The prevalence of hepatitis C and hepatitis B in lesbian, gay, bisexual and transgender populations: a systematic review and meta-analysis

Eur J Med Res. 2022 Mar 26;27(1):47. doi: 10.1186/s40001-022-00677-0.

Abstract

Objectives: This study aimed to systematically review the literature on the prevalence of hepatitis C virus (HCV) and hepatitis B virus (HBV) infections in transgender and LGBT people and determine their pooled estimates worldwide.

Methods: Databases (PubMed, Scopus, Web of Science, Embase, Ovid, Cochrane, PsycInfo) were searched from April 2000 to July 2021. The analyses were executed using the random-effects model in Stata 16.

Results: Ten studies, including eight studies on four transgender people and two studies on 2150 LGBTs, were included. The pooled prevalence of HCV and HBV in all transgender populations globally were 9% (95% CI 3-15%) and 11% (95% CI 2-20%), respectively. The corresponding prevalence in male-to-female transgender people were estimated as 5% (95% CI 1-9%) and 6% (95% CI 3-10%), respectively. These estimates in American transgenders were 10% (95% CI 5-25%) and 16% (95% CI 8-23%), respectively.

Conclusion: This study was identified the overall prevalence of HBV and HCV infections in transgender people, which were higher than those in the general population.

Keywords: Bisexual; Gay; Hepatitis B; Hepatitis C; LGBT; Lesbian; Meta-analysis; Transgender.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Female
  • Hepacivirus
  • Hepatitis B* / epidemiology
  • Hepatitis C* / epidemiology
  • Humans
  • Male
  • Prevalence
  • Sexual and Gender Minorities*
  • Transgender Persons*
  • United States