Evidence map›Paper›PMID 40098798›Full record

ArticleFrontiers in public health2025

Multicenter cross-sectional study of HTLV-1 prevalence and associated risk factors in epidemiologically relevant groups across Brazil.

Carlos Brites, Prince Baffour Tonto, Antonio C Vallinoto, Onayane Dos Santos Oliveira, Simone Simionatto, Monica Bay, Tania Reuter, Monica M Gomes-da-Silva, Melissa Medeiros, Rafaela Mayoral and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Epidemiology and Clinical Outcomes of HTLV-1: A Comprehensive Narrative Review of Endemic and Nonendemic Regions.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Carlos Brites *Hospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Brazil.
Prince Baffour Tonto *Department of Medicine, Division of Allergy, Immunology, and Infectious Diseases, and Child Health Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ, United States.
Antonio C VallinotoLaboratório de Virologia, Instituto de Ciências Biológicas, Universidade Federal do Pará, Belém, Brazil.
Onayane Dos Santos OliveiraLaboratório de Virologia, Instituto de Ciências Biológicas, Universidade Federal do Pará, Belém, Brazil.
Simone SimionattoLaboratório de Pesquisa em Ciências da Saúde, Universidade Federal Grande Dourados, Dourados, Brazil.
Monica BayDepartamento de Infectologia, Universidade Federal do Rio Grande do Norte, Natal, Brazil.
Tania ReuterCentro de Pesquisa Clinica em Infectologia, Hospital Universitário Cassiano Antonio de Moraes, Universidade Federal do Espirito do Espirito Santo, Vitoria, Brazil.
Monica M Gomes-da-SilvaHospital de Clinicas, Universidade Federal do Paraná, Curitiba, PR, Brazil.
Melissa MedeirosHospital São josé de Doenças Infecciosas, Fortaleza, Brazil.
Rafaela MayoralHospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Brazil.
Estela LuzHospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Brazil.
Michael RochaInstituto Brasileiro de Investigação do Torax, Salvador, BA, Brazil.
Hareton VechiInstituto de Medicina Tropical, Universidade Federal do Rio Grande do Norte, Natal, Brazil.
Bobby Brooke HerreraHospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Human T cell lymphotropic virus type 1 (HTLV-1) is highly endemic in Brazil, necessitating surveillance studies to understand its epidemiology. While previous research has focused on either specific cities or populations, there is a need for multicenter studies encompassing epidemiologically relevant populations to ascertain more accurate prevalence rates and predictors of HTLV-1 infection in the country. Methods: We conducted a multicenter, cross-sectional study involving 3,184 participants across seven cities and five study populations in Brazil. Blood samples were collected, and the prevalence of HTLV-1 infection was determined by enzyme-linked immunosorbent assay (ELISA) and Western blot. Binary logistic regression analysis was used to determine risk factors of HTLV-1 infection. Results: Among the total study population, 1,135 (35.7%) were aged >40 years and 1,704 (53.5%) were female. The overall prevalence of HTLV-1 infection was 0.5% (95% CI: 0.3-0.8), with variation observed among the cities or study populations. Factors associated with HTLV-1 infection included age > 40 years (OR, 8.867; 95% CI: 1.824-43.099), female gender (OR, 4.604; 95% CI: 1.184-17.903), and Hepatitis C virus (HCV) infection (OR, 13.995; 95% CI: 2.374-82.506). The identification of older age and female gender, coupled with the high prevalence of HTLV-1 in HIV-positive patients, suggests sexual transmission as the primary route of HTLV-1 infection. Conclusion: Our study reveals varied prevalence rates of HTLV-1 infection across diverse populations and cities in Brazil. The association of older age, female gender, and HCV, emphasizes the need for tailored interventions to prevent HTLV-1 transmission.

Indexed as

HTLV-I InfectionsHuman T-lymphotropic virus 1AdolescentAdultAgedBrazilCross-Sectional StudiesEnzyme-Linked Immunosorbent AssayFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsYoung Adultcross-sectional studyepidemiologically relevant groupsHTLV-1 prevalencemulticenterrisk factors

Identifiers

PMID40098798
PMCPMC11911192

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.