美国-墨西哥边境肠-大脑相互作用障碍:使用罗马四号标准进行的一项调查
Mohammad Bashashati1,2, Max J Schmulson3, Irene Sarosiek1
1Division of Gastroenterology, Department of Internal Medicine, Texas Tech University Health Sciences Center El Paso/Paul L. Foster School of Medicine, El Paso.
Journal of clinical gastroenterology
|June 2, 2023
概括
肠-大脑相互作用障碍 (DGBI) 在美墨边境比预期的少. 然而,功能性腹部膨胀/胀更为常见,特别是在使用视觉辅助工具 (图形图) 而不是口头描述时.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 肠-大脑相互作用障碍 (DGBI) 是一个重大的全球健康挑战.
- 美国 - 墨西哥边境提供了一个独特的环境,以调查DGBI的流行率和同化效应,由于其独特的人口统计学.
研究的目的:
- 确定德克萨斯州埃尔帕索市DGBI和膨胀/张张症状的流行程度和特征.
- 探索同化对DGBI的影响以及美墨边境人口的症状报告.
主要方法:
- 使用罗马四号问卷来诊断DGBI,并对西班牙裔进行简短的同文化化量表.
- 员工膨胀/膨胀 图形图像作为症状报告的视觉辅助工具.
- 使用基平方试验比较的流行数据.
主要成果:
- 25.9%的参与者符合至少一个DGBI.BI的标准.
- 8.1%的参与者报告了功能性腹部胀气/腹.
- 与口头描述相比,使用图形图 (51.4%) 更频繁地识别出膨胀/张张症状,特别是在没有正式DGBI诊断的患者中 (30%的差异).
结论:
- 美国-墨西哥边境的DGBI患病率低于美国或墨西哥报告的.
- 与全国平均水平相比,功能性腹部胀气/腹部张在边境地区的患病率更高.
- 通过图形图表报告症状比口头描述更有效,西班牙裔和非西班牙裔群体之间缺乏差异表明共享的环境因素.
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