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Is human herpesvirus 8 infection more common in men than in women? an updated meta-analysis
Haibo Gong1, Shuai Zhang2, Jinfa Dou2
1Department of Dermatology, Henan Provincial People's Hospital; People's Hospital of Zhengzhou University, No. 7 Weiwu Road, Zhengzhou, Zhengzhou, Henan, 450003, China. gonghaibo2019@163.com.
Background:
Clinically, most patients with Kaposi's sarcoma (KS) are male, and several direct and indirect mechanisms may underlie this increased susceptibility in men, Kaposi's sarcoma-associated herpesvirus (KSHV), also known as human herpesvirus 8 (HHV-8), is considered to be the primary etiological agent responsible for KS. Thus, we propose the hypothesis that men are more susceptible to HHV-8 infection, leading to a higher incidence of Kaposi's sarcoma among males. A meta-analysis was conducted to evaluate the association between gender and HHV-8 seropositivity in the general population.
Methods:
A comprehensive literature search was performed using 6 online databases: PubMed, EMBASE, Cochrane library, Web of Science, CNKI, and Wanfang. Studies published before March 15, 2023, were included.
Results:
In all, 33 articles including 41 studies were included in the meta-analysis. In the included adult population. men had a higher risk of HHV-8 infection than did women in adult populations from all over the world (odds ratio [OR]: 1.08, 95% confidence interval [CI]: 1.01-1.15), but no differences were found in child population from all over the world (OR: 0.90, 95% CI: 0.79-1.01). There was a significant difference in HHV-8 seroprevalence between men and women in sub-Saharan Africa (SSA) adult population (OR: 1.15, 95% CI: 1.05-1.26). However, no significant differences were observed in sub-Saharan Africa (SSA) child population (OR: 0.90, 95%CI 0.78-1.03). As for other continents, the results showed no significant difference, such as the Asian population (OR: 1.03, 95%CI: 0.92-1.16). or the European and American populations (OR 1.01, 95%CI 0.87-1.17).
Conclusion:
There was a slight gender disparity for HHV-8 infection in the adult population. Among the adult populations from SSA and globally, men were more likely to be infected with HHV-8 than were women. However, no statistical significance was observed in the child populations from SSA and globally. In the future, the inclusion of more standardized studies may strengthen the results of this study.
Insights
Men show a slightly higher risk of human herpesvirus 8 (HHV-8) infection compared to women, particularly in adult populations globally and in Sub-Saharan Africa. This gender disparity in HHV-8 infection was not observed in children.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Kaposi's sarcoma (KS) predominantly affects males.
- Kaposi's sarcoma-associated herpesvirus (KSHV), or human herpesvirus 8 (HHV-8), is the primary cause of KS.
- Investigating gender-based susceptibility to HHV-8 infection is crucial for understanding KS epidemiology.
Purpose of the Study:
- To evaluate the association between gender and HHV-8 seropositivity in the general population.
- To determine if men exhibit a higher susceptibility to HHV-8 infection compared to women.
- To analyze gender differences in HHV-8 infection across different age groups and geographical regions.
Main Methods:
- A comprehensive meta-analysis was conducted.
- Searched six major online databases for relevant studies published before March 15, 2023.
- Included 33 articles comprising 41 studies for analysis.
Main Results:
- Adult men globally have a slightly higher risk of HHV-8 infection than women (OR: 1.08, 95% CI: 1.01-1.15).
- Significant gender difference observed in Sub-Saharan Africa adult populations (OR: 1.15, 95% CI: 1.05-1.26).
- No significant gender differences in HHV-8 infection were found in child populations globally or in Sub-Saharan Africa, nor in Asian, European, or American adult populations.
Conclusions:
- A slight gender disparity exists for HHV-8 infection in adult populations.
- Men are more likely to be infected with HHV-8 than women globally and in Sub-Saharan Africa.
- Further standardized studies are recommended to strengthen these findings on gender and HHV-8 infection.
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