1. Association of schistosomiasis and HIV infections: A systematic review and meta-analysis.
- Author
-
Patel P, Rose CE, Kjetland EF, Downs JA, Mbabazi PS, Sabin K, Chege W, Watts DH, and Secor WE
- Subjects
- Africa South of the Sahara epidemiology, Bayes Theorem, Female, HIV Infections epidemiology, HIV Infections prevention & control, HIV Infections transmission, Humans, Male, Mass Drug Administration, Prevalence, Schistosomiasis epidemiology, Schistosomiasis prevention & control, Schistosomiasis transmission, HIV Infections complications, Schistosomiasis complications
- Abstract
Background: Female genital schistosomiasis (FGS) affects up to 56 million women in sub-Saharan Africa and may increase risk of HIV infection., Methods: To assess the association of schistosomiasis with HIV infection, peer-reviewed literature published until 31 December 2018 was examined and a pooled estimate for the odds ratio was generated using Bayesian random effects models., Results: Of the 364 abstracts that were identified, 26 were included in the summary. Eight reported odds ratios of the association between schistosomiasis and HIV; one reported a transmission hazard ratio of 1.8 (95% CI, 1.2-2.6) among women and 1.4 (95% CI, 1.0-1.9) among men; 11 described the prevalence of schistosomiasis among HIV-positive people (range, 1.5-36.6%); and six reported the prevalence of HIV among people with schistosomiasis (range, 5.8-57.3%). Six studies were selected for quantitative analysis. The pooled estimate for the odds ratio of HIV among people with schistosomiasis was 2.3 (95% CI, 1.2-4.3)., Conclusions: A significant association of schistosomiasis with HIV was found. However, a specific summary estimate for FGS could not be generated. A research agenda was provided to determine the effect of FGS on HIV infection. The WHO's policy on mass drug administration for schistosomiasis may prevent HIV., (Published by Elsevier Ltd.)
- Published
- 2021
- Full Text
- View/download PDF