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Accepted for/Published in: JMIR Public Health and Surveillance

Date Submitted: Feb 3, 2022
Date Accepted: Oct 11, 2022

The final, peer-reviewed published version of this preprint can be found here:

Underestimated Prevalence of HIV, Hepatitis B Virus (HBV), and Hepatitis D Virus (HDV) Triple Infection Globally: Systematic Review and Meta-analysis

Chen S, Ren F, Xu L, Gao Y, Zhang X, Tian Y, Fan Z, Cao Y, Liu M, Huang X

Underestimated Prevalence of HIV, Hepatitis B Virus (HBV), and Hepatitis D Virus (HDV) Triple Infection Globally: Systematic Review and Meta-analysis

JMIR Public Health Surveill 2022;8(11):e37016

DOI: 10.2196/37016

PMID: 36445732

PMCID: 9748799

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Underestimated prevalence of HIV/HBV/HDVtriple infection globally: a systematic review and meta-analysis

  • Sisi Chen; 
  • Feng Ren; 
  • Ling Xu; 
  • Yao Gao; 
  • Xiangying Zhang; 
  • Yuan Tian; 
  • Zihao Fan; 
  • Yaling Cao; 
  • Mei Liu; 
  • Xiaojie Huang

ABSTRACT

Background:

HDV is a satellite RNA virus that relies on HBV for transmission. HIV/HBV/HDV coinfection or triple infection is common and has a worse prognosis than monoinfection.

Objective:

We aimed to reveal the epidemiologic characteristics of HIV/HBV/HDV triple infection in the global population.

Methods:

A systematic literature search in PubMed, Embase, and Cochrane was performed for studies of the prevalence of HIV/HBV/HDV triple infection published from January 1, 1990, to May 31, 2021. The Der Simonian-Laird random-effects model was used to calculate pooled prevalence.

Results:

Fourteen studies with 13119 samples were included. The pooled triple infection rate in the global population was 7.4% (0.73%-29.59%). The results of the subgroup analysis showed that the triple infection prevalence was significantly higher in the Asian population (21.4%), in men (3.8%), and in the MSM population (7.9%). In addition, patients with HBV monoinfection had a higher HIV/HBV/HDV triple infection rate than patients who did not have an HBV monoinfection

Conclusions:

This meta-analysis suggested that the prevalence of HIV/HBV/HDV triple infection in the global population is underestimated, and we should focus more effort on the prevention and control of HIV/HBV/HDV triple infection.


 Citation

Please cite as:

Chen S, Ren F, Xu L, Gao Y, Zhang X, Tian Y, Fan Z, Cao Y, Liu M, Huang X

Underestimated Prevalence of HIV, Hepatitis B Virus (HBV), and Hepatitis D Virus (HDV) Triple Infection Globally: Systematic Review and Meta-analysis

JMIR Public Health Surveill 2022;8(11):e37016

DOI: 10.2196/37016

PMID: 36445732

PMCID: 9748799

Per the author's request the PDF is not available.