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Knowledge, screening practice and infection-related behaviors toward Helicobacter pylori among university students in East China—a cross-sectional study
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  • Published: 17 February 2026

Knowledge, screening practice and infection-related behaviors toward Helicobacter pylori among university students in East China—a cross-sectional study

  • Zhuoyi Liu1,
  • Haowen Zheng1,
  • Xiaoya Du1,
  • Yuxuan Cai1,
  • Hengwei Cao2,
  • Daolin Du3,
  • Caifeng Luo4,
  • Wenxin Li3,
  • Jianou Xu4 &
  • …
  • Fei Lv1 

Scientific Reports , Article number:  (2026) Cite this article

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We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Diseases
  • Gastroenterology
  • Health care
  • Medical research
  • Risk factors

Abstract

Helicobacter pylori (HP) infection represents a major global health concern related to gastric cancer. University students are at a critical stage of forming health knowledge and behaviors and are expected to play an educational role in future family health, yet research on their HP awareness and practices remains insufficient. This study adopted a cross-sectional design based on convenience sampling and investigated 2,025 university students in East China using a reliable self-developed questionnaire. Among the 1,791 participants who had heard of HP, 30.6%, 42.9%, and 26.5% respectively demonstrated low, moderate, and high levels of HP knowledge. Multivariable ordinal logistic regression revealed that gender, major type, family geographic district, household’s per capita living area, father’s education attainment, and family history of gastrointestinal diseases were independent influencing factors for HP knowledge. Only 22.9% of the participants had ever undergone HP screening, among whom the infection rate was 26.3%. Multivariable binary logistic regression indicated that grade, major type, parental education attainment, gastrointestinal discomfort in the last year, and family history of gastrointestinal diseases significantly influenced screening participation. Meanwhile, frequent consumption of coffee/milk tea, frequent consumption of seafood, higher frequency of fruit and vegetable intake, and household tableware sharing were associated with HP infection. University students exhibited moderate HP knowledge and low screening rates, influenced by multiple factors. Targeted health education and screening promotion are needed to enhance their role in family health communication.

Data availability

The data that support the findings of this study are available on request from the corresponding author.

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Acknowledgements

We would like to express our sincere gratitude to all the university students who participated in this survey questionnaire. Funding source: This work was supported by Qing Lan Project of Jiangsu province, and National Undergraduate Training Program for Innovation and Entrepreneurship (No. 202513986005).

Funding

This work was supported by Qing Lan Project of Jiangsu province, and National Undergraduate Training Program for Innovation and Entrepreneurship (No. 202513986005).

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Authors and Affiliations

  1. Faculty of Life Sciences and Technology, Jiangsu University Jingjiang College, No.537 Cheung Heung West Avenue, Zhenjiang, 212000, Jiangsu, China

    Zhuoyi Liu, Haowen Zheng, Xiaoya Du, Yuxuan Cai & Fei Lv

  2. Faculty of Electrical and Information Engineering, Jiangsu University Jingjiang College, No.537 Cheung Heung West Avenue, Zhenjiang, 212000, Jiangsu, China

    Hengwei Cao

  3. Jiangsu University Jingjiang College, No.537 Cheung Heung West Avenue, Zhenjiang, 212000, Jiangsu, China

    Daolin Du & Wenxin Li

  4. School of Medicine, Jiangsu University, No. 301 Xuefu Road, Zhenjiang, 212000, Jiangsu, China

    Caifeng Luo & Jianou Xu

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Contributions

Zhuoyi Liu: Conceptualization, Methodology, Writing—Original Draft, Funding acquisition. Haowen Zheng: Conceptualization, Methodology, Formal analysis. Xiaoya Du: Investigation, Date Curation. Yuxuan Cai: Investigation, Visualization. Hengwei Cao: Investigation, Visualization. Daolin Du: Supervision, Writing—Review & Editing. Caifeng Luo: Conceptualization, Writing—Review & Editing. Wenxin Li: Supervision, Resources. Jianou Xu: Writing—Review & Editing. Fei Lv: Writing—Review & Editing, Project administration, Funding acquisition.

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Liu, Z., Zheng, H., Du, X. et al. Knowledge, screening practice and infection-related behaviors toward Helicobacter pylori among university students in East China—a cross-sectional study. Sci Rep (2026). https://doi.org/10.1038/s41598-026-40056-x

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  • Received: 28 October 2025

  • Accepted: 10 February 2026

  • Published: 17 February 2026

  • DOI: https://doi.org/10.1038/s41598-026-40056-x

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Keywords

  • Helicobacter pylori
  • Gastric cancer
  • Knowledge
  • Infection control
  • Risk behaviors
  • Student
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