“…Eighteen papers assessed income ( 23 , 26–30 , 33 , 35 , 39 , 40 , 43 , 47 , 48 , 50 , 51 , 53 , 56 , 62 ), and of these, only four papers found a statistically significant association between income and the likelihood of having HTLV-1 ( 39 , 40 , 47 , 48 ). Lastly, six papers assessed employment ( 42 , 47 , 50 , 52 , 55 , 59 ) and none found a statistically significant association for this variable. The characteristics of selected studies are summarized in Supplementary Table S3 .…”