Wu X, Zhao J, Cui X L, Li Q, Tao H, Pan Q J, Zhang X, Chen W, Li Y P, Li R C, Wu T, Li M Q
Department of Immunization Planning, Liuzhou City Center for Disease Control and Prevention, Guangxi Zhuang Autonomous Region, Liuzhou 545000, China.
State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Institute of Diagnostics and Vaccine Development in Infectious Diseases, School of Public Health, Xiamen University, Xiamen 361100, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Apr 10;38(4):467-471. doi: 10.3760/cma.j.issn.0254-6450.2017.04.011.
To analyze the type-specific prevalence of human papillomavirus (HPV) among women aged 18-45 years from the general population in Liuzhou, Guangxi Zhuang Autonomous Region. Totally, 2 300 women aged 18-45 years old were enrolled in Liuzhou,from March to July, 2013. Cervical exfoliated cells were collected for liquid based cytological and HPV DNA tests. Women were referred to colposcopy exam, based on the clinical practice guideline. Overall, the prevalence rates of any HPV or oncogenic HPV appeared as 22.7 (95 21.0-24.4) and 17.3 (95: 16.0-19.1), respectively in this population under study. The high-risk HPV prevalence peaked at the age groups of 18-25 and 41-45, increasing along with the severity through cytological and histological tests. Statistically significant differences between the prevalence of CIN2+ (Cervical intraepithelial neoplasia 2+) in women older than 26 years (1.7, 95: 1.0-2.4) and 18-25 years (1.2, 95: 0.5-1.9) of age, were not observed. Among samples diagnosed as CIN2+, positivity of HPV bivalent (16/18) and nine-valent (6/11/16/18/31/33/45/52/58) vaccine, related high risks on the types of HPV types appeared as 44.1 and 97.1. The age-specific HPV prevalence rates in the general women aged 18-45 in Liuzhou presented as having bimodal distribution, suggesting that the disease burden of cervical diseases in women aged 26-45 years should not be ignored. Nine-valent HPV vaccine might provide more effective prevention outcomes on cervical cancer in China.
分析广西壮族自治区柳州市普通人群中18至45岁女性人乳头瘤病毒(HPV)的型别特异性流行情况。2013年3月至7月,柳州市共纳入2300名18至45岁的女性。收集宫颈脱落细胞进行液基细胞学和HPV DNA检测。根据临床实践指南,将女性转诊至阴道镜检查。总体而言,在该研究人群中,任何HPV或致癌性HPV的流行率分别为22.7(95%可信区间:21.0 - 24.4)和17.3(95%可信区间:16.0 - 19.1)。高危型HPV流行率在18至25岁和41至45岁年龄组达到峰值,并随着细胞学和组织学检测严重程度的增加而上升。未观察到26岁以上(1.7,95%可信区间:1.0 - 2.4)和18至25岁(1.2,95%可信区间:0.5 - 1.9)女性中CIN2 +(宫颈上皮内瘤变2 +)流行率的统计学显著差异。在诊断为CIN2 +的样本中,HPV二价(16/18)和九价(6/11/16/18/31/33/45/52/58)疫苗相关高危型HPV的阳性率分别为44.1和97.1。柳州市18至45岁普通女性的年龄特异性HPV流行率呈双峰分布,提示26至45岁女性宫颈疾病的疾病负担不容忽视。九价HPV疫苗可能在中国宫颈癌预防方面提供更有效的预防效果。