Age- and region-specific hepatitis B prevalence in Turkey estimated using generalized linear mixed models: a systematic review

Mehlika Toy*, Fatih Oguz Onder, Tanja Woermann, A. Mithat Bozdayi, Solko W. Schalm, Gerard J. Borsboom, Joost van Rosmalen, Jan Hendrik Richardus, Cihan Yurdaydin

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

BACKGROUND: To provide a clear picture of the current hepatitis B situation, the authors performed a systematic review to estimate the age- and region-specific prevalence of chronic hepatitis B (CHB) in Turkey.

METHODS: A total of 339 studies with original data on the prevalence of hepatitis B surface antigen (HBsAg) in Turkey and published between 1999 and 2009 were identified through a search of electronic databases, by reviewing citations, and by writing to authors. After a critical assessment, the authors included 129 studies, divided into categories: 'age-specific'; 'region-specific'; and 'specific population group'. To account for the differences among the studies, a generalized linear mixed model was used to estimate the overall prevalence across all age groups and regions. For specific population groups, the authors calculated the weighted mean prevalence.

RESULTS: The estimated overall population prevalence was 4.57, 95% confidence interval (CI): 3.58, 5.76, and the estimated total number of CHB cases was about 3.3 million. The outcomes of the age-specific groups varied from 2.84, (95% CI: 2.60, 3.10) for the 0-14-year olds to 6.36 (95% CI: 5.83, 6.90) in the 25-34-year-old group.

CONCLUSION: There are large age-group and regional differences in CHB prevalence in Turkey, where CHB remains a serious health problem.

Original languageEnglish
Pages (from-to)337
Number of pages12
JournalBMC Infectious Diseases
Volume11
DOIs
Publication statusPublished - 12 Dec 2011

Bibliographical note

Source of funding:
This work was supported by the European Association for the Study of the
Liver (EASL) Dame Sheila Sherlock short-term fellowship awarded to Mehlika
Toy.

Research programs

  • EMC NIHES-02-65-01

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