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Association of Alcohol Consumption and Helicobacter pylori Infection in Young Adulthood and Early Middle Age among Patients with Gastric Complaints: A Case-Control Study on Finnish Conscripts, Officers and Other Military Personnel

There is growing evidence that Helicobacter pylori is responsible for a variety of gastric and duodenal changes which can eventually lead to stomach cancer. Little is known about risk factors for H. pylori infection. We re-analyzed the association of alcohol with H. pylori positivity in 451 conscrip... Full description

Journal Title: European journal of epidemiology 1994, Vol.10 (2), p.205-209
Main Author: PAUNIO, M
Other Authors: HÖÖK-NIKANNE, J , KOSUNEN, T. U , VAINIO, U , SALASPURO, M , MÄKINEN, J , HEINONEN, O. P
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Dordrecht: Kluwer Academic Publishers
ID: ISSN: 0393-2990
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recordid: cdi_pubmed_primary_7813699
title: Association of Alcohol Consumption and Helicobacter pylori Infection in Young Adulthood and Early Middle Age among Patients with Gastric Complaints: A Case-Control Study on Finnish Conscripts, Officers and Other Military Personnel
format: Article
creator:
  • PAUNIO, M
  • HÖÖK-NIKANNE, J
  • KOSUNEN, T. U
  • VAINIO, U
  • SALASPURO, M
  • MÄKINEN, J
  • HEINONEN, O. P
subjects:
  • Adolescent
  • Adult
  • Age Factors
  • Age groups
  • Alcohol drinking
  • Alcoholic beverages
  • Alcoholism - classification
  • Alcoholism - complications
  • Alcoholism - epidemiology
  • Alcohols
  • Bacterial diseases
  • Bacterial diseases of the digestive system and abdomen
  • Biological and medical sciences
  • Case-Control Studies
  • Confidence interval
  • Confidence Intervals
  • Conscription
  • Endoscopy, Gastrointestinal
  • Epidemiology
  • Finland - epidemiology
  • Gastritis
  • Helicobacter Infections - complications
  • Helicobacter Infections - epidemiology
  • Helicobacter pylori
  • Human bacterial diseases
  • Humans
  • Infections
  • Infectious diseases
  • Medical sciences
  • Middle Aged
  • Military Personnel
  • Multivariate Analysis
  • Odds Ratio
  • Risk Factors
  • Severity of Illness Index
  • Stomach Diseases - diagnosis
  • Stomach Diseases - epidemiology
  • Stomach Diseases - etiology
ispartof: European journal of epidemiology, 1994, Vol.10 (2), p.205-209
description: There is growing evidence that Helicobacter pylori is responsible for a variety of gastric and duodenal changes which can eventually lead to stomach cancer. Little is known about risk factors for H. pylori infection. We re-analyzed the association of alcohol with H. pylori positivity in 451 conscripts, officers and other military personnel endoscoped due to gastric complaints in the Central Military Hospital of Finland in 1987 and 1988. Serology and culture were done in all patients. Alcohol consumption histories were obtained by use of a self-administered questionnaire. We observed a high odds ratio (OR) of H. pylori infection among young adults who were heavy alcohol consumers compared to non-drinkers (OR 5.32, 95% confidence interval: 1.09-25.95). There was evidence of a dose response when heavy and moderate drinkers were compared to non-drinkers (Mantel-Haenszel χ2for trend, p = 0.02) in young adulthood. A subgroup of young respondents who reported drinking all classes of alcohol (including hard liquor) showed an even stronger association and more significant dose-response. Multivariate techniques revealed a qualitative interaction of alcohol with H. pylori positivity in different age groups and among old people an inverse association of H. pylori and alcohol consumption was observed. These findings, if confirmed independently, might have implications for preventing a variety of gastric and duodenal lesions, since they allow identification of high risk groups.
language: eng
source:
identifier: ISSN: 0393-2990
fulltext: no_fulltext
issn:
  • 0393-2990
  • 1573-7284
url: Link


