The objectives of this project are to describe and evaluate the determinants of gastric dysplasia, intestinal metaplasia and chronic atrophic gastritis, conditions thought to be precursors to stomach cancer, in a population in Shandong, China where stomach cancer rates are high. This will be accomplished by continued followup of a population of 3,400 adults age 35-64 classified by (1) gastric status determined by gastroscopy; (2) diet, tobacco consumption, medical history and other exposures obtained via interviews; and (3) measurements of nutrients and other substances in blood, urine, and gastric juice. Rates of transitions of these gastric lesions to cancer will be determined via follow-up of the study population over a 6-year period.
Groves, Frank D; Perez-Perez, Guillermo; Zhang, Lian et al. (2002) Serum antibodies to Helicobacter pylori and the CagA antigen do not explain differences in the prevalence of precancerous gastric lesions in two Chinese populations with contrasting gastric cancer rates. Cancer Epidemiol Biomarkers Prev 11:1091-4 |
Riecken, B; Pfeiffer, R; Ma, J L et al. (2002) No impact of repeated endoscopic screens on gastric cancer mortality in a prospectively followed Chinese population at high risk. Prev Med 34:22-8 |
Groves, Frank D; Issaq, Haleem; Fox, Stephen et al. (2002) N-nitroso compounds and mutagens in Chinese fermented (sour) corn pancakes. J AOAC Int 85:1052-6 |
You, W C; Zhang, L; Pan, K F et al. (2001) Helicobacter pylori prevalence and CagA status among children in two counties of China with high and low risks of gastric cancer. Ann Epidemiol 11:543-6 |