在Helicobacter pylori测试后寻求护理的行动在高风险土著人口中进行测试:一个横截面研究后续调查
Heidi E Brown1, Krystelle Boyd1, Melissa Howard2
1Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona.
The American journal of tropical medicine and hygiene
|December 24, 2024
概括
在纳瓦霍民族中,许多阳性Helicobacter pylori (H. pylori) 测试的人因时间或遗忘而没有寻求护理. 社区的参与可能会改善H. pylori治疗的机会.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 杆菌 (H. pylori) 感染是胃癌的重要危险因素.
- 与美国一般人口相比,纳瓦霍民族的H. pylori流行率和胃癌率较高.
- 在这个人群中,H. pylori护理和治疗的障碍仍然在很大程度上没有特征.
研究的目的:
- 调查纳瓦霍民族中H. pylori阳性个体的医疗寻求行为和治疗坚持情况.
- 确定阻碍个人获得必要医疗护理和治疗H. pylori感染的具体障碍.
主要方法:
- 一项为期6个月的随访调查对2022年纳瓦霍健康胃项目参与者进行,这些参与者通过尿素呼吸测试呈阳性H. pylori检测.
- 描述性统计数据被用来分析对寻求护理和治疗的感知障碍.
- 统计分析检查了影响寻求护理的因素,包括感知症状联系和对抗生素副作用的担忧.
主要成果:
- 在83名受访者中,实现了69.8%的响应率.
- 只有52.8%的参与者在阳性H. pylori诊断后与全方位临床医生进行了随访.
- 主要障碍包括缺乏时间 (37.5%) 和忘记 (25.0%).
- 寻求护理与认为H. pylori会引起胃肠道症状 (P = 0.03) 和对抗生素不良反应 (P = 0.07) 的担忧较小有显著的关联.
结论:
- 显著的障碍,如时间限制和遗忘,阻碍了纳瓦霍民族的H. pylori治疗坚持.
- 感知症状联系和减少对抗生素的担忧积极影响寻求护理.
- 加强社区参与和对研究结果的透明沟通是克服这些障碍并改善H. pylori护理准入的关键策略.
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