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全球人类毛首鞭形线虫感染率(2010 - 2023年):一项系统评价与荟萃分析

The global prevalence of Trichuris trichiura infection in humans (2010-2023): A systematic review and meta-analysis.

作者信息

Behniafar Hamed, Sepidarkish Mahdi, Tadi Mehrdad Jafari, Valizadeh Soghra, Gholamrezaei Mostafa, Hamidi Faezeh, Pazoki Hossein, Alizadeh Faezeh, Kianifard Nazanin, Nooshabadi Morteza Sheikhi, Bagheri Kimia, Hemmati Faezeh, Hemmati Taha, Tori Neda Ahmazadeh, Siddiq Abdelmonem, Rostami Ali

机构信息

Department of Medical Parasitology, Sarab Faculty of Medical Sciences, Sarab, Iran.

Department of Biostatistics and Epidemiology, School of Public Health, Babol University of Medical Sciences, Babol, Iran.

出版信息

J Infect Public Health. 2024 May;17(5):800-809. doi: 10.1016/j.jiph.2024.03.005. Epub 2024 Mar 5.

Abstract

This systematic review and meta-analysis study aimed to evaluate global Trichuris infection prevalence, assessing progress towards the WHO's 2030 target. We searched international databases from 2010-2023, categorizing data by regions and socio-economic variables using a random-effects model. Analyzing 757 articles covering 7154,842 individuals from 78 countries, the study found a pooled global prevalence of (6.64-7.57%), with the highest rates in the Caribbean (21.72%; 8.90-38.18%) and South-East Asia (20.95; 15.71-26.71%) regions. Southern Africa (9.58; 2.11-21.46%), Latin America (9.58; 2.11-21.46%), and Middle Africa Middle Africa (8.94; 6.31-11.98%) also exhibited high prevalence. Eastern Europe had the lowest prevalence at 0.16% (0.09-0.24). Approximately 513 (480-547) million people worldwide were estimated to harbor Trichuris. Moreover ∼1.5% of people tested worldwide (2010-2023) had a moderate to heavy intensity of infection. The study emphasizes the persistent global health threat of Trichuris infection, urging tailored strategies for effective control and prevention on a global scale.

摘要

这项系统评价和荟萃分析研究旨在评估全球鞭虫感染患病率,评估实现世界卫生组织2030年目标的进展情况。我们检索了2010年至2023年的国际数据库,使用随机效应模型按地区和社会经济变量对数据进行分类。该研究分析了757篇文章,涵盖来自78个国家的7154842人,发现全球合并患病率为(6.64 - 7.57%),加勒比地区(21.72%;8.90 - 38.18%)和东南亚地区(20.95;15.71 - 26.71%)患病率最高。南部非洲(9.58;2.11 - 21.46%)、拉丁美洲(9.58;2.11 - 21.46%)和中部非洲(8.94;6.31 - 11.98%)也呈现出高患病率。东欧患病率最低,为0.16%(0.09 - 0.24)。据估计,全球约有5.13亿(4.80 - 5.47亿)人感染鞭虫。此外,在全球范围内接受检测的人群中(2010 - 2023年),约1.5%的人感染程度为中度至重度。该研究强调了鞭虫感染对全球健康构成的持续威胁,敦促在全球范围内制定针对性策略以有效控制和预防感染。

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