Prevalence of hepatitis E virus in China from 1997 to 2022: a systematic review and meta-analysis

作者：Kexin Cao, Xiaoyue Wu, Mengya Yang, Can Chen, Xiaobao Zhang, Daixi Jiang, Yuxia Du, Mengsha Chen, Yue You, Wenkai Zhou, Jiaxing Qi, Dingmo Chen, Rui Yan, Ziping Miao, Shigui Yang · 发表于：Frontiers in Public Health · 年份：2023 · DOI：10.3389/fpubh.2023.1243408 · 被引用次数：22 · 研究领域：Hepatitis Viruses Studies and Epidemiology、Travel-related health issues、Veterinary medicine and infectious diseases

Introduction: Several studies have reported on hepatitis E virus (HEV) prevalence in various regions of China, but the results vary widely. Herein, we conducted a systematic review and meta-analysis to assess the seroprevalence, RNA-positive rate, genotype distribution of HEV in China, and its risk factors. Methods: We included 208 related studies involving 1,785,569 participants published between 1997 and 2022. Random-effects models were used to pool prevalence, and subgroup analyses were conducted by population, gender, age, study period, regions, and rural-urban distribution. The meta regression models and pooled odds ratios (OR) were performed to identify risk factors for HEV infections. Results: The pooled anti-HEV IgG, IgM, and Ag seroprevalence, and RNA detection rates in China from 1997 to 2022 were 23.17% [95% confidence interval (CI): 20.23-26.25], 0.73% (95% CI: 0.55-0.93), 0.12% (95% CI: 0.01-0.32), and 6.55% (95% CI: 3.46-12.05), respectively. The anti-HEV IgG seropositivity was higher in the occupational population (48.41%; 95% CI: 40.02-56.85) and older adult aged 50-59 years (40.87%; 95% CI: 31.95-50.11). The dominant genotype (GT) of hepatitis E in China was GT4. Notably, drinking non-tap water (OR = 1.82; 95% CI: 1.50-2.20), consumption of raw or undercooked meat (OR = 1.47; 95% CI: 1.17-1.84), and ethnic minorities (OR = 1.50; 95% CI: 1.29-1.73) were risk factors of anti-HEV IgG seroprevalence. Discussions: Overall, the prevalence of hepatitis E was relativ...