HIV Prevalence Among Tuberculosis Patients in Sub-Saharan Africa: A Systematic Review and Meta-analysis

作者: Yalemzewod Assefa Gelaw , Gail Williams , Ricardo J. Soares Magalhães , Charles F. Gilks , Yibeltal Assefa

DOI: 10.1007/S10461-018-02386-4

关键词:

摘要: HIV associated tuberculosis (TB) morbidity and mortality is a major concern in sub-Saharan Africa. Understanding the level of infection among TB patients vital for adequate response. We conducted systematic review meta-analysis to estimate prevalence searched PubMed, EMBASE, Web Science CINAHL databases. A with random-effects model was performed. Potential sources heterogeneity estimates were explored using meta-regression analysis. identified 68 studies that collectively included 62,969 between 1990 2017. The overall 31.8% (95% CI 27.8-36.1). There substantial Southern, Central, Eastern, Western Africa regions (43.7, 41.3, 31.1 25.5%, respectively). noted an apparent reduction from 33.7% 27.6-40.4) period before 2000 25.7% 17.6-336.6) after 2010. Eastern Southern region had higher [34.4% 29.3-34.4)] than Central [27.3% 21.6-33.8)]. has declined over time argue this due strengthened prevention control response enhanced TB/HIV collaborative activities. Countries high burdens should strengthen sustain efforts order achieve goal ending both epidemics line Sustainable Development Goals.

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