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The potential value of serum pepsinogen for the diagnosis of atrophic gastritis among the health check-up populations in China: a diagnostic clinical research.

BMC Gastroenterol · 2017 · PMC5520218 · PMID 28728545

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a decreasing trendno p-value reported
A recent systematic literature analysis reported that the prevalence of Hp infection was 66% in rural Chinese populations and 47% in urban Chinese populations; which exhibits a decreasing trend, but is still higher than other advanced countries [ 30 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.