Estimating the prevalence of hepatitis delta virus infection among adults in the United States: A meta-analysis

被引:4
|
作者
Wong, Robert J. [1 ,2 ,11 ]
Brosgart, Carol [3 ]
Wong, Steven S. [4 ]
Feld, Jordan [5 ]
Glenn, Jeffrey [1 ,2 ]
Hamid, Saeed [6 ]
Cohen, Chari [7 ]
Zovich, Beatrice [7 ]
Ward, John [8 ]
Wedemeyer, Heiner [9 ]
Yurdaydin, Cihan [10 ]
Gish, Robert [7 ]
机构
[1] Stanford Univ, Sch Med, Div Gastroenterol & Hepatol, Palo Alto, CA USA
[2] Vet Affairs Palo Alto Healthcare Syst, Gastroenterol Sect, Palo Alto, CA USA
[3] Univ Calif San Francisco, Dept Med Epidemiol & Biostat, San Francisco, CA USA
[4] S Wong Consulting LLC, Mountain View, CA USA
[5] Univ Hlth Network, Toronto Ctr Liver Dis, Toronto, ON, Canada
[6] Aga Khan Univ, Dept Med, Karachi, Pakistan
[7] Hepatitis B Fdn, Doylestown, PA USA
[8] Coalit Global Hepatitis Eliminat, Task Force Global Hlth, Decatur, GA USA
[9] Hannover Med Sch, Dept Gastroenterol Hepatol & Endocrinol, Hannover, Germany
[10] Koc Univ, Sch Med, Dept Gastroenterol & Hepatol, Istanbul, Turkiye
[11] Stanford Univ, Sch Med, Vet Affairs Palo Alto Healthcare Syst, Div Gastroenterol & Hepatol, 3801 Miranda Ave, Palo Alto, CA 94304 USA
关键词
foreign-born; hepatitis B; hepatitis D; meta-analysis; prevalence; HELICOBACTER-PYLORI INFECTION; FATTY LIVER-DISEASE; ASSOCIATION; NAFLD;
D O I
10.1111/liv.15921
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background and Aims: Suboptimal awareness and low rates of hepatitis delta virus (HDV) testing contribute to underdiagnosis and gaps in accurate estimates of U.S. HDV prevalence. We aim to provide an updated assessment of HDV prevalence in the U.S. using a comprehensive literature review and meta-analysis approach. Methods: A comprehensive literature review of articles reporting HBsAg seroprevalence and anti-HDV prevalence was conducted to calculate country-specific rates and pooled prevalence of CHB and HDV using meta-analyses. Country-specific CHB and HDV rate estimates were combined with number of foreign-born (FB) persons in the U.S. in 2022 from U.S. Census Bureau to estimate total numbers of FB with CHB and HDV, respectively. These estimates were further combined with updated estimates of U.S.-born persons with CHB and HDV to yield the total number of persons with CHB and HDV. Results: In 2022, we estimated 1.971 million (M) (95% CI 1.547-2.508) persons with CHB; 1.547 M (95% CI 1.264-1.831) were FB and 0.424 M (95% CI: 0.282-0.678) were U.S.-born. The weighted average HDV prevalence among FB persons in the U.S. was 4.20% (64 938 [95% CI 33055-97 392] persons), among whom 45% emigrated from Asia, 25% from Africa, and 14% from Europe. When combined with updated estimates of U.S.-born persons with HDV, we estimate 75 005 (95% CI: 42187-108 393) persons with HDV in the U.S. Conclusions: Including both FB and U.S.-born persons, we estimated that 1.971 M and 75 005 persons were living with CHB and HDV, respectively, in the U.S. in 2022.
引用
收藏
页码:1715 / 1734
页数:20
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