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移民中C型肝炎的流行:系统性审查和元分析
Jiajun Sun1, Matthew Kelly1, Tsheten Tsheten1
1National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.
Journal of viral hepatitis
|March 21, 2025
概括
移民中的C型肝炎病毒 (HCV) 患病率与普通人口相似. 确保移民,特别是难民和寻求庇护者获得公平的HCV检测和治疗机会,对于全球消除努力至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 世界卫生组织的目标是到2030年消除C型肝炎病毒 (HCV) 作为公共卫生威胁.
- 公平获得HCV检测和治疗对于实现消除目标至关重要.
- 移民经常遇到医疗保健的障碍,需要了解这一人口群中的HCV患病率.
研究的目的:
- 系统地审查和估计在高收入国家居住的移民中HCV的流行率.
- 根据人口统计和移民状况,确定HCV患病率的潜在差异.
主要方法:
- 在Scopus,PubMed,PsycINFO和Cochrane图书馆进行了系统的文献搜索,寻找同行评审的文章 (2015-2024年).
- 研究质量使用乔安娜·布里格斯研究所 (JBI) 批判性评估工具进行评估.
- 使用比例元分析来综合HCV流行数据.
主要成果:
- 包括37项研究,涵盖了不同的年龄组和移民状况.
- 总的HCV抗体 (抗HCV) 的总流行率为1.5%,HCVRNA (HCV-RNA) 的总流行率为0.6%.
- 患病率在男性中较高 (抗HCV1.9%),与包括难民和寻求庇护者在内的普通人口相比 (抗HCV1.4%,HCV-RNA0.7%).
结论:
- 高收入国家的移民中HCV的患病率通常与东道国人口相比较.
- 对于所有移民,特别是难民和寻求庇护者等弱势群体,促进获得HCV信息,测试和治疗至关重要.
- 解决医疗保健接入障碍对于实现全球HCV消除目标至关重要.
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