title: [Risk factors for Helicobacter pylori infection in children].
abstract: OBJECTIVE
  To establish the seroprevalence of Helicobacter pylori infection in children and to identify risk factors for seropositivity.\par
  
  
  METHODS
  A cross-sectional study established the seroprevalence of infection by Helicobacter pylori and afterwards a comparative study was performed amongst seropositive and seronegative children. A group of 228 children were cared for at the outpatient clinic of Instituto Materno Infantil de Pernambuco, from May to July 1999. Age, sex, indicators of environmental, social and economic conditions, health and nutritional status as well as children living in contact with dwellers with history of gastrointestinal pain or peptic disease were evaluated. All data was obtained through an interview with children's parents or caretakers. Nutritional status was evaluated by anthropometric index. \par
  
  
  RESULTS
  Seroprevalence of infection caused by Helicobacter pylori was found in 32% (95% CI 26% - 38%); 25.8% (95% CI 17.8% - 33.8%) in preschool children and 39.4% (95% CI 30.4% - 48.4%) in school age children. Analysis of environmental variables demonstrated higher frequency of seropositivity in children living in houses without toilets or sanitary flush toilet facilities (p = 0.008), overcrowded (p = 0.05), lower family income (p = 0.03) and poor maternal education (p = 0.002). There were no statistically significant differences between the groups regarding health indicators, anthropometric indexes and children living with dwellers with history of gastritis or peptic ulcer.\par
  
  
  CONCLUSIONS
  Seroprevalence of Helicobacter pylori infection was high in the studied population, being even higher among the school age group. A positive association between seropositivity and less favorable environmental variables was detected.
authors.affiliation: Instituto Materno-Infantil de Pernambuco, Recife, PE, Brazil. gisapontes@uol.com.br
authors.forename: Mônica M C
authors.initials: MM
authors.lastname: Moraes
authors.forename: Gisélia A P
authors.initials: GA
authors.lastname: da Silva
mesh_terms: D001938:Brazil; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D016481:Helicobacter Infections / Q000097:blood / Q000453:epidemiology*; D016480:Helicobacter pylori / Q000276:immunology; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D008297:Male; D012307:Risk Factors; D016036:Seroepidemiologic Studies
chemical_list: D007074:Immunoglobulin G
vernacular_title: Fatores de risco para infecção pelo Helicobacter pylori em crianças.