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.
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.
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.
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=335004, identifier (CRD42022335004).
■通过搜索以下数据库进行了系统评价:Ovid/Medline,Embase,全球卫生数据库,WebofScience,LILACS和SciELO.小学英语学习,西班牙语和葡萄牙语提到HTLV-1和教育之一,收入和/或就业包括在内。进行了随机效应荟萃分析,计算比值比(OR),以确定这些健康的社会经济决定因素与HTLV-1患病率之间的关联.
■包括42项研究。与完成初等教育的人相比,初等教育不足的人患HTLV-1的可能性更高(OR1.86[95%CI1.34-2.57];p<0.01)。这可能是因为受教育程度低的个人对健康信息的获取和理解减少了,从而增加了与HTLV-1感染相关的危险因素的患病率。没有发现其他决定因素具有统计学意义。
■受教育年限减少与感染HTLV-1的可能性增加有关。因此,关于HTLV-1的健康宣传材料和公共卫生政策必须考虑那些受教育程度较低的人,以有效减少疾病传播。
■https://www.crd.约克。AC.uk/prospro/display_record.php?RecordID=335004,标识符(CRD42022335004)。