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titleAssociation of Alcohol Consumption and Helicobacter pylori Infection in Young Adulthood and Early Middle Age among Patients with Gastric Complaints: A Case-Control Study on Finnish Conscripts, Officers and Other Military Personnel
creatorPAUNIO, M ; HÖÖK-NIKANNE, J ; KOSUNEN, T. U ; VAINIO, U ; SALASPURO, M ; MÄKINEN, J ; HEINONEN, O. P
creatorcontribPAUNIO, M ; HÖÖK-NIKANNE, J ; KOSUNEN, T. U ; VAINIO, U ; SALASPURO, M ; MÄKINEN, J ; HEINONEN, O. P
descriptionThere is growing evidence that Helicobacter pylori is responsible for a variety of gastric and duodenal changes which can eventually lead to stomach cancer. Little is known about risk factors for H. pylori infection. We re-analyzed the association of alcohol with H. pylori positivity in 451 conscripts, officers and other military personnel endoscoped due to gastric complaints in the Central Military Hospital of Finland in 1987 and 1988. Serology and culture were done in all patients. Alcohol consumption histories were obtained by use of a self-administered questionnaire. We observed a high odds ratio (OR) of H. pylori infection among young adults who were heavy alcohol consumers compared to non-drinkers (OR 5.32, 95% confidence interval: 1.09-25.95). There was evidence of a dose response when heavy and moderate drinkers were compared to non-drinkers (Mantel-Haenszel χ2for trend, p = 0.02) in young adulthood. A subgroup of young respondents who reported drinking all classes of alcohol (including hard liquor) showed an even stronger association and more significant dose-response. Multivariate techniques revealed a qualitative interaction of alcohol with H. pylori positivity in different age groups and among old people an inverse association of H. pylori and alcohol consumption was observed. These findings, if confirmed independently, might have implications for preventing a variety of gastric and duodenal lesions, since they allow identification of high risk groups.
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languageeng
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subjectAdolescent ; Adult ; Age Factors ; Age groups ; Alcohol drinking ; Alcoholic beverages ; Alcoholism - classification ; Alcoholism - complications ; Alcoholism - epidemiology ; Alcohols ; Bacterial diseases ; Bacterial diseases of the digestive system and abdomen ; Biological and medical sciences ; Case-Control Studies ; Confidence interval ; Confidence Intervals ; Conscription ; Endoscopy, Gastrointestinal ; Epidemiology ; Finland - epidemiology ; Gastritis ; Helicobacter Infections - complications ; Helicobacter Infections - epidemiology ; Helicobacter pylori ; Human bacterial diseases ; Humans ; Infections ; Infectious diseases ; Medical sciences ; Middle Aged ; Military Personnel ; Multivariate Analysis ; Odds Ratio ; Risk Factors ; Severity of Illness Index ; Stomach Diseases - diagnosis ; Stomach Diseases - epidemiology ; Stomach Diseases - etiology
ispartofEuropean journal of epidemiology, 1994, Vol.10 (2), p.205-209
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0Association of Alcohol Consumption and Helicobacter pylori Infection in Young Adulthood and Early Middle Age among Patients with Gastric Complaints: A Case-Control Study on Finnish Conscripts, Officers and Other Military Personnel
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descriptionThere is growing evidence that Helicobacter pylori is responsible for a variety of gastric and duodenal changes which can eventually lead to stomach cancer. Little is known about risk factors for H. pylori infection. We re-analyzed the association of alcohol with H. pylori positivity in 451 conscripts, officers and other military personnel endoscoped due to gastric complaints in the Central Military Hospital of Finland in 1987 and 1988. Serology and culture were done in all patients. Alcohol consumption histories were obtained by use of a self-administered questionnaire. We observed a high odds ratio (OR) of H. pylori infection among young adults who were heavy alcohol consumers compared to non-drinkers (OR 5.32, 95% confidence interval: 1.09-25.95). There was evidence of a dose response when heavy and moderate drinkers were compared to non-drinkers (Mantel-Haenszel χ2for trend, p = 0.02) in young adulthood. A subgroup of young respondents who reported drinking all classes of alcohol (including hard liquor) showed an even stronger association and more significant dose-response. Multivariate techniques revealed a qualitative interaction of alcohol with H. pylori positivity in different age groups and among old people an inverse association of H. pylori and alcohol consumption was observed. These findings, if confirmed independently, might have implications for preventing a variety of gastric and duodenal lesions, since they allow identification of high risk groups.
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2Age Factors
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4Alcohol drinking
5Alcoholic beverages
6Alcoholism - classification
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8Alcoholism - epidemiology
9Alcohols
10Bacterial diseases
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12Biological and medical sciences
13Case-Control Studies
14Confidence interval
15Confidence Intervals
16Conscription
17Endoscopy, Gastrointestinal
18Epidemiology
19Finland - epidemiology
20Gastritis
21Helicobacter Infections - complications
22Helicobacter Infections - epidemiology
23Helicobacter pylori
24Human bacterial diseases
25Humans
26Infections
27Infectious diseases
28Medical sciences
29Middle Aged
30Military Personnel
31Multivariate Analysis
32Odds Ratio
33Risk Factors
34Severity of Illness Index
35Stomach Diseases - diagnosis
36Stomach Diseases - epidemiology
37Stomach Diseases - etiology
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titleAssociation of Alcohol Consumption and Helicobacter pylori Infection in Young Adulthood and Early Middle Age among Patients with Gastric Complaints: A Case-Control Study on Finnish Conscripts, Officers and Other Military Personnel
authorPAUNIO, M ; HÖÖK-NIKANNE, J ; KOSUNEN, T. U ; VAINIO, U ; SALASPURO, M ; MÄKINEN, J ; HEINONEN, O. P
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1Adult
2Age Factors
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4Alcohol drinking
5Alcoholic beverages
6Alcoholism - classification
7Alcoholism - complications
8Alcoholism - epidemiology
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20Gastritis
21Helicobacter Infections - complications
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29Middle Aged
30Military Personnel
31Multivariate Analysis
32Odds Ratio
33Risk Factors
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35Stomach Diseases - diagnosis
36Stomach Diseases - epidemiology
37Stomach Diseases - etiology
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abstractThere is growing evidence that Helicobacter pylori is responsible for a variety of gastric and duodenal changes which can eventually lead to stomach cancer. Little is known about risk factors for H. pylori infection. We re-analyzed the association of alcohol with H. pylori positivity in 451 conscripts, officers and other military personnel endoscoped due to gastric complaints in the Central Military Hospital of Finland in 1987 and 1988. Serology and culture were done in all patients. Alcohol consumption histories were obtained by use of a self-administered questionnaire. We observed a high odds ratio (OR) of H. pylori infection among young adults who were heavy alcohol consumers compared to non-drinkers (OR 5.32, 95% confidence interval: 1.09-25.95). There was evidence of a dose response when heavy and moderate drinkers were compared to non-drinkers (Mantel-Haenszel χ2for trend, p = 0.02) in young adulthood. A subgroup of young respondents who reported drinking all classes of alcohol (including hard liquor) showed an even stronger association and more significant dose-response. Multivariate techniques revealed a qualitative interaction of alcohol with H. pylori positivity in different age groups and among old people an inverse association of H. pylori and alcohol consumption was observed. These findings, if confirmed independently, might have implications for preventing a variety of gastric and duodenal lesions, since they allow identification of high risk groups.
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