Skip to main content
Log in

Prevalence of Gastrointestinal Disease and Its Associated Risk Factors in Sikkim and Darjeeling Districts

  • Original Paper
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

The gastrointestinal disease accounts for a large number of deaths in several parts of the world. Gastrointestinal infection has been an emerging problem in Sikkim and Darjeeling District and also in other parts of our country. To study the prevalence and to explore the risk factors associated with gastrointestinal diseases in Sikkim and Darjeeling District. The present study is the population based descriptive type cross sectional study. The study design was based on random selection among 100 individuals from different areas of Sikkim and Darjeeling district of West Bengal. Questionnaire based anonymous feedback system was followed to collect the data. The data were analyzed using statistical tool and the relative risk was calculated. Total 65 (65 %) cases of gastrointestinal disease were found in 100 individuals out of which 24 were males and 41 were females. Cases of diarrhea, gastroenteritis, dysentery, food poisoning, amoebiosis and enterocolitis was 34, 18, 3, 3, 1 and 0 % respectively. The statistical analysis reveals that a gastrointestinal disease is more prevalent in females as compared to males and in the age group between 15 and 25 years. The various associated risk factors for gastrointestinal disease which was observed during the study were frequency of diet, diet type, consumption of spicy food, fermented food, smoking, consumption of alcohol, consumption of fruits available in market and an inappropriate sanitary condition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. District Census 2011. (2011). Census 2011.co.in. Retrieved 2011-09-30.

  2. Publication Division GoI. (2010). A reference annual. New Delhi: Publications Division, Ministry of Information and Broadcasting, India.

  3. O’Malley, L. S. S. (1999). Bengal District Gazetteers Darjeeling. ISBN 81-7268-018-X.

  4. Lama, M. P. (2001). Sikkim development report 2001. Delhi: Government of Sikkim.

    Google Scholar 

  5. Tamang, J. P. (2005). Food culture of Sikkim: Sikkim study series. Gangtok: Information and Public Relations Departments, Government of Sikkim.

    Google Scholar 

  6. Tamang, J. P., Namrata, T., Rai, B., Thapa, S., Yonzon, H., et al. (2007). Food consumption in Sikkim with special reference to traditional fermented foods and beverage. Journal of Hill Research, 20, 1–3.

    Google Scholar 

  7. Conio, M., Cameron, A. J., Romero, Y., Branch, C. D., Schleck, C. D., et al. (2001). Secular trends in the epidemiology and outcome of Barrett’s oesophagus in Olmsted County, Minnesota. Gut, 48, 304–309.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  8. Kaushal, T. R., Rajapure, V. A., Poudyal, H., & Thakur, N. (2012). Prevalence and risk factors associated with gastro-intestinal tract infections in Sikkim. Journal of Community Medicine Health and Education, 2, 8.

    Google Scholar 

  9. Loftus, E. V., Jr. (2004). Clinical epidemiology of inflammatory bowel disease: Incidence, prevalence, and environmental influences. Gastroenterology, 126, 1504–1517.

    Article  PubMed  Google Scholar 

  10. Hou, J. K., El. Serag, H., & Thirumurthi, S. (2009). Distribution and manifestations of inflammatory bowel disease in Asians, Hispanics, and African Americans: A systematic review. Gastroenterology, 104, 2100–2109.

    Google Scholar 

  11. Centre of Disease and Control. (2011). www.cdc.gov/ncezid/dfwed/international/gfin.html.

  12. Gajamer, V. R., Najar, I. N., Poudyal, H., & Thakur, N. (2013). Prevalence of liver diseases in Sikkim and its associated risk factors. The Journal of Public Health, 115, 140–146.

    Google Scholar 

  13. Sohrabi, S., Nouraie, M., Khademi, H., Baghizadeh, S., Nasseri, S., & Malekzadeh, R. (2010). Epidemiology of uninvestigated gastrointestinal symptoms in adolescents. A population-based study applying the Rome II Questionnaire. Gastroenterology, 51, 41–45.

