Table 1 Characteristics of included studies1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48.

From: Global prevalence of occult hepatitis B virus infection in HBcAb-positive individuals: a systematic review and meta-analysis

Study

Year

Year of study

Country

HBV prevalence

Population

Sample size

Age (year)

HBcAb+ (%)

Detection method/LoD

Sample type

Risk of bias

OBI in HBcAb + Group (n/N)

OBI in HBcAb- Group (n/N)

Zervou et al.

2001

1995–1997

Greece

1.8%

Blood donor

282

NA

14.9%

Others, -

blood

High

0 (0%[0/282])

-

Hui et al.

2005

2002–2004

Hong Kong

6.4%

HSC donor

124

37

75.8%

Nested PCR,

10copies/ml

blood

Low

16 (17%[16/94]

3 (10%[3/30])

Banerjee et al.

2007

2001–2005

India

2.5%

Blood donor

289

33.7

NA

Nested PCR,

-

blood

Low

60 (20.8%[60/289])

-

Chevrier et al.

2007

2004–2005

Canada

0.6%

Blood donor

1143

NA

0.53%

qPCR, -

blood

Medium

12(1.0%[12/1143])

-

Kim et al.

2007

2004

Korea

2.4%

General population

195

54(15–94)

51%

Nested PCR,

30copies/ml

blood

Low

16 (16%[16/99])

15 (16%[15/96])

Manzini et al.

2007

2005

Italy

0.6%

Blood donor

288

44.4 ± 9.8

4.8%

Commercial assay,

4.9IU/ml

blood

Medium

14 (4.9%[14/288])

-

Kupski et al.

2008

2003–2005

Brazil

0.4%

Blood donor

241

NA

NA

Others,

103copies/ml

blood

Medium

0 (0%[0/241])

-

Fang et al.

2009

2004–2008

China

6.1%

Healthy population

359

39(15–82)

11.7%

Nested PCR,

10copies/ml

blood

Medium

14 (33.3%[14/42])

24 (7.6%[24/317])

Song et al.

2009

2008

Korea

2.4%

General population

1047

42(14–72)

36.9%

Commercial assay,

-

blood

Low

2 (0.52%[2/386]

5 (0.76%[5/661])

Arababadi et al.

2010

-

Iran

1.7%

Blood donor

352

38

9.5%

Others,

-

blood

High

57 (16.1%[57/352])

-

Panigrahi et al.

2010

2008–2009

India

2.5%

Blood donor

220

33.3 ± 9.9

30.1%

qPCR,

102copies/ml

blood

Low

66 (30%[66/220])

-

Seo et al.

2011

2008

Korea

2.4%

Blood donor

1676

24(18–64)

13.5%

Commercial assay,

20IU/ml

blood

Low

2 (0.12%[2/1676])

-

Shim et al.

2011

-

Korea

2.4%

Health worker

40

45.7 ± 8.2

2.3%

Commercial assay,

300copies/ml

blood

Low

0 (0%[0/40])

0 (0%[0/294])

Maheswari et al.

2012

2008–2009

India

2.5%

Blood donor

820

NA

9.2%

qPCR,

-

blood

Medium

2 (0.24%[2/820])

-

Su et al.

2012

2006–2008

Taiwan

9.4%

Healthy population

51

NA

3.5%

Commercial assay,

6IU/ml

blood

Medium

0 (0%[0/51])

-

Mahmoud et al.

2013

2011–2012

Sudan

5.3%

Blood donor

42

25–39

42%

qPCR,

-

blood

Medium

38 (90%[38/42])

-

Romano et al.

2013

2004–2005

Italy

0.6%

Blood donor

2186

NA

8.3%

Commercial assay,

20IU/ml

blood

Low

12 (0.55%[12/2186])

-

Said et al.

2013

-

Egypt

1.0%

Blood donor

302

29.2(20–47)

14.2%

Commercial assay,

3.8IU/ml

blood

Low

51 (16.9%[51/302])

-

Moresco et al.

2014

2011–2012

Brazil

0.4%

Blood donor

291

NA

22.2%

qPCR,

24IU/ml

blood

Medium

8 (2.7%[8/291])

-

Muselmani et al.

2014

2011

Syria

5.7%

Blood donor

63

NA

10.32%

Commercial assay,

-

blood

Medium

5 (7.9%[5/63])

-

Rios-Ocampo et al.

2014

2011

Colombia

0.3%

Blood donor

302

39.7 ± 10.97

2.16%

Nested PCR,

50/500IU/ml

blood

Medium

6 (1/98%[6/302])

-

Tandoi et al.

2014

2010–2013

Italy

0.6%

General population

70

57–81

50%

Commercial assay,

20IU/ml

blood

Low

5 (10%[5/50]

0 (0%[0/20])

Borzooy et al.

2015

-

Iran

1.7%

Health worker

120

38.1

14.2%

Commercial assay,

-

blood

Medium

0 (0%[0/17])

4 (3.9%[4/103])

Darmawan et al.

2015

2012

Indonesia

6.8%

General population

57

18–41

30%

Nested PCR,

-

blood

Low

9 (4.8%[9/57])

-

Hashemi et al.

