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Table 2 Studies on prevalence of latent tuberculosis infection included in the systematic review and their main findings (n = 52)

From: Active and latent tuberculosis in refugees and asylum seekers: a systematic review and meta-analysis

First Author

Year of publication

Country of study

Population

Country / Region of origin

Period of data collection

Setting

Sample size

(n)

Women

(%)

Study design

Diagnostic test

TST cutoff point (mm)

Prevalence of LTBI

(%)

Men

Women

Overall

Start

End

Choi [6]

2007

Republic of Korea

Refugee

North Korea

1999

2006

Routine screening

1112 c

63.4

Cross sectional

TST

10

NI

NI

81.47

Chaves [43]

2009

Australia

Refugee

Myanmar; Thailand

2004

2008

Symptomatic

149a,c

48.7

Cohort

TST / IGRA

10

NI

NI

70.47

Diel [52]

2004

Germany

Asylum Seeker

Afghanistan; Turkey; Iran; Burkina Faso; Socialist Federal Republic of Yugoslavia; Sierra Leone; Russia; Guinea; Togo

1997

2002

Both

12,176b

NI

Cohort

TST

NI

NI

NI

62.00

Tafuri [10]

2011

Italy

Asylum Seeker

Asia; Eritrea; Gambia; Ghana; Nigeria; North Africa; Somalia; Tunisia

2009

2009

Routine screening

982c

14.4

Cross sectional

TST

10

63.1

46.2

60.69

Lowther [45]

2012

USA

Refugee

Sub-Saharan Africa; South and Southeast

2000

2007

Routine screening

11,615c

44.8

Cohort

TST

NI

NI

NI

60.55

Baker [75]

2009

USA

Refugee

Somalia; Ethiopia; Liberia; Eritrea; Ghana; Zimbabwe; Ukraine; Russia Federation; China

2006

2007

Routine screening

195c

65.6

Cohort

TST / IGRA

10

65.7

32.0

55.38

Winje [60]

2008

Norway

Asylum Seeker

Asia. Europe; Africa

2005

2006

Routine screening

912c

24.9

Cross sectional

TST / IGRA

6

NI

NI

53.95

Lim [57]

2016

Canada

Refugee

Tibet

2014

2016

Routine screening

163c

51.11

Cohort

TST / IGRA

NI

54.2

43.8

51.53

Kowatsch-Beyer [76]

2013

USA

Refugee

Africa; East Asia; Eastern Europe; South Asia; Latin America

2008

2008

Routine screening

224b

47.8

Cohort

TST

5

NI

NI

51.34

Varkey [49]

2007

USA

Refugee

Africa; Europe; Asia; Central and South America

1997

2001

Routine screening

9842c

47.7

Cohort

TST

10

57.2

45.2

50.70

Watts [77]

2017

USA

Mixed

Africa; America; Europe; Eastern Mediterranean; Southeast Asia; West Pacific

1995

2012

Symptomatic

6669b

47

Cross sectional

TST

10

54.2

45.7

50.21

Padovese [78]

2013

Malta

Asylum Seeker

Somalia; Eritrea; Ethiopia; Western Africa

2010

2011

Routine screening

500b

18.8

Cross sectional

TST / IGRA

10

NI

NI

49.60

Liu [79]

2009

USA

Refugee

Ukraine; Vietnam; Somalia; Bosnia; Sudan

1999

2005

Routine screening

9132c

40.2

Cohort

NI

NI

NI

NI

49.17

Harstad [80]

2009

Norway

Asylum Seeker

Iraq; Somalia; Russia; Afghanistan; Serbia and Montenegro

2005

2006

Routine screening

4526 b

30.6

Cohort

TST / IGRA

6

NI

NI

47.61

Ouimet [31]

2008

Canada

Asylum Seeker

India; Pakistan; Guinea; Congo; Nigeria; Ivory Coast; Cameroon; Siri Lanka; Mexico; Zimbabwe

2000

2004

Symptomatic

231 c

43.2

Cross sectional

TST

NI

NI

NI

45.89

Weinfurter [81]

2011

USA

Refugee

NI

2004

2006

Routine screening

594c

47.8

Cross sectional

TST / IGRA

5

NI

NI

45.62

Pottie [82]

