Variables | No studies | Sample size | Infected | Sample size (control) | Infected (control) | Pooled OR (95% CI) | Heterogeneity | ||
---|---|---|---|---|---|---|---|---|---|
 | I2 | τ2 | p-value | ||||||
Annual precipitation | |||||||||
  < 300 | 62 | 14,961 | 4533 | 13,714 | 2681 | 2.130 (1.844–2.460) | 77 | 0245 | p < 0.001 |
 300–650 | 8 | 1024 | 394 | 995 | 221 | 2.297 (1.700- 3.103) | 32 | 0.087 | p < 0.001 |
 651–1000 | 13 | 1842 | 499 | 2637 | 498 | 1.827 (1.323–2.522) | 54 | 0.210 | p < 0.001 |
  > 1000 | 8 | 839 | 357 | 973 | 281 | 1.579 (1.042–2.392) | 66 | 0.245 | p < 0.001 |
 Total | 91 | 18,666 | 5783 | 18,319 | 3681 | 2.059 (1.830–2.317) | 74 | 0.247 | p < 0.001 |
Humidity (%) | |||||||||
  < 40 | 19 | 2354 | 1161 | 2524 | 934 | 1.749 (1.342–2.279) | 74 | 0.272 | p < 0.001 |
 40–75 | 66 | 15,471 | 4196 | 14,897 | 2393 | 2.194 (1.917–2.510) | 73 | 0.228 | p < 0.001 |
  > 75 | 6 | 841 | 426 | 898 | 354 | 1.629 (1.971–2.734) | 74 | 0.337 | p < 0.001 |
 Total | 91 | 18,666 | 5783 | 18,319 | 3681 | 2.059 (1.830–2.317) | 74 | 0.247 | p < 0.001 |
Annual rainfall (mm) | |||||||||
  < 400 | 35 | 5261 | 2457 | 5036 | 1454 | 2.256 (1.848–2.761) | 79 | 0.293 | p < 0.001 |
 401–1000 | 37 | 10,743 | 2402 | 10,309 | 1439 | 2.040 (1.699–2.449) | 72 | 0.251 | p < 0.001 |
 1001–1500 | 14 | 2126 | 682 | 2514 | 625 | 1.773 (1.444–2.178) | 28 | 0.060 | p < 0.001 |
  > 1500 | 5 | 536 | 242 | 460 | 163 | 1.458 (0.803–2.985) | 78 | 0.455 | p < 0.001 |
 Total | 91 | 18,666 | 5783 | 18,319 | 3681 | 2.059 (1.830–2.317) | 74 | 0.247 | p < 0.001 |
Average temperature (°C) | |||||||||
  < 10 | 5 | 550 | 197 | 551 | 119 | 2.036 (1.319–3.144) | 22 | 0.143 | p < 0.001 |
 10–20 | 53 | 13,544 | 3787 | 12,801 | 2589 | 1.947 (1.669–2.270) | 74 | 0.266 | p < 0.001 |
  > 20 | 33 | 4572 | 1799 | 4967 | 973 | 2.281 (1.8507–2.811) | 72 | 0.237 | p < 0.001 |
 Total | 91 | 18,666 | 5783 | 18,319 | 3681 | 2.059 (1.830–2.317) | 74 | 0.247 | p < 0.001 |
WHO region | |||||||||
 African region | 7 | 959 | 500 | 1040 | 300 | 2.175 (1.697–2.778) | 0 | 0.029 | p < 0.001 |
 Eastern Mediterranean Region | 35 | 5333 | 2466 | 4992 | 1421 | 2.289 (1.868–2.805) | 79 | 0.299 | p < 0.001 |
 European Region | 26 | 3984 | 1492 | 5253 | 1099 | 1.844 (1.477–2.301) | 71 | 0.259 | p < 0.001 |