2015

2011–2012

Iran

1.7%

Health population

80

32.65 ± 8.51

10%

Nested PCR,

-

blood

High

0 (0%[0/8])

0 (0%[0/72])

Ie et al.

2015

2010

Indonesia

6.8%

General population

317

17–25

31.5%

Nested PCR,

6IU/ml

blood

Low

43 (43%([43/100])

6 (2.8%[6/217])

Kishk et al.

2015

-

Egypt

1.0%

Blood donor

44

32.9 ± 6.1

12.8%

qPCR,

100copies/ml

blood

Low

10 (22.7%[10/44])

-

Zheng et al.

2015

2012–2013

China

6.1%

Blood donor

2028

18–25

21.4%

Commercial assay,

5IU/ml

blood

Low

18 (4.2%[18/433])

6 (0.38%[6/1595])

Alshayea et al.

2016

2011–2012

Saudi Arabia

1.6%

Blood donor

198

40(17–63)

2.3%

Commercial assay,

16IU/ml

blood

Medium

17(8.6%[17/198])

-

Hudu et al.

2016

-

Malaysia

0.9%

Blood donor

1000

NA

55%

Nested PCR,

5copies/ul

blood

Low

55 (100%[55/55])

0 (0%[0/945])

Karimi et al.

2016

2013

Iran

1.7%

Blood donor

2031

33.25 ± 10.1

4.9%

Commercial assay,

9IU/ml

blood

Low

0 (0%[0/99]

0 (0%[0/1932])

Sosa-Jurado et al.

2016

2003–2009

Mexico

0.1%

Blood donor

156

NA

1.19%

Nested PCR,

50copies/ml

blood

Medium

27 (17.3%[27/156])

-

Jaramillo et al.

2017

2010–2011

Colombia

0.3%

General population

110

32 ± 8.3

23.8%

Nested PCR,

-

blood

Low

0(0%[0/110])

-

Ye et al.

2017

2014

China

6.1%

Blood donor

490

NA

47.4%

Nested PCR/qPCR,

-

blood

Low

14 (2.86%[14/490])

-

Athira et al.

2018

2015–2016

India

2.5%

Blood donor

156

NA

14.2%

Commercial assay,

-

blood

Medium

52 (33.3%[52/156])

-

Fopa et al.

2019

2016–2017

Cameroun

6.8%

Blood donor

522

18–65

48.7%

Commercial assay, 6IU/ml

blood

Low

6 (1.1%[6/522])

-

Jacinto et al.

2019

2017

Spain

0.6%

Tissue donor

1530

64.5 ± 15

10%

Commercial assay, 15IU/ml

blood

Low

24 (13.7%[24/175])

3 (0.22%[3/1355])

Ky/Ba et al.

2021

2020

Burkina Faso

6.1%

Blood donor

75

30.18

13%

qPCR,

-

blood

Low

2 (5.1%[2/39])

1 (2.8%[1/36])

Ye et al.

2021

-

China

6.1%

Blood donor

252

18–60

53.2%

qPCR/nested PCR,

2.3IU/ml

blood

Low

17 (12.7%[17/134])

0 (0%[0/118])

Bahrami et al.

2022

2018

Iran

1.7%

Blood donor

384

34.47 ± 10.02

8.9%

qPCR/nested PCR, -

blood

High

0 (0%[0/384])

-

Tung et al.

2022

2021

Germany

0.3%

Blood donor

623

33

39%

Nested PCR, 30copies/ml

blood

High

2 (0.8%[2/242])

0 (0%[0/381])

Chen et al.

2023

2018–2022

China

6.1%

General population

164

NA

18.95%

Commercial PCR, 2.3IU/ml

blood

High

3 (1.8%[3/164])

-

Athalye et al.

2024

2014–2017

India

2.5%

Blood donor

547

NA

23%

Commercial PCR,10IU/ml

blood

Medium

16 (2.9%[16/547])

-

Mbencho et al.

2024

2023

Cameroon

6.1%

Blood donor

288

30(24–38)

58%

Nested PCR/qPCR, 25IU/ml

blood

High

4 (2.4%[4/167])

10 (8.2%[10/121])

Cheung et al.

2010

-

HongKong

6.4%

Liver donor

10

NA

50%

qPCR, 10copies/ml

Liver tissue

Low

5 (100%[5/5])

0 (0%[0/5])

Tandoi et al.

2014

2010–2012

Italy

0.6%

Liver donor

70

57–81

50%

Nested PCR, 5IU/ml

Liver tissue

Low

30 (60%[30/50])

0 (0%[0/20])

Rao et al.

2014

2010–2012

China

6.1%

Liver donor

30

NA

16%

qPCR, -

Liver tissue

Low

7(43.8%[7/16])

0 (0%[0/14])

Caviglia et al.

2018

2010–2016

Italy

0.6%

Liver donor

118

68.2

NA

Commercial PCR/Nested PCR/ddPCR, 9IU/ml

Liver tissue

Low

52 (52%[52/100])

0 (0%[0/18])