Evidence map›Paper›PMID 40875987›Full record

SynthesisJMIR public health and surveillance2025

Risk Factors for Typhoid Fever: Systematic Review.

Portia Boakye Okyere, Sampson Twumasi-Ankrah, Sam Newton, Samuel Nkansah Darko, Michael Owusu Ansah, Eric Darko, Francis Agyapong, Hyon Jin Jeon, Yaw Adu-Sarkodie, Florian Marks and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in JMIR public health and surveillance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
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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

11 authors.

Portia Boakye OkyereSchool of Public Health, College of Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0002-4158-807X
Sampson Twumasi-AnkrahDepartment of Statistics and Actuarial Science, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0002-9183-1883
Sam NewtonSchool of Public Health, College of Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0002-6915-9007
Samuel Nkansah DarkoDepartment of Molecular Medicine, College of Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0002-0750-4311
Michael Owusu AnsahCommunity Health, College of Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0003-3631-0564
Eric DarkoDepartment of Clinical Microbiology, College of Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0002-7074-115X
Francis AgyapongDepartment of Clinical Microbiology, College of Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0002-3941-5591
Hyon Jin JeonInternational Vaccine Institute, Seoul, South Korea, Republic of Korea.ORCID 0000-0002-2344-4574
Yaw Adu-SarkodieDepartment of Clinical Microbiology, College of Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0003-2093-1534
Florian MarksInternational Vaccine Institute, Seoul, South Korea, Republic of Korea.ORCID 0000-0002-6043-7170
Ellis Owusu-DaboSchool of Public Health, College of Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0003-4232-4292

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTyphoid fever, a significant global health problem, demonstrates a multifaceted transmission pattern. Knowledge of the factors driving its transmission is critical for developing effective control strategies and optimizing resource allocation.

objectiveThis review aimed to comprehensively synthesize evidence on risk factors associated with typhoid fever transmission from 1928 to 2024.

methodsWe searched PubMed, Scopus, Google Scholar, and Semantic Scholar databases using keywords related to risk, contributors, determinants, and causes of typhoid fever. We followed a registered protocol to support our search and triangulated the results.

resultsOverall, we retrieved 1614 articles, of which 219 were reviewed. Of these, 109 addressed multiple, non-mutually exclusive typhoid fever risk factors. Unsurprisingly, of the total articles reviewed on risk factors, approximately 70.6% (77/109) originated from the Asian continent (51/109, 46.8%) and the African continent (26/109, 23.9%). Half of the articles (55/109, 50.5%) focused on risk factors related to demographic and socioeconomic transmission, while 44% (48/109) of the articles examined foodborne transmission. Additional risk factors included water, sanitation, and hygiene practices: waterborne transmissions (45/109, 41.3%) and sanitation and hygiene practices (34/109, 31.2%), travel-related risk (19/109, 17.4%), antimicrobial use (14/109, 12.8%), climate-related factors (15/109, 13.8%), environment-related factors (9/109, 8.3%), typhoid carriers (11/109, 10.1%), and host-related risk factors (6/109, 5.5%).

conclusionsThis review identifies demographic and socioeconomic factors as key drivers of typhoid transmission, underscoring the need for targeted interventions. Strengthening street food regulation in urban Asia and investing in water infrastructure in rural Africa can significantly mitigate risk. Integrating water, sanitation, and hygiene interventions with typhoid vaccines can reduce immediate exposure while enhancing long-term immunity. Prioritizing these strategies in schools and high-risk communities is essential for sustainable typhoid control. Future research should focus on longitudinal studies to assess risk factor causality and vaccine impact, guiding more effective public health interventions.

Indexed as

Typhoid FeverHumansRisk Factorsfoodbornerisk factorssystematic reviewtyphoid feverwaterborne

Identifiers

PMID40875987
PMCPMC12426575

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.