The homeless population has many risk factors for dyspepsia. However, little information is available on gastrointestinal symptoms in this population.
In this study, investigators evaluated the prevalence of and risk factors for dyspepsia in homeless people in Toronto, Canada.
The team performed a cross-sectional survey of a representative sample of 100 homeless adults; they included serologic testing for Helicobacter pylori infection.
They found that the prevalence of moderate to very severe symptoms in the previous 3 months was 18% for upper stomach pain and 59% for any dyspeptic symptom.
|H. pylori infection was identified in 31%.|
|Journal of Clinical Gastroenterology|
In addition, the team determined that nonwhite ethnicity (OR 3.5) and a history of GI disease (OR 8.6) were significantly associated with moderate to very severe upper stomach pain.
H. pylori infection was identified in 31% of participants but was not significantly associated with dyspepsia.
Dr Stephen Hwang's team concluded, "Dyspepsia is a common problem among homeless adults in Toronto".
"The presence of upper stomach pain is most strongly associated with a history of gastrointestinal disease".