DYSPEPSIA IN CONSULTERS AND NON-CONSULTERS - PREVALENCE, HEALTH-CARE SEEKING BEHAVIOR AND RISK-FACTORS

被引：98

作者：

HOLTMANN, G

GOEBELL, H

TALLEY, NJ

机构：

[1] Division of Gastroenterology, University of Essen, Essen

[2] Department of Medicine, University of Sydney, Nepean Hospital, Sydney

来源：

EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY | 1994年 / 6卷 / 10期

关键词：

ASPIRIN; DYSPEPSIA; FUNCTIONAL DYSPEPSIA; IRRITABLE BOWEL SYNDROME; ULCER-LIKE; DYSMOTILITY-LIKE; REFLUX-LIKE;

D O I：

10.1097/00042737-199410000-00014

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Objectives: To assess the prevalence of dyspepsia (defined as upper abdominal pain) and dyspepsia subgroups in a random community sample and to study the association between symptoms, potential risk factors (smoking, alcohol, analgesics) and health-care seeking behaviour. Design: Population-based prospective study with standardized assessment of gastrointestinal symptoms, risk factors and health-care seeking, using a bowel disease questionnaire. Sample: A total of 423 randomly selected population-based subjects and 100 consecutive outpatients referred for evaluation of upper abdominal symptoms. Results: In the population-based sample, the prevalence of ulcer-like, dysmotility-like and reflux-like dyspepsia were 20.6% [95% confidence interval (Cl), 16.7-24.4], 24.6% (95% Cl, 20.5-28.7) and 21.0% (95% Cl 17.2-24.9), respectively; 83% belonged to more than one category. Health-care seeking in the population-based sample was associated with both the severity and frequency of intestinal and non-intestinal symptoms, but only 28.0% (95% Cl, 21.3-34.7) of symptomatic subjects had consulted a doctor for evaluation of abdominal symptoms. There was a significant association between dyspepsia and aspirin intake [odds ratio (OR), 2.4; 95% Cl, 1.51-3.81]; dyspepsia was negatively associated with consumption of more than two alcoholic drinks per day (OR, 0.6; 95% Cl, 0.33-0.94). Conclusions: (1) Dyspepsia is common in the population but dividing subjects into dyspepsia subgroups is unhelpful. (2) Consulters, i.e., those who seek health-care, have more intense symptoms than non-consulters and (3) dyspepsia is associated with ingestion of aspirin.

引用

页码：917 / 924

页数：8

共 31 条

[1]

Switz D.M., What the gastroenterologist does all day. A survey of a state society’s practice, Gastroenterology, 70, pp. 1048-1050, (1976)

[2]

Talley N.J., Zinsmeister A.R., Schleck C.D., Melton L.J., Dyspepsia and dyspepsia subgroups: A population-based study, Gastroenterology, 10, pp. 1259-1268, (1992)

[3]

Tibblin G., Introduction to the epidemiology of dyspepsia, Scand J Gastroenterol Suppl, 109, pp. 29-33, (1985)

[4]

Jones R., Lydeard S., Prevalence of symptoms of dyspepsia in the community, BMJ, 298, pp. 30-32, (1989)

[5]

Jones R.H., Lydeard S.E., Hobbs F.D.R., Kenkre J.E., Williams E.I., Jones S.J., Et al., Dyspepsia in England and Scotland, Gut, 31, pp. 401-405, (1990)

[6]

Thompson W.G., Heaton K.W., Functional bowel disorders in apparently healthy people, Gastroenterology, 79, pp. 283-288, (1980)

[7]

Talley N.J., Phillips S.F., Melton J., Wiltgen C., Zinsmeister A.R., A patient questionnaire to identify bowel disease, Ann Intern Med, 111, pp. 671-674, (1989)

[8]

Talley N.J., Piper D.W., Comparison of the clinical features and illness behaviour of patients presenting with dyspepsia of unknown cause (essential dyspepsia) and organic disease, Aust NZ J Med, 16, pp. 352-359, (1986)

[9]

Whitehead W.E., Bosmajian L., Zorderman A.B., Costa P.T., Schuster M.M., Symptoms of psychologic distress associated with irritable bowel syndrome. Comparison of community and medical clinic samples, Gastroenterology, 95, pp. 709-714, (1988)

[10]

Talley N.J., Colin-Jones D., Koch K.L., Koch M., Nyren O., Stanghellini V., Functional dyspepsia: A classification with guidelines for diagnosis and management, Gastroenterology Int, 4, pp. 145-160, (1991)

← 1 2 3 4 →