مقالة

Khat Chewing and Lifestyle Risk Factors Associated with Helicobacter pylori Infection Among Adults with Dyspepsia in Sana’a, Yemen: A Cross-Sectional Study

Background: Helicobacter pylori is a widespread gastric pathogen associated with various gastrointestinal disorders. In Yemen, khat chewing is a common social practice; however, its association with H. pylori infection remains unclear. Therefore, this study aimed to determine the prevalence of H. pylori infection among khat chewers and non-chewers in Sana’a, Yemen, and to identify associated risk factors.


Methods: A cross-sectional analysis was conducted on 100 adults presenting with dyspeptic symptoms at healthcare facilities in Sana’a between June and December 2021. Participants were interviewed about their demographic characteristics, khat chewing, dietary habits, and other lifestyle factors. Stool samples were collected and tested for H. pylori antigen using enzyme-linked immunosorbent assay (ELISA). The association between H. pylori infection and potential risk factors was evaluated statistically.


Results: H. pylori was detected in 25% of patients with dyspeptic symptoms, with infection rate being significantly higher among khat chewers (33%) than among non-chewers (16%) (p = 0.049). Spicy food consumption and high coffee intake were significantly associated with infection. In contrast, no significant associations were found with water source, smoking, or educational level. Although symptoms such as abdominal pain, nausea, and loss of appetite were frequently reported, none showed a statistically significant association with H. pylori infection.


Conclusion: Khat chewing, spicy food consumption, and frequent coffee consumption appear to increase the risk of H. pylori infection among adults with dyspeptic symptoms in Sana’a. These findings highlight the importance of addressing local habits for the prevention and management of H. pylori infection.

Sadiq S. Abdul-Moghni

  • Department of Physiology, Faculty of Medicine and Health Sciences, Sana’a University, Sana’a. Yemen

Butheina A. Alamrani المراسل

  • Department of Pharmacology, Faculty of Medicine and Health Sciences, University of Science and Technology, Sana’a, Yemen,

Arwa M. Othman

  • Department of Microbiology and Immunology, Faculty of Medicine and Health Sciences, Sana’a University, Sana’a, Yemen

Naif M. Al-Haidary

  • Department of Microbiology and Immunology, Faculty of Medicine and Health Sciences, Sana’a University, Sana’a, Yemen

Nawal Al-Henhena

  • Department of Biochemistry and Molecular Biology, Faculty of Medicine and Health Sciences, Sana‘a University, Sana‘a, Yemen

Aref Abdul-Mughni

  • Department of Anatomy and Embryology, Faculty of Agriculture and Veterinary Medicine, Dhamar University, Dhamar, Yemen

Gamil T. Abdul Mughni

  • Department of Medical Microbiology and Immunology, Faculty of Laboratory Medicine, University of 21 September for Medical and Applied Sciences, Sana’a, Yemen.
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Khat Chewing and Lifestyle Risk Factors Associated with Helicobacter pylori Infection Among Adults with Dyspepsia in Sana’a, Yemen: A Cross-Sectional Study. (2026). مجلة جامعة صنعاء للطب والعلوم الصحية, 20(1), 464-468. https://doi.org/10.59628/jchm.v20i1.2395