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哥伦比亚一所大学18至30岁成年人中肠易激综合征的患病率及健康相关生活质量:一项电子调查

Prevalence of irritable bowel syndrome and health-related quality of life in adults aged 18 to 30 years in a Colombian University: an electronic survey.

作者信息

Cañón Martín, Ruiz Alvaro J, Rondón Martín, Alvarado Jaime

机构信息

Family Physician, MSc Clinical Epidemiology (Martín Cañón).

Department of Internal Medicine and Department of Clinical Epidemiology and Biostatistics (Alvaro J. Ruiz).

出版信息

Ann Gastroenterol. 2017;30(1):67-75. doi: 10.20524/aog.2016.0093. Epub 2016 Sep 30.

Abstract

BACKGROUND

We estimated the prevalence of irritable bowel syndrome (IBS) and its impact on patient-reported health-related quality of life (HR-QOL) in a university-based population aged between 18 and 30 years in Bogotá, Colombia.

METHODS

The study had a cross-sectional design. Students, faculty, and staff aged 18-30 years of the Pontificia Universidad Javeriana, Bogotá, Colombia were randomly selected and invited to complete an electronic survey containing the Rome III IBS diagnostic questionnaire and an IBS-specific HR-QOL instrument (IBS-QOL).

RESULTS

A total of 1082 individuals participated in this study. The prevalence of IBS was 24.0% (95% CI 21.3-26.6%). IBS-constipation was the most common subtype (41.9%; 95% CI 35.5-48.4%). The overall IBS-QOL score indicated HR-QOL impairment (72.1/100). IBS-unsubtyped patients had the highest overall HR-QOL (constipation: 70.6; diarrhea: 67.2; mixed: 67.0; unsubtyped: 77.8; P=0.003). IBS non-consulters had higher IBS-QOL "Food Avoidance" scores than IBS consulters (60.3 vs. 45.5; P=0.002).

CONCLUSION

IBS is a prevalent disorder in a university-based population aged 18-30 years and has a significant impact on HR-QOL. IBS-unsubtyped subjects had the highest HR-QOL compared to other subtypes. Food avoidance appears to be a key factor in seeking consultation.

摘要

背景

我们估计了哥伦比亚波哥大18至30岁大学人群中肠易激综合征(IBS)的患病率及其对患者报告的健康相关生活质量(HR-QOL)的影响。

方法

该研究采用横断面设计。随机选取了哥伦比亚波哥大哈韦里亚纳教皇大学18 - 30岁的学生、教师和工作人员,邀请他们完成一份电子调查问卷,其中包含罗马III型IBS诊断问卷和一份IBS特异性HR-QOL工具(IBS-QOL)。

结果

共有1082人参与了本研究。IBS的患病率为24.0%(95%可信区间21.3 - 26.6%)。便秘型IBS是最常见的亚型(41.9%;95%可信区间35.5 - 48.4%)。IBS-QOL总评分表明HR-QOL受损(72.1/100)。未分型IBS患者的总体HR-QOL最高(便秘型:70.6;腹泻型:67.2;混合型:67.0;未分型:77.8;P = 0.003)。未咨询过IBS的患者在IBS-QOL“食物回避”评分上高于咨询过IBS的患者(60.3对45.5;P = 0.002)。

结论

IBS在18至30岁的大学人群中是一种普遍存在的疾病,对HR-QOL有显著影响。与其他亚型相比,未分型IBS患者的HR-QOL最高。食物回避似乎是寻求咨询的一个关键因素。

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