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@article{Ramesh:2024:10.3389/fpubh.2024.1298308,
author = {Ramesh, N and Cockbain, B and Taylor, GP and Rosadas, de Oliveira C},
doi = {10.3389/fpubh.2024.1298308},
journal = {Frontiers in Public Health},
title = {How do socioeconomic determinants of health affect the likelihood of living with HTLV-1 globally? A systematic review with meta-analysis},
url = {http://dx.doi.org/10.3389/fpubh.2024.1298308},
volume = {12},
year = {2024}
}
TY - JOUR
AB - Introduction: Human T Lymphotropic Virus type 1 (HTLV-1) is a neglected retrovirus associated with many clinical disorders, most notably Adult T-cell Leukemia/Lymphoma and HTLV-1-Associated Myelopathy (HAM). Found in endemic clusters across the world, high prevalence has been reported in minoritized groups who suffer from health inequities. This study investigates the association between HTLV-1 prevalence and the following socioeconomic determinants of health: education, income, and employment, which are markers of health inequity.Methods: A systematic review was conducted by searching the following databases: Ovid/Medline, Embase, Global Health Database, Web of Science, LILACS and SciELO. Primary studies in English, Spanish and Portuguese mentioning HTLV-1 and one of education, income and/or employment were included. A random-effects meta-analysis was performed, and odds ratios (OR) were calculated to determine the association between these socioeconomic determinants of health and HTLV-1 prevalence.Results: 42 studies were included. The likelihood of having HTLV-1 was higher in individuals with less than completed primary education compared to those who completed primary education (OR 1.86 [95% CI 1.34–2.57]; p < 0.01). This may be because individuals with low education have reduced access to and understanding of health information, thus increasing the prevalence of risk factors associated with HTLV-1 infection. No other determinants were found to be statistically significant.Conclusion: Fewer years of schooling are associated with increased likelihood of contracting HTLV-1. Therefore, health promotion materials and public health policies regarding HTLV-1 must consider those with lower educational levels to effectively reduce disease transmission.
AU - Ramesh,N
AU - Cockbain,B
AU - Taylor,GP
AU - Rosadas,de Oliveira C
DO - 10.3389/fpubh.2024.1298308
PY - 2024///
SN - 2296-2565
TI - How do socioeconomic determinants of health affect the likelihood of living with HTLV-1 globally? A systematic review with meta-analysis
T2 - Frontiers in Public Health
UR - http://dx.doi.org/10.3389/fpubh.2024.1298308
VL - 12
ER -