دورية أكاديمية
Prevalence of human T-cell lymphotropic virus-1/2 in Canada over 33 years: A unique contribution of blood donors to public health surveillance.
العنوان: | Prevalence of human T-cell lymphotropic virus-1/2 in Canada over 33 years: A unique contribution of blood donors to public health surveillance. |
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المؤلفون: | O'Brien SF; Epidemiology & Surveillance, Canadian Blood Services, Ottawa, ON, Canada. Sheila.obrien@blood.ca.; School of Epidemiology & Public Health, University of Ottawa, Ottawa, ON, Canada. Sheila.obrien@blood.ca., Ehsani-Moghaddam B; Epidemiology & Surveillance, Canadian Blood Services, Ottawa, ON, Canada.; Centre for Studies in Primary Care, Department of Family Medicine, Queen's University, Kingston, ON, Canada., Goldman M; Donation and Policy Studies, Canadian Blood Services, Ottawa, ON, Canada.; Department of Pathology & Laboratory Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Osmond L; Epidemiology & Surveillance, Canadian Blood Services, Ottawa, ON, Canada., Fan W; Epidemiology & Surveillance, Canadian Blood Services, Ottawa, ON, Canada., Drews SJ; Microbiology, Canadian Blood Services, Edmonton, AB, Canada.; Department of Laboratory Medicine & Pathology, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada. |
المصدر: | Canadian journal of public health = Revue canadienne de sante publique [Can J Public Health] 2024 Aug; Vol. 115 (4), pp. 611-621. Date of Electronic Publication: 2024 May 14. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Nature Country of Publication: Switzerland NLM ID: 0372714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1920-7476 (Electronic) Linking ISSN: 00084263 NLM ISO Abbreviation: Can J Public Health Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Switzerland : Springer Nature Original Publication: Ottawa : Canadian Public Health Association |
مواضيع طبية MeSH: | Blood Donors*/statistics & numerical data , HTLV-I Infections*/epidemiology , HTLV-II Infections*/epidemiology , Human T-lymphotropic virus 1*/isolation & purification , Human T-lymphotropic virus 2*/isolation & purification, Humans ; Female ; Male ; Prevalence ; Adult ; Canada/epidemiology ; Middle Aged ; Young Adult ; Risk Factors ; Case-Control Studies ; Adolescent ; Public Health ; Population Surveillance |
مستخلص: | Objectives: Estimate HTLV-1/2 (human T-cell lymphotropic viruses) prevalence in Canadian blood donors and the association of demographic variables with infection and their corresponding risk factors. Methods: First-time blood donors in all Canadian provinces (except Quebec) from 1990 to 2022 were included. Blood samples were tested for HTLV-1/2 by enzyme-linked immunoassay, confirmed by Western blot. Multivariable logistic regression with year, age group, sex, region, neighbourhood material deprivation, and ethnocultural composition indices predicted HTLV-1/2. Since 2005, all HTLV-1/2-positive donors (cases) were invited to participate in a risk factor interview, and 4 non-positive donors (controls per case) were matched for age, sex, and region. Case-control predictors of HTLV-1/2 were analyzed using logistic regression. Results: There were 3,085,554 first-time donors from 1990 to 2022. HTLV-1/2 prevalence remained low (12 per 100,000 in 2022, 95% CI 6.4-23.5). The odds ratios predicting HTLV-1/2 were higher in females (2.0, 95% CI 1.5-2.6), older age groups (50 + ; 6.3, 95% CI 4.3-9.2), British Columbia and Ontario, those materially deprived (1.9, 95% CI 1.2-2.9), and those in ethnocultural neighbourhoods (7.5, 95% CI 3.2-17.3). Most HTLV-1/2 in Ontario was HTLV-1, whereas in British Columbia half were HTLV-2. Forty-three of 149 (28.8%) cases and 172 of 413 (41.6%) controls completed an interview. The strongest predictor of HTLV-1/2 in case-control analysis was birth in a high-prevalence country (OR 39.8, 95% CI 7.8-204.3) but about 50% of HTLV-1 and 90% of HTLV-2 were Canadian-born. Conclusion: HTLV-1/2 prevalence is low in blood donors. High-prevalence country of birth accounts for about half of HTLV-1; HTLV-2 positives are usually Canadian-born. HTLV-1/2 transmission likely occurs overseas and within Canada. (© 2024. The Author(s) under exclusive license to The Canadian Public Health Association.) |
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فهرسة مساهمة: | Keywords: Blood donors; Canada; HTLV; Surveillance Local Abstract: [Publisher, French] RéSUMé: OBJECTIFS: Estimer la prévalence des sous-types du virus T-lymphotrope humain (HTLV-1 et HTLV-2) dans le sang des donneurs de sang canadiens, et évaluer le lien avec des variables démographiques et des facteurs de risque donnés. MéTHODES: Cette étude a porté sur toutes les personnes ayant fait leur premier don entre 1990 et 2022 au Canada, sauf au Québec. Les échantillons de sang ont été soumis à un test immunoenzymatique, puis à un test Western Blot de confirmation. Les données ont été analysées au moyen de la régression logistique en utilisant comme indices l’année, la tranche d’âge, le sexe, la région, le quartier, la privation matérielle et la composition ethnoculturelle. Depuis 2005, tous les donneurs positifs au HTLV-1/2 (cas) ont été conviés à un entretien ayant pour but de déterminer leurs facteurs de risque, et quatre donneurs négatifs (cas-témoins) ont été appariés à chaque cas en fonction de l’âge, du sexe et de la région. Les facteurs de prédiction d’infection au HTLV-1/2 des cas-témoins ont été analysés au moyen de la régression logistique. RéSULTATS: Entre 1990 et 2022, le nombre de primodonneurs s’élevait à 3 085 554. La prévalence du HTLV-1/2 est demeurée faible (12,2 sur 100 000 en 2022, IC 95%: 6,4–23,5). Le rapport de cotes était plus élevé chez les femmes (2,0, IC 95% 1,5–2,6), chez les personnes de plus de 50 ans (6,3, IC 95% 4,3–9,2), en Colombie-Britannique et en Ontario, chez les personnes touchées par la privation matérielle (1,9, IC 95% 1,2–2,9) et chez les personnes vivant dans des quartiers ethnoculturels (7,5, IC 95% 3,2–17,3). La plupart des cas de HTLV-1/2 rencontrés en Ontario concernaient le HTLV-1, tandis qu’en Colombie-Britannique, la moitié des cas concernait le HTLV-2. Quarante-trois cas sur 149 (28,8 %) et 172 cas-témoins sur 413 (41,6 %) ont passé l’entretien. L’analyse des cas-témoins a révélé que le facteur de prédiction le plus important d’infection au HTLV-1/2 était le fait d’être né dans un pays à forte prévalence (RC 39,8, IC 95% 7,8–204,3); toutefois environ 50 % des cas-témoins de HTLV-1 et 90 % des cas témoins de HTLV-2 étaient nés au Canada. CONCLUSION: La prévalence du HTLV-1/2 est faible dans le sang des donneurs de sang. Pays de naissance à forte prévalence représente à peu près la moitié des cas de HTLV-1; les donneurs positifs au HTLV-2 la plupart du temps sont nés au Canada. La transmission du HTLV-1/2 survient probablement outre-mer et au Canada. |
تواريخ الأحداث: | Date Created: 20240514 Date Completed: 20240806 Latest Revision: 20240903 |
رمز التحديث: | 20240904 |
DOI: | 10.17269/s41997-024-00886-6 |
PMID: | 38743354 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1920-7476 |
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DOI: | 10.17269/s41997-024-00886-6 |