J Neurogastroenterol Motil.  2018 Oct;24(4):536-543. 10.5056/jnm18064.

Cultural Factors Influencing Functional Gastrointestinal Disorders in the East

• Chuah KH
• Mahadeva S

• KMID: 2422844
• DOI: http://doi.org/10.5056/jnm18064

Abstract

Culture forms an integral aspect of environmental factors which influences disease presentation and clinical outcomes in functional gastrointestinal disorders (FGIDs). In this review, the role of culture in FGIDs in the East is briefly explored with regards to symptom presentation and diagnostic issues, lifestyle and cultural habits, epidemiology, and healthcare seeking behavior. In both functional dyspepsia and irritable bowel syndrome, symptom presentation and disease sub-typing in Asians are known to differ from their Western counterparts, possibly relating to cultural dietary practices and from cultural perception of symptoms. Dietary patterns, together with defecating practices are explored as factors contributing to a lower prevalence of constipation in the East. An urban-rural difference in the prevalence of FGIDs in Asia is attributed to a change in dietary patterns in rapidly developing urban communities, together with an increased level of psychological morbidity. Lastly, cultural attitudes towards traditional/local remedies, variation in healthcare systems, anxiety regarding organic disease, and religious practices have been shown to influence healthcare seeking behavior among FGID patients in the East.

Keyword

Asia; Culture; Dyspepsia; Epidemiology; Irritable bowel syndrome

MeSH Terms

Anxiety
Asia
Asian Continental Ancestry Group
Constipation
Delivery of Health Care
Dyspepsia
Epidemiology
Gastrointestinal Diseases*
Humans
Irritable Bowel Syndrome
Life Style
Prevalence