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Seroprevalence of Rubella Among Women of Reproductive Age in Iran: A Prisma-Based Systematic Review and Meta-Analysis Pubmed



Sharghi M1 ; Heidari Z2 ; Cascio A3 ; Qaderi M4 ; Seydebrahimi SS4 ; Serra N5 ; Mardaneh J6 ; Kooti W7 ; Firoozbakht M8 ; Boroujerdnia MG9 ; Sergi C10, 11
Authors
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Authors Affiliations
  1. 1. Shoushtar Faculty of Medical Sciences, Shoushtar, Iran
  2. 2. Department of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Health Promotion and Child Health, Polyclinic University Hospital of Palermo, Palermo, Italy
  4. 4. Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
  5. 5. Statistic Unit, Department of Public Health, University of Naples ‘Federico II’, Naples, Italy
  6. 6. Department of Microbiology, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran
  7. 7. Lung Diseases and Allergy Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
  8. 8. Student Research Committee, Dezful University of Medical Sciences, Dezful, Iran
  9. 9. Department of Immunology, Infectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  10. 10. Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, AB, Canada
  11. 11. Division of Anatomical Pathology, Children’s Hospital of Eastern Ontario (CHEO), University of Ottawa, ON, Canada

Source: Annals of Clinical and Laboratory Science Published:2021


Abstract

Objective. Rubella is a highly contagious viral disease with a significant teratogenic effect. Various results have been published about the seroprevalence of rubella in Iran. A PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses)-systematic review and meta-analysis were conducted to assess the immunity against rubella in Iranian women. Methods. Eleven English and Persian electronic databases including PubMed, ScienceDirect, Scopus, Web of Science, Google Scholar, Embase, Scientific Information Database, Iran doc, Iran Medex, Magiran, and Medlib were searched using the keyword: Epidemiology, Prevalence, Rubella, Women, Childbearing age, Reproductive age, and Iran. A mathematician (NS) reviewed all steps for accuracy. Results. Out of 1,520 articles, 25 well-conducted studies with a total amount of 10,145 women were reviewed. The pooled prevalence rate of anti-rubella IgG was 84% (95% CI: 83%-86%). The highest prevalence rate of IgG was in Zahedan, Rasht, and Arak (each 100%), while the lowest prevalence was in Jahrom (54%). Subgroup analysis showed that from 1989 through 2012, the IgG prevalence rate increased from 78% (95% CI: 73-83%) to 99% (95% CI: 98 100%). Conclusions. Although the vaccination program seems working in Iran, some peripheral regions may be a target to improve health care policies. © 2021 by the Association of Clinical Scientists, Inc.
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1. A Nationwide Study on the Seroprevalence of Measles, Mumps, and Rubella in Iranian Children and Adolescents, Iranian Journal of Public Health (2022)
2. A Sustained Epidemic of Shigellosis in Isfahan Province, 2015, Journal of Kerman University of Medical Sciences (2018)
3. Seroprevalence of Mumps Before Inclusion of Mumps Vaccination in the Iranian Expanded Programme on Immunization, Eastern Mediterranean Health Journal (2009)
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