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孟加拉国乙型肝炎病毒感染的流行情况:系统评价和荟萃分析。

The prevalence of hepatitis B virus infection in Bangladesh: a systematic review and meta-analysis.

机构信息

Department of Pharmacy, Noakhali Science and Technology University, Noakhali3814, Bangladesh.

Department of Medicine, Dhaka Medical College, Dhaka1200, Bangladesh.

出版信息

Epidemiol Infect. 2022 Feb 14;150:e47. doi: 10.1017/S0950268822000061.

DOI:10.1017/S0950268822000061
PMID:35156592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8895722/
Abstract

Despite the availability of an effective vaccine, hepatitis B virus (HBV) infection is one of the major public health problems worldwide, mostly in developing countries. This systematic review and meta-analysis were performed to estimate the pooled prevalence of HBV infection in Bangladesh. We systematically searched various electronic databases to retrieve relevant studies published until April 2021. A total of 15 studies were met the inclusion criteria and included in the meta-analysis. The pooled estimated prevalence of HBV infection in the general population of Bangladesh from 1995 to 2017 was 4.0% [95% confidence interval (CI) 3.0-5.1]. The results of subgroup analysis revealed that the prevalence of hepatitis B was higher in females than males [odds ratio (OR) 1.20, 95% CI 0.48-2.97, P = 0.70], people of age <25 years had a higher prevalence than people of age >25 years (OR 1.25, 95% CI 0.72-2.17, P = 0.42) and married people had a higher prevalence than unmarried/single people (OR 2.16, 95% CI 1.51-3.10, P < 0.0001). The Egger's test statistics (P = 0.584), Begg and Mazumdar's rank correlation test (P = 0.054) indicated the absence of publication bias. This study analysis reported a low intermediate prevalence of HBV infection (4%) in Bangladesh, which is currently higher than the global prevalence of HBV infection (3.5%).

摘要

尽管有有效的疫苗可用,但乙型肝炎病毒(HBV)感染仍然是全球主要的公共卫生问题之一,尤其是在发展中国家。本系统评价和荟萃分析旨在估计孟加拉国 HBV 感染的总体流行率。我们系统地检索了各种电子数据库,以检索截至 2021 年 4 月发表的相关研究。共有 15 项研究符合纳入标准并纳入荟萃分析。1995 年至 2017 年,孟加拉国一般人群中 HBV 感染的汇总估计流行率为 4.0%[95%置信区间(CI)3.0-5.1]。亚组分析的结果表明,乙型肝炎的流行率在女性中高于男性[比值比(OR)1.20,95%CI 0.48-2.97,P=0.70],年龄<25 岁的人比年龄>25 岁的人(OR 1.25,95%CI 0.72-2.17,P=0.42)患病率更高,已婚者比未婚/单身者(OR 2.16,95%CI 1.51-3.10,P<0.0001)患病率更高。Egger 检验统计量(P=0.584)、Begg 和 Mazumdar 秩相关检验(P=0.054)表明不存在发表偏倚。本研究分析报告称,孟加拉国 HBV 感染的低中度流行率(4%)目前高于全球 HBV 感染流行率(3.5%)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e55/8895722/b524143d1cfc/S0950268822000061_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e55/8895722/b87cfa630529/S0950268822000061_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e55/8895722/5d1c201c461e/S0950268822000061_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e55/8895722/554a38c3897e/S0950268822000061_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e55/8895722/2b79f1907042/S0950268822000061_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e55/8895722/b524143d1cfc/S0950268822000061_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e55/8895722/b87cfa630529/S0950268822000061_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e55/8895722/5d1c201c461e/S0950268822000061_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e55/8895722/554a38c3897e/S0950268822000061_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e55/8895722/2b79f1907042/S0950268822000061_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e55/8895722/b524143d1cfc/S0950268822000061_fig5.jpg

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