| Summary: | Taye Kebede,1,2 Hagos Ashenafi2 1Department of Biomedical Sciences and Immunology, Madda Walabu University, Bale-Robe, Oromia Regional State, Ethiopia; 2Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Addis Ababa Administration City, EthiopiaCorrespondence: Taye Kebede, Department of Biomedical Sciences and Immunology, College of Natural Sciences, Madda Walabu University, Bale-Robe, Bale Zone, Oromia Regional State, Ethiopia, Tel +251 0911 355 335, Email tayekebede2012@gmail.comBackground: Helicobacter pylori (H. pylori) is believed to have spread from East Africa, but its burden is still unknown in less privileged regions of Ethiopia. Indigestion is an upset stomach, upper abdomen discomfort, heartburn, and bloating. This study evaluated the burden and risk factors for H. pylori infection among government employees who clinically complained of indigestion but allergic diseases in five public health institutions in Southeastern Ethiopia.Methods: A health facilities-based cross-sectional survey study was conducted in Southeastern Ethiopia from March to November 2022, employing cluster sampling. Blood specimens, clinical data, and semi-structured questionnaires about risk factors were collected. Data analysis was conducted using descriptive, bivariate, and multivariable logistic regression in STATA software, Windows version 16.1.Results: The overall prevalence of infection was found to be 77.6%. The sampled health institution (ρ-value < 0.05), engagement in sideline business (ρ-value < 0.05), sharing local spoon on meal [AOR = 39.30; CI:19.52 − 78.31; ρ-value < 0.001], admitting “Gursha” during meal [AOR = 71.48; CI:3.99 − 1279.77; ρ-value < 0.05], the toilet type [AOR = 1410.98; CI:121.16 − 16,431.19; ρ-value < 0.001], alcohol drinking [AOR = 15.15; CI:1.90 − 120.62; ρ-value < 0.05], sleeping hours length [AOR = 15.01; CI:13.48– 55.96; ρ-value < 0.001], chewing Khat [AOR = 76.73; CI:8.57– 687.07; ρ-value < 0.001], and regular hand washing before eating [AOR = ...
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