Jamila Elsheli, Alison Patrick, Christopher Stokes
Community-based education programmes in the context of dental education: A scoping review
European journal of dental education : official journal of the Association for Dental Education in Europe
2012 number people infected human cell lymphotropic virus type 1 htlv1 estimated 10 million worldwide prevalence varies according geographic location ethnic factors sex age populations exposed risk factors income education reaching countries worst socioeconomic scenarios need determine current global prevalence htlv1 examine association countries human development index hdi provide data global health policy systematic review metaanalysis according prisma 2020 recommendations registered prospero crd42021223146 prevalence crosssectional studies htlv1 infection least 100 participants screening confirmatory serologic testing included studies incomplete unavailable results duplicate information excluded data selected two independent investigators analyzed using r software metapackage generated forest plots 95 confidence interval ci heterogeneity assessed using i2 statistic funnel plot asymmetry assessed using eggers test countries compared using hdi cutoff 08 methodological quality assessed using joanna briggs institute jbi criteria overall prevalence htlv1 infection 091 95 ci 080102 p 0001 higher low hdi countries 118 95 ci 103134 high hdi countries 041 95 ci 027057 prevalence varied according populations studied higher general population 165 95 ci 108234 compared pregnant women 034 95 ci 017057 blood donors 004 95 ci 001008 consistently prevalence population group higher low hdi countries high hdi countries worldwide prevalence htlv1 infection highly heterogeneous global prevalence 091 high hdi countries observed prevalence approximately three times lower low hdi countries general population observed prevalence 5 times higher pregnant women 41 times higher blood donors