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Studies have shown that prevalence rates were statistically significant between couples with and without H pylori infection (83.3% v 28.5%) respectively.10,11Ethnicity may also be an important predictor of sexual transmission of H pylori infection. A number of studies have shown that the highest rates of occur in ethnic minorities (Australian Aborigines, African Americans, Hispanics, etc . .).12,13 The high prevalence of correlates well with the high H pylori prevalence rates that exist among these ethnic groups.5,13 It must also be remembered that there are differences in vaginal flora among different ethnic groups. This may in part be due to genetic or behavioural differences leading to altered vaginal flora. Sexual mixing (that is, mixing partners between ethnic groups) may increase the chance of transmission of H pylori between partners from a high prevalence ethnic group (for example, African American) to a lower prevalence ethnic group (European American).Molecular studies have produced evidence of H pylori transmission between spouses.

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