 Region of the Americas | 11 | 1582 | 482 | 2459 | 509 | 1.816 (1.330–2.479) | 55 | 0.175 | p < 0.001 |
 Western Pacific Region | 11 | 6714 | 778 | 4511 | 310 | 2.157 (1.535–3.032) | 75 | 0.268 | p < 0.001 |
 South-East Asia Region | 1 | 94 | 65 | 64 | 42 | 1.174 (0.596–2.309) | – | – | – |
 Total | 91 | 18,666 | 5783 | 18,319 | 3681 | 2.059 (1.830–2.317) | 74 | 0.247 | p < 0.001 |
Income level | |||||||||
 High income | 16 | 2260 | 732 | 2330 | 580 | 2.008 (1.483–2.718) | 68 | 0.248 | p < 0.001 |
 Upper middle income | 36 | 10,606 | 2312 | 10,389 | 1468 | 1.930 (1.614–2.308) | 72 | 0.238 | p < 0.001 |
 Lower middle income | 39 | 5800 | 2739 | 5600 | 1633 | 2.190 (1.823–2.632) | 77 | 0.263 | p < 0.001 |
 Total | 91 | 18,666 | 5783 | 18,319 | 3681 | 2.059 (1.830–2.317) | 74 | 0.247 | p < 0.001 |
Diagnostic method | |||||||||
 ELISA | 61 | 13,769 | 3893 | 13,369 | 2658 | 2.010 (1.752–2.307) | 74 | 0.236 | p < 0.001 |
 IHAT | 1 | 200 | 84 | 200 | 35 | 3.413 (2.154–5.409) | – | – | – |
 ELISA & Western Blot | 2 | 145 | 77 | 145 | 24 | 3.076 (1.285–7.362) | – | – | – |
 EIA & Western blotting | 1 | 38 | 16 | 27 | 3 | 5.818 (1.490–22.715) | – | – | – |
 EIA | 2 | 141 | 66 | 481 | 67 | 2.617 (1.241–5.515) | 33 | 0.116 | p < 0.001 |
 Sabin-Feldman Dye Test | 2 | 133 | 57 | 163 | 45 | 1.427 (0.667–3.054) | 55 | 0.164 | p < 0.001 |
 ELISA & CFT | 1 | 44 | 12 | 56 | 13 | 1.240 (0.500- 3.076) | – | – | – |
 ELISA & ELFA | 1 | 79 | 38 | 95 | 27 | 2.230 (1.334–4.103) | – | – | – |
 ELISA & IFA | 1 | 96 | 21 | 50 | 4 | 3.220 (1.039–9.973) | – | – | – |
 Rapid Test-Cassette | 2 | 292 | 96 | 292 | 56 | 2.066 (1.412- 3.022) | – | – | – |
 ELISA & PCR | 4 | 368 | 172 | 452 | 144 | 1.432 (0.656–1.123) | 77 | 0.498 | p < 0.001 |
 Direct smear & Sedimentation | 1 | 104 | 21 | 314 | 49 | 1.368 (0.775–2.413) | – | – | – |
 Direct smear & Sedimentation & Stain | 1 | 983 | 337 | 983 | 105 | 4.362 (3.426–5.553) | – | – | – |
 Optical density | 1 | 127 | 33 | 127 | 26 | 1.363 (0.759–2.449) | – | – | – |
 ECLIA | 5 | 1239 | 371 | 1122 | 281 | 1.470 (1.064–2.032) | 0 | 0.042 | p < 0.001 |
 ELISA & LAT | 3 | 338 | 212 | 233 | 70 | 3.147 (2.033–4.869) | 0 | 0.0001 | p < 0.001 |
 ELISA & Sabin-Feldman Dye Test | 2 | 570 | 277 | 210 | 74 | 2.258 (0.734–6.947) | 82 | 0.541 | p < 0.001 |
 Total | 91 | 18,666 | 5783 | 18,319 | 3681 | 2.059 (1.830–2.317) | 74 | 0.247 | p < 0.001 |