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Peptic ulcer and childhood adversities experienced by working-aged people

World Journal of Gastroenterology 2009年第27期15卷 3405-3410页

作者： Markku PT Sumanen Markku J Koskenvuo Lauri H Sillanmki Kari J Mattila Kangasala Health Center and Medical School University of TampereFI 33014 Finland Department of Public Health University of HelsinkiFI 00014 Finland Department of General Practice University of Tampere Medical School and Hospital District of PirkanmaaFI 33014 Finland

AIM: To study the association between self-reported peptic ulcer and childhood ***: The Health and Social Support Study (HeS-Sup) population consisted of a stratif ied random sample drawn from the Finnish Population Register in four age groups: 20-24, 30-34, 40-44 and 50-54. The survey was carried out by postal questionnaire during 1998, with a response rate of 40.0%. A follow-up questionnaire was sent during 2003 to all those who responded to the f irst. Altogether 19 626 individuals returned the follow-up questionnaire; a response rate of 75.8%. The subjects were asked whether a doctor had told them that they have or have had peptic ulcer. The analyses covered those who responded aff irmatively to both the baseline and the follow-up enquiries (n = 718). Those not re-porting a peptic ulcer in either of the two questionnaires (n = 17 677) were taken as controls. The subjects were further requested (through six questions) to think about their childhood ***: The most common adversities mentioned were long-lasting financial difficulties in the family, serious conflicts in the family, and a family member seriously or chronically ill. All the adversities reported, except parental divorce, were more common among peptic ulcer patients than among controls (P values varied between < 0.001 and 0.003). Age- and sex-adjusted odds ratios (OR) of childhood adversities in the multivariate logistic analysis for self-reported pep-tic ulcer varied between 1.45 and 2.01. Adjusting for smoking, heavy drinking, stress and nonsteroidal anti-inflammatory drug use had no further influence (ORs between 1.22 and 1.73).CONCLUSION: Our findings suggest that childhood adversities maintain a connection with and have a predictive role in the development of peptic ulcer.

关键词： Peptic ulcer working-aged Childhood adversities Stress factors Predictive role

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