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(至少)一生一次:全球宫颈癌预防。

(At Least) Once in Her Lifetime: Global Cervical Cancer Prevention.

机构信息

Department of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Belfer Building, Room 1308C, Bronx, NY 10461, USA.

Department of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Belfer 1308A, Bronx, NY 10461, USA.

出版信息

Obstet Gynecol Clin North Am. 2019 Mar;46(1):107-123. doi: 10.1016/j.ogc.2018.09.007.

Abstract

Cervical cancer disproportionately burdens lower-resourced settings, in which nearly 90% of cervical cancer and cervical cancer-related deaths occur. Targeting human papillomavirus (HPV) by prophylactic HPV vaccination in young adolescent girls and HPV-based screening in mid-adult women offers the most cost-effective strategy to reduce cervical cancer burden worldwide and mitigate the health disparities in cervical cancer burden between low-resourced and high-resourced settings. Political and social will, along with the necessary financial investments, will be necessary to realize the opportunity for significant global reductions in the cervical cancer burden. Perfect cervical cancer prevention (total eradication) is practically and financially unrealistic.

摘要

宫颈癌在资源匮乏的地区负担过重,几乎 90%的宫颈癌和与宫颈癌相关的死亡都发生在这些地区。通过为年轻少女接种预防性 HPV 疫苗和为中年妇女进行 HPV 筛查来靶向人乳头瘤病毒 (HPV),是在全球范围内降低宫颈癌负担并减轻资源匮乏和资源丰富地区之间宫颈癌负担的健康差异的最具成本效益的策略。实现全球范围内显著降低宫颈癌负担的机会,需要政治意愿和社会意愿,以及必要的财政投入。完全预防宫颈癌(彻底消除)在实际和经济上都是不现实的。

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