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Original Articles
Irritable bowel syndrome is concentrated in people with higher educations in Iran: an inequality analysis
Asieh Mansouri, Mostafa Amini Rarani, Mosayeb Fallahi, Iman Alvandi
Epidemiol Health. 2017;39:e2017005.   Published online February 1, 2017
DOI: https://doi.org/10.4178/epih.e2017005
  • 16,404 View
  • 278 Download
  • 15 Web of Science
  • 10 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Like any other health-related disorder, irritable bowel syndrome (IBS) has a differential distribution with respect to socioeconomic factors. This study aimed to estimate and decompose educational inequalities in the prevalence of IBS.
METHODS
Sampling was performed using a multi-stage random cluster sampling approach. The data of 1,850 residents of Kish Island aged 15 years or older were included, and the determinants of IBS were identified using a generalized estimating equation regression model. The concentration index of educational inequality in cases of IBS was estimated and decomposed as the specific inequality index.
RESULTS
The prevalence of IBS in this study was 21.57% (95% confidence interval [CI], 19.69 to 23.44%). The concentration index of IBS was 0.20 (95% CI, 0.14 to 0.26). A multivariable regression model revealed that age, sex, level of education, marital status, anxiety, and poor general health were significant determinants of IBS. In the decomposition analysis, level of education (89.91%), age (−11.99%), and marital status (9.11%) were the three main contributors to IBS inequality. Anxiety and poor general health were the next two contributors to IBS inequality, and were responsible for more than 12% of the total observed inequality.
CONCLUSIONS
The main contributors of IBS inequality were education level, age, and marital status. Given the high percentage of anxious individuals among highly educated, young, single, and divorced people, we can conclude that all contributors to IBS inequality may be partially influenced by psychological factors. Therefore, programs that promote the development of mental health to alleviate the abovementioned inequality in this population are highly warranted.
Summary

Citations

Citations to this article as recorded by  
  • Risk Factors of Developing Postinfectious Irritable Bowel Syndrome in Shigellosis Patients, 5 Years After Hospitalization During the Outbreak
    Maryam Soheilipour, Atefeh Chahichi, Hamid Mohajer, Niousha Ghomashi, Hamidreza Roohafza, Peyman Adibi
    Open Forum Infectious Diseases.2024;[Epub]     CrossRef
  • Social economic factors and the risk of multiple chemical sensitivity in a Danish population-based cross-sectional study: Danish Study of Functional Disorders (DanFunD)
    Anne Ahrendt Bjerregaard, Signe Ulfbeck Schovsbo, Lise K Gormsen, Sine Skovbjerg, Lene Falgaard Eplov, Allan Linneberg, José G Cedeño-Laurent, Torben Jørgensen, Thomas Meinertz Dantoft
    BMJ Open.2023; 13(3): e064618.     CrossRef
  • Irritable bowel syndrome (IBS) among Lebanese adults: unidentified IBS and associated factors
    Gabriella Yazbeck, Diana Malaeb, Hamid Shaaban, Abir Sarray El Dine, Souheil Hallit, Rabih Hallit
    BMC Public Health.2023;[Epub]     CrossRef
  • The prevalence and risk factors of irritable bowel syndrome in Saudi Arabia in 2019
    NaifH Alqahtani, MohammadEid M Mahfouz
    International Journal of Preventive Medicine.2022; 13(1): 13.     CrossRef
  • The Association between Adherence to the MIND Diet and Irritable Bowel Syndrome
    Saeedeh Nouri-Majd, Asma Salari-Moghaddam, Ammar Hassanzadeh Keshteli, Ahmad Esmaillzadeh, Peyman Adibi
    Digestive Diseases.2022; 40(2): 198.     CrossRef
  • Association of Diet, Body Mass Index, and Lifestyle on the Gastrointestinal Health Risk in a Sample of Adults
    Reyna Sámano, Fernanda Esparza-Juárez, Gabriela Chico-Barba, Erika González-Medina, Bernarda Sánchez-Jiménez, María Hernández-Trejo
