دورية أكاديمية
أعرض في EDS

Systematic review and meta-analysis of seroprevalence of human immunodeficiency virus serological markers among pregnant women in Africa, 1984-2020.

التفاصيل البيبلوغرافية
العنوان: Systematic review and meta-analysis of seroprevalence of human immunodeficiency virus serological markers among pregnant women in Africa, 1984-2020.
المؤلفون: Ebogo-Belobo JT; Center for Research in Health and Priority Pathologies, Institute of Medical Research and Medicinal Plants Studies, Yaounde 00237, Cameroon., Kenmoe S; Department of Microbiology and Parasitology, University of Buea, Buea 00237, Cameroon. sebastien.kenmoe@ubuea.cm., Mbongue Mikangue CA; Department of Microbiology, The University of Yaounde I, Yaounde 00237, Cameroon., Tchatchouang S; Scientific Direction, Centre Pasteur du Cameroun, Yaounde 00237, Cameroon., Robertine LF; Department of Animal Biology, University of Dschang, Dschang 00237, Cameroon., Takuissu GR; Centre for Food, Food Security and Nutrition Research, Institute of Medical Research and Medicinal Plants Studies, Yaounde 00237, Cameroon., Ndzie Ondigui JL; Department of Microbiology, The University of Yaounde I, Yaounde 00237, Cameroon., Bowo-Ngandji A; Department of Microbiology, The University of Yaounde I, Yaounde 00237, Cameroon., Kenfack-Momo R; Department of Biochemistry, The University of Yaounde I, Yaounde 00237, Cameroon., Kengne-Ndé C; Epidemiological Surveillance, Evaluation and Research Unit, National AIDS Control Committee, Douala 00237, Cameroon., Mbaga DS; Department of Microbiology, The University of Yaounde I, Yaounde 00237, Cameroon., Menkem EZ; Department of Biomedical Sciences, University of Buea, Buea 00237, Cameroon., Kame-Ngasse GI; Center for Research in Health and Priority Pathologies, Institute of Medical Research and Medicinal Plants Studies, Yaounde 00237, Cameroon., Magoudjou-Pekam JN; Department of Biochemistry, The University of Yaounde I, Yaounde 00237, Cameroon., Kenfack-Zanguim J; Department of Biochemistry, The University of Yaounde I, Yaounde 00237, Cameroon., Esemu SN; Department of Microbiology and Parasitology, University of Buea, Buea 00237, Cameroon., Tagnouokam-Ngoupo PA; Department of Virology, Centre Pasteur du Cameroun, Yaounde 00237, Cameroon., Ndip L; Department of Microbiology and Parasitology, University of Buea, Buea 00237, Cameroon., Njouom R; Department of Virology, Centre Pasteur du Cameroun, Yaounde 00237, Cameroon.
المصدر: World journal of critical care medicine [World J Crit Care Med] 2023 Dec 09; Vol. 12 (5), pp. 264-285. Date of Electronic Publication: 2023 Dec 09 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 101622182 Publication Model: eCollection Cited Medium: Print ISSN: 2220-3141 (Print) Linking ISSN: 22203141 NLM ISO Abbreviation: World J Crit Care Med Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2014-: Pleasanton, CA : Baishideng Publishing Group
Original Publication: Hong Kong, China : Baishideng Publishing Group Co., Limited, [2012]-
مستخلص: Background: Human immunodeficiency virus (HIV) is a major public health concern, particularly in Africa where HIV rates remain substantial. Pregnant women are at an increased risk of acquiring HIV, which has a significant impact on both maternal and child health.
Aim: To review summarizes HIV seroprevalence among pregnant women in Africa. It also identifies regional and clinical characteristics that contribute to study-specific estimates variation.
Methods: The study included pregnant women from any African country or region, irrespective of their symptoms, and any study design conducted in any setting. Using electronic literature searches, articles published until February 2023 were reviewed. The quality of the included studies was evaluated. The DerSimonian and Laird random-effects model was applied to determine HIV pooled seroprevalence among pregnant women in Africa. Subgroup and sensitivity analyses were conducted to identify potential sources of heterogeneity. Heterogeneity was assessed with Cochran's Q test and I 2 statistics, and publication bias was assessed with Egger's test.
Results: A total of 248 studies conducted between 1984 and 2020 were included in the quantitative synthesis (meta-analysis). Out of the total studies, 146 (58.9%) had a low risk of bias and 102 (41.1%) had a moderate risk of bias. No HIV-positive pregnant women died in the included studies. The overall HIV seroprevalence in pregnant women was estimated to be 9.3% [95% confidence interval (CI): 8.3-10.3]. The subgroup analysis showed statistically significant heterogeneity across subgroups ( P < 0.001), with the highest seroprevalence observed in Southern Africa (29.4%, 95%CI: 26.5-32.4) and the lowest seroprevalence observed in Northern Africa (0.7%, 95%CI: 0.3-1.3).
Conclusion: The review found that HIV seroprevalence among pregnant women in African countries remains significant, particularly in Southern African countries. This review can inform the development of targeted public health interventions to address high HIV seroprevalence in pregnant women in African countries.
Competing Interests: Conflict-of-interest statement: The authors deny any conflict of interest.
(©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.)
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فهرسة مساهمة: Keywords: Africa; Human immunodeficiency virus; Meta-analysis; Pregnant women; Prevalence; Review
تواريخ الأحداث: Date Created: 20240108 Latest Revision: 20240109
رمز التحديث: 20240109
مُعرف محوري في PubMed: PMC10768416
DOI: 10.5492/wjccm.v12.i5.264
PMID: 38188451
قاعدة البيانات: MEDLINE
الوصف
تدمد:2220-3141
DOI:10.5492/wjccm.v12.i5.264