Figure 5个  Table 3
    • Authors Year Continent(Country) Testing Method KSHV positivity (No. of positive sera/No. of tested sera)
      Total HIV-positive HIV-negative
      Khajedaluee et al. 2016 Asia (Iran) ELISA 8/111
      Kakavand-Ghalehnoei et al. 2016 Asia (Iran) PCR 8/60
      Lee et al. 2014 Asia (China) ELISA 27/553 25/377 2/176
      Zhang et al. 2014 Asia (China) IFA 56/296
      Zavitsanou et al. 2010 Europe (Greece) ELISA 70/288 67/286
      Yang et al. 2010 Asia (China) ELISA 58/203
      Larocca et al. 2005 Europe (Italy) IFA 14/134 8/32 6/102
      Bernstein et al. 2003 America (US) IFA 45/390 38/294 7/96
      Atkinson et al. 2003 America (US) ELISA 218/1905 55/233 163/1672
      Goedert et al. 2003 America (US) ELISA 14/137 14/137
      Parisi et al. 2002 Europe (Italy) IFA 13/155 13/155
      2002 Europe (Italy) IFA 18/85 18/85
      Sosa et al. 2001 America (Argentina) IFA 26/153 25/144 1/9
      Greenblatt et al. 2001 America (US) IFA 40/237 35/178 5/59
      Gambus et al. 2001 Europe (Spain) IFA 44/382 29/254 15/128
      Cannon et al. 2001 America (US) ELISA 141/771
      Diamond et al. 2001 America (US) IFA 9/65
      Perna et al. 2000 Europe (Italy) IFA 62/374 32/163 30/211
      Wang et al. 2000 Asia (China) ELISA 63/107
      Rezza et al. 1999 Europe (Italy) IFA 20/133 20/133
      Renwick et al. 1998 Europe (The Netherlands) ELISA 89/1167 26/351 63/816
      Rezza et al. 1998 Europe (Italy) IFA 55/112 26/47 29/65
      Simpson et al. 1996 Europe (UK) ELISA 2/63 2/38 0/25

      Table 1.  The detailed characteristics of all eligible studies

    • Standard error Z value P value Regression coefficient (95%CI)
      Constant 73.62 1.55 0.12 113.88 (–30.40, 258.17)
      Year 0.04 –1.58 0.12 –0.06 (–0.13, 0.01)
      Continent
      America (reference)
      Asia 0.51 1.57 0.12 0.79 (–0.20, 1.79)
      Europe 0.33 –0.12 0.91 –0.04 (–0.68, 0.60)
      Testing method
      ELISA (reference)
      IFA 0.31 0.82 0.41 0.25 (–0.35, 0.86)
      PCR 0.79 0.16 0.88 0.12 (–1.43, 1.67)

      Table 2.  Meta-regression analysis showing influence of variables on the heterogeneity of prevalence (N = 7881)

    • Database Search strategy Results
      PubMed (prevalen* OR inciden* OR epidemiolog* OR seroprevalen* OR sero-prevalen* OR seroepidemiolog* OR sero-epidemiolog* OR seropositiv* OR sero-positiv* OR seroepidemiologic studies[MeSH] OR prevalence[MeSH] OR incidence[MeSH]) AND (("Drug Users"[Mesh] AND ("Injections, Intravenous"[Mesh] OR "Substance Abuse, Intravenous"[Mesh])) OR ((intraven* OR inject*) AND drug)) AND (("HHV-8" OR "HHV 8" OR "KSHV" OR "Human Herpesvirus 8" OR "Kaposi's Sarcoma-Associated Herpesvirus" OR "Kaposi's Sarcoma Associated Herpesvirus" OR "Kaposis Sarcoma-Associated Herpesvirus" OR "Kaposi Sarcoma-Associated Herpesvirus" OR "Kaposi Sarcoma Associated Herpesvirus") OR "Herpesvirus 8, Human"[Mesh]) 39
      EMBASE 1. exp Human herpesvirus 8/ 2. ("human herpesvirus 8" or "hhv-8" or "hhv8" or "kshv" or "kaposi sarcoma associated herpesvirus" or "kaposi’s sarcoma associated herpesvirus" or "kaposi sarcoma-associated herpesvirus" or "kaposi’s sarcoma-associated herpesvirus" or "kaposi NEAR/3 herpesvirus" or "kaposi NEAR/3 virus").mp. [mp=title, abstract, heading word, drug trade name, original title, device manufacturer, drug manufacturer, device trade name, keyword, floating subheading word] 3. exp seroprevalence/ or exp prevalence/ 4. exp seroepidemiology/ 5. exp incidence/ 6. (prevalen* or inciden* or epidemiolog* or sero*epidemiolog* or sero*prevalen* or sero*positiv*).mp. [mp=title, abstract, heading word, drug trade name, original title, device manufacturer, drug manufacturer, device trade name, keyword, floating subheading word] 7. exp intravenous drug abuse/ 8. (drug and (intraven* or inject*)).mp. [mp=title, abstract, heading word, drug trade name, original title, device manufacturer, drug manufacturer, device trade name, keyword, floating subheading word] 9. 1 or 2 10. 3 or 4 or 5 or 6 11. 7 or 8 12. 9 and 10 and 11 162
      Web Of Science TOPIC: ("human herpesvirus 8" OR "hhv-8" OR "hhv8" OR "kshv" OR "kaposi sarcoma associated herpesvirus" OR "kaposi’s sarcoma associated herpesvirus" or "kaposi sarcoma-associated herpesvirus" or "kaposi’s sarcoma-associated herpesvirus" or "kaposi NEAR/3 herpesvirus" or "kaposi NEAR/3 virus") AND TOPIC: (prevalen* or inciden* or epidemiolog* or sero*epidemiolog* or sero*prevalen* or sero*positiv*) AND TOPIC: (drug and (intraven* or inject*)) 39
      CBM (("herpesvirus 8, human"[weighted: exploded]) OR ("KSHV"[common fields] OR "human herpesvirus 8"[common fields] OR "kaposi sarcoma associated herpesvirus"[common fields] OR "herpesvirus 8, human"[subject terms] OR "HHV-8"[common fields] OR "HHV8"[common fields] OR "herpesvirus 8"[common fields] OR "Kaposi%virus"[common fields]) AND (("Substance Abuse, Intravenous"[unweighted: exploded]) OR ("drug abuse"[common fields]) OR ("drug"[common fields])) (in Chinese) 5
      CNKI (SU='KSHV' or SU='HHV-8' or SU='HHV 8' or SU='HHV8' or SU='herpesvirus 8' or SU %'Kapo%virus') and (SU%'drug abuse' or SU%'drug') (in Chinese) 11
      Wanfang (Topic:("KSHV or HHV-8 or HHV 8 or herpesvirus 8") + Topic:(Kapo%virus ))* Topic:("drug abuse" or "drug") (in Chinese) 10

      Table S1.  Search strategy of the databases