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British Medical Journal logoLink to British Medical Journal
. 1978 Feb 25;1(6111):469–472. doi: 10.1136/bmj.1.6111.469

Duodenal ulcer and working-class mobility in an African population in South Africa.

I Segal, A A Dubb, L O Tim, A Solomon, M C Sottomayor, E M Zwane
PMCID: PMC1603117  PMID: 626837

Abstract

The number of Africans in Johannesburg presenting with duodenal ulcers has steadily increased over the past 50 years. The characteristics of 105 patients with duodenal ulcer who presented a Baragwanath Hospital were compared with those of matched and unmatched samples of patients without gastrointestinal conditions in the same hospital. Men with duodenal ulcers were found to be significantly better educated than their controls, most had been born in the town, and more of them were employed at higher, though not the highest, educational levels. These data were used to test Susser's proposition that duodenal ulcers are associated with "early urbanisation." Johannesburg blacks with duodenal ulcer did seem to fit the pattern, but the relation between stress and duodenal ulcer remains unclear.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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