A. YOUNG, J.M. HARDIE, P. DOMIZIO, and N.J. MEADOWS Prevalence of Helicobacter pylori at oral and gastrointestinal sites in children: evidence for possible oral-to-oral transmission J. Med. Microbiol., April 1, 2002; 51(4): 312 - 317. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Lu, T. E. Redlinger, R. Avitia, A. Galindo, and K. Goodman Isolation and Genotyping of Helicobacter pylori from Untreated Municipal Wastewater Appl. Envir. Microbiol., March 1, 2002; 68(3): 1436 - 1439. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. H. Baker, J. P. Hegarty, B. Redmond, N. A. Reed, and D. S. Herson Effect of Oxidizing Disinfectants (Chlorine, Monochloramine, and Ozone) on Helicobacter pylori Appl. Envir. Microbiol., February 1, 2002; 68(2): 981 - 984. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Correa, E. T. H. Fontham, J. C. Bravo, L. E. Bravo, B. Ruiz, G. Zarama, J. L. Realpe, G. T. Malcom, D. Li, W. D. Johnson, et al. Chemoprevention of Gastric Dysplasia: Randomized Trial of Antioxidant Supplements and Anti-Helicobacter pylori Therapy J Natl Cancer Inst, December 6, 2000; 92(23): 1881 - 1888. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. M. Malaty, T. Kumagai, E. Tanaka, H. Ota, K. Kiyosawa, D. Y. Graham, and T. Katsuyama Evidence from a Nine-Year Birth Cohort Study in Japan of Transmission Pathways of Helicobacter pylori Infection J. Clin. Microbiol., May 1, 2000; 38(5): 1971 - 1973. [Abstract] [Full Text]
|
|
|
|
|
|
J. Suzuki, H. Muraoka, I. Kobayasi, T. Fujita, and T. Mine Rare Incidence of Interspousal Transmission of Helicobacter pylori in Asymptomatic Individuals in Japan J. Clin. Microbiol., December 1, 1999; 37(12): 4174 - 4176. [Abstract] [Full Text]
|
|
|
|
|
|
M J BLASER Helicobacters are indigenous to the human stomach: duodenal ulceration is due to changes in gastric microecology in the modern era Gut, November 1, 1998; 43(5): 721 - 727. [Full Text] [PDF]
|
|