2007

Canada

Refugee

Sub-Saharan Africa; North Africa; Middle East; Eastern Europe

2004

2005

Routine screening

112 b

59.8

Cohort

TST

10

55.6

34.3

42.86

Moreno [83]

2006

USA

Mixed

Africa; Latin America; Asia; Europe

1998

2001

Routine screening

101 c

43.2

Cohort

TST

NI

NI

NI

41.58

Bertelsen [84]

2016

USA

Asylum Seeker

Sub-Saharan Africa; Asia; Eastern Europe; Middle East; Latin America and Caribbean; Western Europe

2012

2014

Routine screening

160 c

33.8

Cohort

TST / IGRA

NI

NI

NI

40.62

Chai [64]

2013

USA

Mixed

Ethiopia; Cameroon; Eritrea; Sierra Leone; Togo; Vietnam; Sudan; Democratic Republic of Congo; Columbia

2003

2007

Routine screening

611 c

43.0

Cohort

TST

10

NI

NI

39.12

Bua [51]

2016

Italy

Mixed

Nigeria; Mali; Senegal; Bangladesh; Gambia; Guinea; Nigeria; Ghana; Togo

NI

NI

Routine screening

109 b

NI

Cross sectional

TST / IGRA

5

NI

NI

38.53

Lobato [59]

2008

USA

Refugee

Bosnia; Vietnam; Somalia; Congo; Eritrea; Haiti; Cambodia

1996

2005

Routine screening

4904 c

NI

Cohort

NI

NI

NI

NI

38.38

Subedi [73]

2015

USA

Refugee

Bhutan; Burma

2010

2012

Routine screening

149 b

46.3

Cohort

TST / IGRA

10

NI

NI

38.26

Goldberg [85]

2004

USA

Refugee

Soviet Union; Yugoslavia; Somalia

1999

2000

Routine screening

2194 c

NI

Cohort

TST

10

NI

NI

37.06

Hobbs [58]

2002

New Zealand

Asylum Seeker

Iran; Afghanistan; Siri Lanka; Czech Republic; Kuwait; Somalia; Iraq

1999

2000

Routine screening

869 c

31.9

Cross sectional

TST

10

NI

NI

36.36

Rennert-May [62]

2016

Canada

Refugee

Sub-Saharan Africa; Middle East; South Asia; East and Southeast Asia

2009

2011

Routine screening

746 c

50.1

Cohort

TST / IGRA

NI

NI

NI

35.52

Board [86]

2016

USA

Refugee

Southeast Asia; South Asia; Middle East; Sub-Saharan Africa

2010

2013

Routine screening

9860b

45.8

Cross sectional

TST / IGRA

10

36.2

29.2

32.95

Nisbet [4]

2007

New Zealand

Refugee

Ethiopia; Somalia; Vietnam

1993

2004

Routine screening

100b

44.0

Cohort

TST

5

NI

NI

32.00

Trauer [65]

2011

Australia

Refugee

Africa; Eastern Mediterranean; Southeast Asia

2006

2009

Routine screening

458 †

56.1

Cohort

TST

10

36.0

28.6

31.88

Hensel [87]

2016

USA

Refugee

Burma; Bhutan; Iraq; Somalia

2013

2014

Routine screening

694 c

45.0

Cross sectional

IGRA

NA

33.6

29.1

31.84

Walters [88]

2016

USA

Mixed

Sub-Saharan Africa; Eastern Asia and Pacific; Middle East; Southeast Asia; Latin America and Caribbean

2009

2012

Symptomatic

2244b

44.4

Cohort

TST / IGRA

10

NI

NI

30.30

Oeltmann [46]

2008

USA

Refugee

Thailand

2004

2005

Routine screening

5637 c

41.2

Cross sectional

TST

5

NI

NI

28.81

Banfield [39]

2012

Australia

Refugee

Sudan; Congo; Liberia; Burundi; Tanzania; Sierra Leone; Burma

2006

2007

Routine screening

1004 c

51.2

Cross sectional

TST / IGRA

NI

NI

NI

26.29

Tiong [42]

2006

Australia

Refugee

Western Africa; Central Africa; Eastern Africa; Africa

2004

2005

Both

96 c

55.8

Cross sectional

TST / IGRA

10

NI

NI

25.00

Gray [38]

