Digestive Diseases and Sciences

, Volume 38, Issue 9, pp 1569–1580

U. S. Householder survey of functional gastrointestinal disorders

Prevalence, sociodemography, and health impact

Authors

  • Douglas A. Drossman
    • Division of Digestive DiseasesUniversity of North Carolina
    • The Procter & Gamble Co.
    • Mayo Clinic
    • Ottawa Civic Hospital
    • Johns Hopkins University
    • University of Leuven
    • Hvidovre Hospital
    • Universita “La Sapienza”
    • University of Alabama
  • Zhiming Li
    • Division of Digestive DiseasesUniversity of North Carolina
    • The Procter & Gamble Co.
    • Mayo Clinic
    • Ottawa Civic Hospital
    • Johns Hopkins University
    • University of Leuven
    • Hvidovre Hospital
    • Universita “La Sapienza”
    • University of Alabama
  • Eileen Andruzzi
    • Division of Digestive DiseasesUniversity of North Carolina
    • The Procter & Gamble Co.
    • Mayo Clinic
    • Ottawa Civic Hospital
    • Johns Hopkins University
    • University of Leuven
    • Hvidovre Hospital
    • Universita “La Sapienza”
    • University of Alabama
  • Robert D. Temple
    • Division of Digestive DiseasesUniversity of North Carolina
    • The Procter & Gamble Co.
    • Mayo Clinic
    • Ottawa Civic Hospital
    • Johns Hopkins University
    • University of Leuven
    • Hvidovre Hospital
    • Universita “La Sapienza”
    • University of Alabama
  • Nicholas J. Talley
    • Division of Digestive DiseasesUniversity of North Carolina
    • The Procter & Gamble Co.
    • Mayo Clinic
    • Ottawa Civic Hospital
    • Johns Hopkins University
    • University of Leuven
    • Hvidovre Hospital
    • Universita “La Sapienza”
    • University of Alabama
  • W. Grant Thompson
    • Division of Digestive DiseasesUniversity of North Carolina
    • The Procter & Gamble Co.
    • Mayo Clinic
    • Ottawa Civic Hospital
    • Johns Hopkins University
    • University of Leuven
    • Hvidovre Hospital
    • Universita “La Sapienza”
    • University of Alabama
  • William E. Whitehead
    • Division of Digestive DiseasesUniversity of North Carolina
    • The Procter & Gamble Co.
    • Mayo Clinic
    • Ottawa Civic Hospital
    • Johns Hopkins University
    • University of Leuven
    • Hvidovre Hospital
    • Universita “La Sapienza”
    • University of Alabama
  • Josef Janssens
    • Division of Digestive DiseasesUniversity of North Carolina
    • The Procter & Gamble Co.
    • Mayo Clinic
    • Ottawa Civic Hospital
    • Johns Hopkins University
    • University of Leuven
    • Hvidovre Hospital
    • Universita “La Sapienza”
    • University of Alabama
  • Peter Funch-Jensen
    • Division of Digestive DiseasesUniversity of North Carolina
    • The Procter & Gamble Co.
    • Mayo Clinic
    • Ottawa Civic Hospital
    • Johns Hopkins University
    • University of Leuven
    • Hvidovre Hospital
    • Universita “La Sapienza”
    • University of Alabama
  • Enrico Corazziari
    • Division of Digestive DiseasesUniversity of North Carolina
    • The Procter & Gamble Co.
    • Mayo Clinic
    • Ottawa Civic Hospital
    • Johns Hopkins University
    • University of Leuven
    • Hvidovre Hospital
    • Universita “La Sapienza”
    • University of Alabama
  • Joel E. Richter
    • Division of Digestive DiseasesUniversity of North Carolina
    • The Procter & Gamble Co.
    • Mayo Clinic
    • Ottawa Civic Hospital
    • Johns Hopkins University
    • University of Leuven
    • Hvidovre Hospital
    • Universita “La Sapienza”
    • University of Alabama
  • Gary G. Koch
    • Division of Digestive DiseasesUniversity of North Carolina
    • The Procter & Gamble Co.
    • Mayo Clinic
    • Ottawa Civic Hospital
    • Johns Hopkins University
    • University of Leuven
    • Hvidovre Hospital
    • Universita “La Sapienza”
    • University of Alabama
Original Articles

DOI: 10.1007/BF01303162

Cite this article as:
Drossman, D.A., Li, Z., Andruzzi, E. et al. Digest Dis Sci (1993) 38: 1569. doi:10.1007/BF01303162

Abstract

Our objective was to obtain national data of the estimated prevalence, sociodemographic relationships, and health impact of persons with functional gastrointestinal disorders. We surveyed a stratified probability random sample of U.S householders selected from a data base of a national market firm (National Family Opinion, Inc.). Questions were asked about bowel symptoms, sociodemographic associations, work absenteeism, and physician visits. The sampling frame was constructed to be demographically similar to the U.S. householder population based on geographic region, age of householder, population density, household income and household size. Of 8250 mailings, 5430 were returned suitable for analysis (66% response). The survey assessed the prevalence of 20 functional gastrointestinal syndromes based on fulfillment of multinational diagnostic (Rome) criteria. Additional variables studied included: demographic status, work absenteeism, health care use, employment status, family income, geographic area of residence, population density, and number of persons in household. For this sample, 69% reported having at least one of 20 functional gastrointestinal syndromes in the previous three months. The symptoms were attributed to four major anatomic regions: esophageal (42%), gastroduodenal (26%), bowel (44%), and anorectal (26%), with considerable overlap. Females reported greater frequencies of globus, functional dysphagia, irritable bowel syndrome, functional constipation, functional abdominal pain, functional biliary pain and dyschezia; males reported greater frequencies of aerophagia and functional bloating. Symptom reporting, except for incontinence, declines with age, and low income is associated with greater symptom reporting. The rate of work/school absenteeism and physician visits is increased for those having a functional gastrointestinal disorder. Furthermore, the greatest rates are associated with those having gross fecal incontinence and certain more painful functional gastrointestinal disorders such as chronic abdominal pain, biliary pain, functional dyspepsia and IBS. Preliminary information on the prevalence, socio-demographic features and health impact is provided for persons who fulfill diagnostic criteria for functional gastrointestinal disorders.

Key Words

functional bowel disordersepidemiologydiagnosisdemographyhealth care usework absenteeism

Copyright information

© Plenum Publishing Corporation 1993