Estimating the Force of Infection with Helicobacter pylori in Japan

Background. Although the seroprevalence against Helicobacter pylori (H. pylori) in Japan has declined over the birth year, Japanese people have yet exhibited a relatively high risk of gastric cancer. The present study employed mathematical models to estimate the time- and age-dependent force of infe...

Full description

Saved in:
Bibliographic Details
Main Authors: Taishi Kayano, Ki-Deok Lee, Hiroshi Nishiura
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2019/1451490
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832560817000677376
author Taishi Kayano
Ki-Deok Lee
Hiroshi Nishiura
author_facet Taishi Kayano
Ki-Deok Lee
Hiroshi Nishiura
author_sort Taishi Kayano
collection DOAJ
description Background. Although the seroprevalence against Helicobacter pylori (H. pylori) in Japan has declined over the birth year, Japanese people have yet exhibited a relatively high risk of gastric cancer. The present study employed mathematical models to estimate the time- and age-dependent force of infection with H. pylori in Japan, predicting the future seroprevalence by time and age. Methods. We investigated the published seroprevalence data against H. pylori in Japan from 1980–2018. Solving the McKendrick partial differential equation model, the seroprevalence was modeled as a function of survey year and age. Maximum likelihood estimation was conducted to estimate parameters governing the time- and age-dependent force of infection. Results. Among all fitted models, the time-dependent and age-independent model with an exponentially decaying force of infection over years was most favored. Fitted models indicated that the force of infection started to decrease during and/or shortly after the World War II. Using the parameterized model, the predicted fraction seropositive at the age of 40 years in 2018 was 0.22, but it is expected to decrease to 0.13 in 2030 and 0.05 in 2050, respectively. Conclusion. The time dependence was consistent with the decline in the force of infection as a function of the birth year. The force of infection has continuously and greatly declined over time, implying the diminished transmission of H. pylori through the time course and small chance of persistence. These findings are critical to anticipate the future decline in gastric cancer incidence.
format Article
id doaj-art-8ac93bac4c8d467e9a319e2554627973
institution Kabale University
issn 1712-9532
1918-1493
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Canadian Journal of Infectious Diseases and Medical Microbiology
spelling doaj-art-8ac93bac4c8d467e9a319e25546279732025-02-03T01:26:41ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95321918-14932019-01-01201910.1155/2019/14514901451490Estimating the Force of Infection with Helicobacter pylori in JapanTaishi Kayano0Ki-Deok Lee1Hiroshi Nishiura2Graduate School of Medicine, Hokkaido University, Kita 15 Jo Nishi 7 Chome, Kitaku, Sapporo 0608638, JapanGraduate School of Medicine, Hokkaido University, Kita 15 Jo Nishi 7 Chome, Kitaku, Sapporo 0608638, JapanGraduate School of Medicine, Hokkaido University, Kita 15 Jo Nishi 7 Chome, Kitaku, Sapporo 0608638, JapanBackground. Although the seroprevalence against Helicobacter pylori (H. pylori) in Japan has declined over the birth year, Japanese people have yet exhibited a relatively high risk of gastric cancer. The present study employed mathematical models to estimate the time- and age-dependent force of infection with H. pylori in Japan, predicting the future seroprevalence by time and age. Methods. We investigated the published seroprevalence data against H. pylori in Japan from 1980–2018. Solving the McKendrick partial differential equation model, the seroprevalence was modeled as a function of survey year and age. Maximum likelihood estimation was conducted to estimate parameters governing the time- and age-dependent force of infection. Results. Among all fitted models, the time-dependent and age-independent model with an exponentially decaying force of infection over years was most favored. Fitted models indicated that the force of infection started to decrease during and/or shortly after the World War II. Using the parameterized model, the predicted fraction seropositive at the age of 40 years in 2018 was 0.22, but it is expected to decrease to 0.13 in 2030 and 0.05 in 2050, respectively. Conclusion. The time dependence was consistent with the decline in the force of infection as a function of the birth year. The force of infection has continuously and greatly declined over time, implying the diminished transmission of H. pylori through the time course and small chance of persistence. These findings are critical to anticipate the future decline in gastric cancer incidence.http://dx.doi.org/10.1155/2019/1451490
spellingShingle Taishi Kayano
Ki-Deok Lee
Hiroshi Nishiura
Estimating the Force of Infection with Helicobacter pylori in Japan
Canadian Journal of Infectious Diseases and Medical Microbiology
title Estimating the Force of Infection with Helicobacter pylori in Japan
title_full Estimating the Force of Infection with Helicobacter pylori in Japan
title_fullStr Estimating the Force of Infection with Helicobacter pylori in Japan
title_full_unstemmed Estimating the Force of Infection with Helicobacter pylori in Japan
title_short Estimating the Force of Infection with Helicobacter pylori in Japan
title_sort estimating the force of infection with helicobacter pylori in japan
url http://dx.doi.org/10.1155/2019/1451490
work_keys_str_mv AT taishikayano estimatingtheforceofinfectionwithhelicobacterpyloriinjapan
AT kideoklee estimatingtheforceofinfectionwithhelicobacterpyloriinjapan
AT hiroshinishiura estimatingtheforceofinfectionwithhelicobacterpyloriinjapan