    Google Scholar 

  14. Corazziari, E. (2004). Definition and epidemiology of functional gastrointestinal disorders. Best Practice & Research Clinical Gastroenterology, 18, 613–631.

    Article  Google Scholar 

  15. Walker, L. S., Garber, J., Vanslyke, D. A., et al. (1995). Long-term health outcomes in patients with recurrent abdominal-pain. Journal of Pediatric Psychology, 20, 233–245.

    Article  CAS  PubMed  Google Scholar 

  16. Guthery, S. L., Hutchings, C., Dean, J. M., et al. (2004). National estimates of hospital utilization by children with gastrointestinal disorders: Analysis of the 1997 kids inpatient database. Journal of Pediatrics, 144, 589–594.

    Article  PubMed  Google Scholar 

  17. Uc, A., Hyman, P. E., & Walker, L. S. (2006). Functional gastrointestinal disorders in African American children in primary care. Journal of Pediatric Gastroenterology and Nutrition, 42, 270–274.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Kappelman, M. D., Rifas-Shiman, S. L., Kleinman, K., et al. (2007). The prevalence and geographic distribution of Crohn’s disease and ulcerative colitis in the United States. Clinical Gastroenterology and Hepatology, 5, 1424–1429.

    Article  PubMed  Google Scholar 

  19. Gonlachanvit, S. (2010). Are rice and spicy diet good for functional gastrointestinal disorders? Journal of Neurogastroenterology and Motility, 16, 131–138.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Siddiqui, W., & Dhua, R. S. (2010). Eating artificially ripened fruits is harmful? Current Science, 99, 12.

    Google Scholar 

  21. Armour, M. A. (1999). Hazardous laboratory chemicals disposal guide (p. 11). Boca Raton, FL: CRC Press.

    Google Scholar 

  22. Van der, H. F., Dijkstra, A., Weersma, R. K., et al. (2009). Effects of active and passive smoking on disease course of Crohn’s disease and ulcerative colitis. Inflammatory Bowel Diseases, 15, 1199–1207.

    Article  Google Scholar 

  23. Sutherland, L. R., Ramcharan, S., Bryant, H., & Fick, G. (1990). Effect of cigarette smoking on recurrence of Crohn’s disease. Gastroenterology, 98, 1123–1128.

    CAS  PubMed  Google Scholar 

  24. World Health Organization. (2011). Global status report on alcohol and health. ISBN 9789241564151, WHO Library Cataloguing-in-Publication Data (NLM classification: WM 274).

  25. Bode, J. C. (1980). Alcohol and the gastrointestinal tract. Ergebnisse der Inneren Medizin und Kinderheilkunde, 45, 1–75.

    CAS  PubMed  Google Scholar 

  26. Bode J. C., & Bode C. (1992). Alcohol malnutrition and the gastrointestinal tract: nutrition and alcohol. Watson, R. R., & Watzl, B. (eds), Boca Raton: CRC Press, 403–428.

  27. Rosenstock, S., Jorgensen, T., Bonnevie, o., & Andersen, L. (2003). Risk factors for peptic ulcer disease: A population based prospective cohort study comprising 2,416 Danish adults. Gut, 52, 186–193.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

Download references

Acknowledgments

Authors are thankful to Mr. Ishfaq Nabi for helping in data analysis. Authors are also grateful to all the participants for providing valuable information and time.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Varsha Rani Gajamer.

Appendix: Questionnaire Based Feedback Form for the Study of Human Gastrointestinal Pathogens from Sikkim & North Bengal

Appendix: Questionnaire Based Feedback Form for the Study of Human Gastrointestinal Pathogens from Sikkim & North Bengal

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gajamer, V.R., Tiwari, H.K. Prevalence of Gastrointestinal Disease and Its Associated Risk Factors in Sikkim and Darjeeling Districts. J Community Health 39, 767–774 (2014). https://doi.org/10.1007/s10900-014-9826-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10900-014-9826-x

Keywords

Navigation