2012

Australia

Refugee

Middle East; Africa; Asia; Australia

2005

2010

Routine screening

328 b

45.7

Cross sectional

TST

10

NI

NI

24.70

Sarivalasis [47]

2012

Switzerland

Asylum Seeker

Balkan Peninsula; Soviet Union; Asia; Africa

2009

2010

Routine screening

393 c

27.2

Cross sectional

IGRA

NA

NI

NI

23.66

Sheikh [44]

2009

Australia

Refugee

Asia; Middle East; Western Africa; Central Africa; Eastern Africa

2005

2006

Routine screening

219 c

53.1

Cross sectional

TST

10

NI

NI

23.29

Bennett [89]

2014

USA

Refugee

Middle East, Asia; Sub-Saharan Africa

2010

2012

Routine screening

4280 b

49.7

Cohort

TST / IGRA

10

23.4

15.8

21.40

Paxton [74]

2012

Australia

Refugee

NI

2006

2009

Routine screening

810 c

49.0

Cohort

IGRA

NA

NI

NI

20.86

Lucas [90]

2010

Australia

Refugee

Africa; Asia

2007

2008

Routine screening

524 b

51.9

Cohort

TST / IGRA

10

NI

NI

18.32

Johnston [56]

2012

Australia

Refugee

Asia; Africa

2009

2010

Routine screening

176 c

41.7

Cohort

TST

10

NI

NI

18.18

Marras [35]

2003

Canada

Refugee

India; Tibet; Nepal

1998

2001

Routine screening

525 b

32.0

Cohort

TST

10

NI

NI

16.0

Ramos [91]

2010

USA

Refugee

Iraq

2007

2009

Routine screening

4923 c

48.5

Cross sectional

TST / IGRA

NI

NI

NI

14.06

Bennet [53]

2017

Sweden

Asylum Seeker

Afghanistan; Somalia; Eritrea; Ethiopia

2015

2016

Routine screening

2936 b

NI

Cohort

TST / IGRA

10

NI

NI

11.34

Mockenhaupt [32]

2016

Germany

Refugee

Syria

2011

2015

Routine screening

44 b

34.1

Cohort

NI

NI

NI

NI

9.09

Liu [61]

2015

USA

Refugee

NI

2007

2012

Routine screening

57,019 c

NI

Cross sectional

TST / IGRA

10

NI

NI

7.93

Taylor [92]

2016

USA

Refugee

NI

2010

2010

Routine screening

13,395 b

NI

Cohort

TST / IGRA

10

NI

NI

6.20

Pavlopoulou [93]

2017

Greece

Mixed

Afghanistan; Congo; Bangladesh; Pakistan; Iran; Lebanon; Sudan; Kenia; Somalia; Eritrea

2010

2013

Routine screening

162 b

44.4

Cross sectional

TST / IGRA

10

NI

NI

4.94

Harling [68]

2007

UK

Asylum Seeker

Iraq; Afghanistan; Czech Republic; Iran; Congo; Somalia; Zimbabwe; Angola

2002

2003

Routine screening

4275 c

25.0

Cross sectional

TST

NI

2.4

0.9

2.18

Lee [36]

2013

USA

Refugee

Iraq; Burma; Bhutan; Iran; Cuba; Thailand; Vietnam; Nepal; Somalia

2009

2009

Routine screening

78,899 b

NI

Cross sectional

TST / IGRA

10

NI

NI

1.87

Yanni [72]

2013

Jordan

Refugee

Iraq

2007

2009

Routine screening

13,669 c

50.3

Cohort

TST

10

NI

NI

1.84

Entzel [94]

2003

USA

Refugee

Cuba

1999

2000

Routine screening

241 c

NI

Cross sectional

TST

NI

NI

NI

0.41

  1. Abbreviations LTBI Latent Tuberculosis Infection, USA United States of America, UK United Kingdom, NI Not Informed, TST Tuberculin skin test, IGRA Interferon gamma release assay, NA Not applicable
  2. In the column Setting, “both” means that the study performed routine screening and symptomatic evaluation
  3. aHospitalised population; bTotal population total study; cPopulation screened for LTBI