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俄罗斯西北部阿尔汉格尔斯克地区社会人口学特征、性行为及宫颈癌预防知识作为高危型人乳头瘤病毒感染风险因素的研究

Sociodemographic characteristics, sexual behaviour and knowledge about cervical cancer prevention as risk factors for high-risk human papillomavirus infection in Arkhangelsk, North-West Russia.

作者信息

Roik Elena, Sharashova Ekaterina, Kharkova Olga, Nieboer Evert, Postoev Vitaly, Odland Jon Ø

机构信息

a Department of Community Medicine, Faculty of Health Sciences , UiT - The Arctic University of Norway , Tromsø , Norway.

b International School of Public Health , Northern State Medical University , Arkhangelsk , Russia.

出版信息

Int J Circumpolar Health. 2018 Dec;77(1):1498681. doi: 10.1080/22423982.2018.1498681.

Abstract

While sociodemographic predictors of cervical cancer (CC) are well understood, predictors of high-risk (HR) human papillomavirus (HPV) infection have not been fully elucidated. This study explored the HR-HPV infection positivity in relation to sociodemographic, sexual behavior characteristics and knowledge about HPV and CC prevention among women who visited the Arkhangelsk clinical maternity hospital named after Samoylova, Russia. This cross-sectional study was conducted in the city of Arkhangelsk, Northwest Russia. Women who consulted a gynecologist for any reason between 1 January 2015 and 30 April 2015 were residents of Arkhangelsk, 25-65 years of age were included. The Mann-Whitney and Pearson's χ tests were used. To determine the HR-HPV status, we used the Amplisens HPV-DNA test. We used a questionnaire to collect the information on sociodemographic factors. Logistic regression was applied. The prevalence of HR-HPV infection was 16.7% (n = 50). HR-HPV infection was more prevalent in younger women, cohabiting, nulliparae, smokers, having had over three sexual partners and early age of sexual debut. The odds of having a positive HR-HPV status increased by 25% with an annual decrease in the age of sexual debut. Moreover women with one child or more were less likely to have positive HR-HPV status.

摘要

虽然宫颈癌(CC)的社会人口统计学预测因素已为人熟知,但高危(HR)人乳头瘤病毒(HPV)感染的预测因素尚未完全阐明。本研究探讨了俄罗斯阿尔汉格尔斯克市以萨莫伊洛娃命名的临床妇产医院就诊女性中,HR-HPV感染阳性与社会人口统计学、性行为特征以及HPV和CC预防知识之间的关系。这项横断面研究在俄罗斯西北部的阿尔汉格尔斯克市进行。纳入了2015年1月1日至2015年4月30日期间因任何原因咨询妇科医生的阿尔汉格尔斯克居民,年龄在25至65岁之间。使用了曼-惠特尼检验和皮尔逊χ检验。为确定HR-HPV状态,我们使用了Amplisens HPV-DNA检测。我们通过问卷收集社会人口统计学因素的信息。应用了逻辑回归分析。HR-HPV感染的患病率为16.7%(n = 50)。HR-HPV感染在年轻女性、同居女性、未生育女性、吸烟者、有超过三个性伴侣以及初次性行为年龄较早的女性中更为普遍。初次性行为年龄每年下降,HR-HPV状态呈阳性的几率增加25%。此外,有一个或多个孩子的女性HR-HPV状态呈阳性的可能性较小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41cb/6060378/cfd088074a79/ZICH_A_1498681_F0001_OC.jpg

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