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ORIGINAL ARTICLE
Year : 2018  |  Volume : 13  |  Issue : 2  |  Page : 87-90

A study of prevalence and determinants of irritable bowel syndrome in an urban slum community in Mumbai


1 Department of Community Medicine, American International Institute of Medical Sciences, Udaipur, Rajasthan, India
2 Department of Community Medicine, LTMMC and GH, Mumbai, Maharashtra, India
3 Department of Health Services, State Family Welfare Bureau, Government of Maharashtra, Pune, Maharashtra, India

Correspondence Address:
Dr. Vijaykumar Sukhdev Singh
Department of Community Medicine (PSM), LTMMC and GH, Sion, Mumbai - 400 022, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_4_18

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Context: Prevalence of irritable bowel syndrome (IBS) in Indian community according to studies varies from 10% to 20%. Only 20% seek medical care which is just a tip of an iceberg. Early detection is needed as it affects the quality of life markedly. Magnitude is not known in slums of Mumbai due to scarcity of studies. Aims: The aim of the study was to study epidemiological factors related to IBS in an urban slum population. Settings and Design: This study design was a cross-sectional and conducted in urban slum. Subjects and Methods: The study was conducted among the slum population by systematic random sampling with a predesigned, pretested, semi-structured questionnaire as a study tool. Statistical Analysis Used: Statistical analysis used Excel and SPSS software packages. Results: The prevalence of IBS was 12.27%, of which 56% were males and 44% were females. Majority were aged between 25 and 44 years (66%) and married (64%). Most common symptoms were relief of pain after bowel movement (68%), change in frequency of stools (65%) with 51.52% showing diarrhea-predominant subtype, and only 15.15% had visited a gastroenterologist. Psychiatric disorders, sexual dysfunction, and pelvic pain each at P < 0.01 and decreased quality of life (P < 0.01) had shown a significant association with IBS. Conclusions: Psychiatric disorders, sexual function, work absenteeism, pelvic pain, and gastroesophageal reflux diseases were significantly associated with IBS, while sex, marital status, religion, and socioeconomic status were not.


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