The Epidemiology of Functional Gastrointestinal Disorders in Mexico: A Population-Based Study
Aims. The frequency of functional gastrointestinal disorders (FGIDs) in the general population of Mexico is unknown. Methods. To determine the prevalence of FGIDs, associated depression, and health care utilization, a population-based sampling strategy was used to select 500 households in the State...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/606174 |
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| author | Aurelio López-Colombo Douglas Morgan Dalia Bravo-González Alvaro Montiel-Jarquín Socorro Méndez-Martínez Max Schmulson |
| author_facet | Aurelio López-Colombo Douglas Morgan Dalia Bravo-González Alvaro Montiel-Jarquín Socorro Méndez-Martínez Max Schmulson |
| author_sort | Aurelio López-Colombo |
| collection | DOAJ |
| description | Aims. The frequency of functional gastrointestinal disorders (FGIDs) in the general population of Mexico is unknown. Methods. To determine the prevalence of FGIDs, associated depression, and health care utilization, a population-based sampling strategy was used to select 500 households in the State of Tlaxcala, in central Mexico. Household interviews were conducted by two trained physicians using the Rome II Modular Questionnaire, a health-care and medication used questionnaire and the CES-D depression scale. Results. The most common FGIDs were IBS: 16.0% (95% CI: 12.9–19.5); functional bloating: 10.8% (8.2–13.9); unspecified functional bowel disorder: 10.6% (8.0–13.6); and functional constipation (FC): 7.4% (5.3–10.1). Uninvestigated heartburn was common: 19.6% (16.2–23.4). All FGIDs were equally prevalent among both genders, except for IBS (P=0.001), IBS-C (P<0.001), IBS-A/M (P=0.049), and FC (P=0.039) which were more frequent in women. Subjects with FGIDs reported higher frequencies of medical visits: 34.6 versus 16.8%; use of medications: 40.7 versus 21.6%; (both P<0.001); and reported depression: 26.7 versus 6.7%, (P<0.001). Conclusion. In this first population-based study of FGIDs in Mexico, heartburn, IBS, functional distension, and FC were common. Only IBS, IBS-C, IBS-A/M, and FC were more frequent in women. Finally, FGIDs in Mexico had an increased burden of health care utilization and depression. |
| format | Article |
| id | doaj-art-8151e5cda66a4bd0b60cf536cb5b6398 |
| institution | OA Journals |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-8151e5cda66a4bd0b60cf536cb5b63982025-08-20T02:08:50ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/606174606174The Epidemiology of Functional Gastrointestinal Disorders in Mexico: A Population-Based StudyAurelio López-Colombo0Douglas Morgan1Dalia Bravo-González2Alvaro Montiel-Jarquín3Socorro Méndez-Martínez4Max Schmulson5Puebla Research Coordination, Instituto Mexicano del Seguro Social, CP 72000 Puebla-PUE, MexicoSchool of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7080, USAPuebla Research Coordination, Instituto Mexicano del Seguro Social, CP 72000 Puebla-PUE, MexicoHospital General Regional Número 36, Instituto Mexicano del Seguro Social, CP 72090 Puebla-PUE, MexicoHospital General Regional Número 36, Instituto Mexicano del Seguro Social, CP 72090 Puebla-PUE, MexicoLaboratory of Liver, Pancreas and Motility (HIPAM), Department of Experimental Medicine, Faculty of Medicine, Hospital General de México, Universidad Nacional Autónoma de México (UNAM), CP 06726 Mexico City, MexicoAims. The frequency of functional gastrointestinal disorders (FGIDs) in the general population of Mexico is unknown. Methods. To determine the prevalence of FGIDs, associated depression, and health care utilization, a population-based sampling strategy was used to select 500 households in the State of Tlaxcala, in central Mexico. Household interviews were conducted by two trained physicians using the Rome II Modular Questionnaire, a health-care and medication used questionnaire and the CES-D depression scale. Results. The most common FGIDs were IBS: 16.0% (95% CI: 12.9–19.5); functional bloating: 10.8% (8.2–13.9); unspecified functional bowel disorder: 10.6% (8.0–13.6); and functional constipation (FC): 7.4% (5.3–10.1). Uninvestigated heartburn was common: 19.6% (16.2–23.4). All FGIDs were equally prevalent among both genders, except for IBS (P=0.001), IBS-C (P<0.001), IBS-A/M (P=0.049), and FC (P=0.039) which were more frequent in women. Subjects with FGIDs reported higher frequencies of medical visits: 34.6 versus 16.8%; use of medications: 40.7 versus 21.6%; (both P<0.001); and reported depression: 26.7 versus 6.7%, (P<0.001). Conclusion. In this first population-based study of FGIDs in Mexico, heartburn, IBS, functional distension, and FC were common. Only IBS, IBS-C, IBS-A/M, and FC were more frequent in women. Finally, FGIDs in Mexico had an increased burden of health care utilization and depression.http://dx.doi.org/10.1155/2012/606174 |
| spellingShingle | Aurelio López-Colombo Douglas Morgan Dalia Bravo-González Alvaro Montiel-Jarquín Socorro Méndez-Martínez Max Schmulson The Epidemiology of Functional Gastrointestinal Disorders in Mexico: A Population-Based Study Gastroenterology Research and Practice |
| title | The Epidemiology of Functional Gastrointestinal Disorders in Mexico: A Population-Based Study |
| title_full | The Epidemiology of Functional Gastrointestinal Disorders in Mexico: A Population-Based Study |
| title_fullStr | The Epidemiology of Functional Gastrointestinal Disorders in Mexico: A Population-Based Study |
| title_full_unstemmed | The Epidemiology of Functional Gastrointestinal Disorders in Mexico: A Population-Based Study |
| title_short | The Epidemiology of Functional Gastrointestinal Disorders in Mexico: A Population-Based Study |
| title_sort | epidemiology of functional gastrointestinal disorders in mexico a population based study |
| url | http://dx.doi.org/10.1155/2012/606174 |
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