Institute of Pathogenic Biology, School of Basic Medicine Sciences, Hengyang Medical School, University of South China, Hengyang, China.
Front Public Health. 2021 Nov 5;9:710209. doi: 10.3389/fpubh.2021.710209. eCollection 2021.
Most cervical cancers were closely associated with human papillomavirus (HPV) infections. Therefore, understanding the ecological diversity of HPV prevalence and genotype distribution among various populations in different geographical regions was essential for optimizing HPV vaccination and maximizing the vaccination effects. A total of 12,053 patient data from the three-level hospitals in Hengyang city were retrospectively analyzed. In this study, the HPV prevalence was 10.16% overall, and the multiple-type infection rate was 1.83%. The HR-HPV infection rate was 8.52%. The top six HPV genotypes were as follows in descending order: HPV16, HPV58, HPV52, HPV39, HPV51, and HPV53. The HPV prevalence in the group above 60 years old was the most, and their HR-HPV infection rate corresponded to the most too. The infection rates of HPV and HR-HPV among outpatients were both lower than those among the hospitalized-patients, respectively. Among the hospitalized-patients, the infection rates of HPV and HR-HPV among the 50-60 years group were the most in both. The HR-HPV ratio-in-positive among HPV-positive patients with the histopathologic examination was higher than that among those patients without. Among 52 HPV-positive patients with cervical squamous carcinoma, the ratio-in-positive of HPV16 was 61.54%. This study demonstrated that the HPV prevalence varied with age among women from Hengyang district of Hunan province in China and showed that HPV16, HPV58, HPV52, HPV39, HPV51, and HPV53 genotypes were more popularly distributed in this region, which could provide the experimental basis for Chinese public health measures on cervical cancer prevention.
大多数宫颈癌与人类乳头瘤病毒(HPV)感染密切相关。因此,了解不同地理区域不同人群中 HPV 流行率和基因型分布的生态多样性,对于优化 HPV 疫苗接种和最大限度提高疫苗接种效果至关重要。本研究回顾性分析了衡阳市三级医院的 12053 例患者数据。本研究中 HPV 总流行率为 10.16%,多重感染率为 1.83%,高危型 HPV 感染率为 8.52%。前 6 位 HPV 基因型依次为 HPV16、HPV58、HPV52、HPV39、HPV51 和 HPV53。60 岁以上人群 HPV 感染率最高,HR-HPV 感染率也最高。门诊患者 HPV 和 HR-HPV 感染率均低于住院患者。住院患者中,50-60 岁组 HPV 和 HR-HPV 感染率最高。组织病理学检查 HPV 阳性患者中 HR-HPV 阳性率高于 HPV 阴性患者。在 52 例 HPV 阳性宫颈鳞癌患者中,HPV16 阳性率为 61.54%。本研究表明,中国湖南省衡阳市区女性 HPV 流行率随年龄变化而变化,HPV16、HPV58、HPV52、HPV39、HPV51 和 HPV53 基因型在该地区更为流行,可为中国宫颈癌防治的公共卫生措施提供实验依据。