Y. Elitsur et al., PREVALENCE OF HELICOBACTER-PYLORI INFECTION IN CHILDREN FROM URBAN AND RURAL WEST-VIRGINIA, Digestive diseases and sciences, 43(4), 1998, pp. 773-778
Our objective was to evaluate the prevalence rate of Helicobacter pylo
ri (HP) in children from urban and rural areas of West Virginia. In al
l, 1164 blood samples were collected from children who attended a loca
l health fair, pediatric clinics, and emergency departments of four di
fferent hospitals located in urban and rural counties. Socioeconomic s
tatus was determined in 303 children. Serum HP antibody (IgG) was meas
ured by enzyme immunoassay (EIA). A total of 468 (40%) samples were HP
positive. HP acquisition correlated with increasing age, family crowd
ing, and community location (urban/rural) but not with gender, water s
ource used (city/well), or socioeconomic status. The prevalence rate o
f HP in the children of West Virginia is higher than any data previous
ly reported from the United States. The results correlated with only f
ew socioeconomic criteria, suggesting that other factors may contribut
e to the increased prevalence of HP infection in the children of West
Virginia.