Groups | # of studies | Test of association | Heterogeneity | |||
---|---|---|---|---|---|---|
RR (95% CI) | P | Model | P | I square | ||
Total studies | 48 | 1.51 (1.18–1.93) | 0.001 | Random | < 0.001 | 98.9% |
Study design | Â | Â | ||||
 Cohort | 41 | 1.44 (1.07–1.95) | 0.021 | Random | < 0.001 | 98.8% |
 Case control | 4 | 2.04 (1.65–2.51) | 0.001 | Fixed | 0.445 | 0 |
 Cross-sectional | 3 | 1.99 (0.93–4.26) | 0.095 | Random | < 0.001 | 88.1% |
Time period | Â | |||||
 1987–2010 | 14 | 1.75 (1.50–2.05) | < 0.001 | Fixed | 0.343 | 10.1% |
 2011-2017 | 34 | 1.42 (1.05–1.90) | 0.022 | Random | < 0.001 | 99.0% |
Region | Â | |||||
 Europe | 16 | 1.75 (1.31–2.34) | < 0.001 | Random | < 0.001 | 65.3% |
 Asia | 19 | 1.70 (1.45–1.98) | < 0.001 | Random | < 0.001 | 94.2% |
 America | 12 | 1.07 (0.46–2.52) | < 0.001 | Random | < .001 | 99.4% |