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A Bayesian Meta-Analysis on Prevalence of Hepatitis B Virus Infection among Chinese Volunteer Blood Donors

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  • Guang-cong Liu
  • Guo-yuan Sui
  • Guang-ying Liu
  • Yang Zheng
  • Yan Deng
  • Yan-yan Gao
  • Lie Wang

Abstract

Background: Although transfusion-transmitted infection of hepatitis B virus (HBV) threatens the blood safety of China, the nationwide circumstance of HBV infection among blood donors is still unclear. Objectives: To comprehensively estimate the prevalence of HBsAg positive and HBV occult infection (OBI) among Chinese volunteer blood donors through bayesian meta-analysis. Methods: We performed an electronic search in Pub-Med, Web of Knowledge, Medline, Wanfang Data and CNKI, complemented by a hand search of relevant reference lists. Two authors independently extracted data from the eligible studies. Then two bayesian random-effect meta-analyses were performed, followed by bayesian meta-regressions. Results: 5957412 and 571227 donors were identified in HBsAg group and OBI group, respectively. The pooled prevalence of HBsAg group and OBI group among donors is 1.085% (95% credible interval [CI] 0.859%∼1.398%) and 0.094% (95% CI 0.0578%∼0.1655%). For HBsAg group, subgroup analysis shows the more developed area has a lower prevalence than the less developed area; meta-regression indicates there is a significant decreasing trend in HBsAg positive prevalence with sampling year (beta = −0.1202, 95% −0.2081∼−0.0312). Conclusion: Blood safety against HBV infection in China is suffering serious threats and the government should take effective measures to improve this situation.

Suggested Citation

  • Guang-cong Liu & Guo-yuan Sui & Guang-ying Liu & Yang Zheng & Yan Deng & Yan-yan Gao & Lie Wang, 2013. "A Bayesian Meta-Analysis on Prevalence of Hepatitis B Virus Infection among Chinese Volunteer Blood Donors," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-10, November.
    • Handle: RePEc:plo:pone00:0079203
    DOI: 10.1371/journal.pone.0079203
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    References listed on IDEAS

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    1. Adams, Vincanne & Erwin, Kathleen & Le, Phuoc V., 2009. "Public health works: Blood donation in urban China," Social Science & Medicine, Elsevier, vol. 68(3), pages 410-418, February.
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