    International Journal of Environmental Research and Public Health.2022; 19(17): 10569.     CrossRef
  • Decomposing educational inequality in maternal mortality in Iran
    Mostafa Amini-Rarani, Asieh Mansouri, Mehdi Nosratabadi
    Women & Health.2021; 61(3): 244.     CrossRef
  • Irritable Bowel Syndrome Prevalence among Participants of Woodstock Rock Festival in Poland Based on Rome IV Criteria Questionnaire
    Joanna Palma, Justyna Antoniewicz, Krzysztof Borecki, Karol Tejchman, Karolina Skonieczna-Żydecka, Dominika Maciejewska-Markiewicz, Karina Ryterska, Natalia Komorniak, Maja Czerwińska-Rogowska, Anna Wolska, Honorata Mruk-Mazurkiewicz, Anna Gudan, Tomasz M
    International Journal of Environmental Research and Public Health.2021; 18(21): 11464.     CrossRef
  • The prevalence of irritable bowel syndrome among Saudi population in Riyadh by use of Rome IV criteria and self-reported dietary restriction
    HusseinS Amin, Farhana Irfan, SyedI Karim, SaifM Almeshari, KhaledA Aldosari, AbdullahM Alzahrani, AdnanT Almogbel, SaadM Alfouzan, AnasA Alsaif
    Saudi Journal of Gastroenterology.2021; 27(6): 383.     CrossRef
  • Systematic review with meta‐analysis: the prevalence of anxiety and depression in patients with irritable bowel syndrome
    Mohammad Zamani, Shaghayegh Alizadeh‐Tabari, Vahid Zamani
    Alimentary Pharmacology & Therapeutics.2019; 50(2): 132.     CrossRef
Prevalence and risk factors of irritable bowel syndrome in Korean high school students.
Kyung Tae Lee, Jaehyun Yoo, Bo Kyoung Kim, Hae Kwan Cheong
Korean J Epidemiol. 2007;29(1):21-33.
  • 65,535 View
  • 49 Download
AbstractAbstract PDF
Abstract
BACKGROUND
AND OBJECTIVES: Irritable bowel syndrome (IBS) is prevalent in the general population, but there are few reports on bowel habits and IBS in high school students in Korea. This study aims to describe the prevalence of IBS in high school students in Korea and to investigate the influence of lifestyle factors including dietary habits, on the IBS. This study also investigates relationship between anxiety, depression and IBSprevalence. SUBJECTS AND METHODS: This study is a cross-sectional study on 1,018 students (451 males and 567 females) form freshman to senior of a high schools in Seoul. All students were requested to fill in a self-reported questionnaire. IBS was diagnosed based on the Rome II criteria. Those having past medical history of organic gastrointestinal disorders and any one of the 'alarm factors'(e.g. continuous hematochezia, weight loss, or anemic symptom) were excluded from the IBS group. For the evaluation of risk factors on the IBS, we surveyed dietary habit, health behavior, past medical history, the Hollingshed index for the measurement of socioeconomic status, Beck's Anxiety Inventory for the anxiety, and the Children's Depression Inventory for the depression.
RESULTS
The prevalence of IBS was 19.1%. Family history of abdominal discomfort (odds ratio 2.07, 95% 1.46-2.92) and having night snack (odds ratio 1.46, 95% CI 1.09-1.94) were significantly different between the IBS group and non-IBS group. There was a linear trend towards the higher prevalence of IBS with fewer hours of exercise (odds ratio 0.99, 95% CI 0.95-1.04). Menstruation, stress, and irregular eating were the significant provocation factors of IBS. Anxiety and depression was not significantly higher in in the IBS group.
CONCLUSIONS
Prevalence of the IBS in high school students from this study was higher compared with those reported in college students in Korea. This study shows that family history, dietary factors, lifestyle, and grade were significantly related to IBS. From our study, we found that there are multifaceted health aspects required to reduce symptoms, such as dietary education and encouragement to change lifestyle for controlling stress.
Summary
Epidemiol Health : Epidemiology and Health
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