Hu X H, Meng L, Gao Y X, Man S L M, Ma Y, Jin C, Wang B, Ning Y, Li L M
Shenzhen Health Development Research Center, Shenzhen 518028, China.
Meinian Institute of Health, Beijing 100191, China Peking University Health Science Center Meinian Public Health Institute/Peking University Center for Public Health and Epidemic Preparedness & Response/Department of Epidemiology and Biostatistc, School of Public Health, Peking University, Beijing 100191, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Jul 10;42(7):1205-1212. doi: 10.3760/cma.j.cn112338-20210106-00007.
To describe the characteristics of human papillomavirus infection and thinprep cytologic test (TCT) outcome in health check-up females in Shenzhen. Use cross-sectional design, collect information from data from health check-up females in Shenzhen and describe characteristics of HPV infections screening and TCT outcomes. We collected the data of 75 754 females, 103 508 females and 69 964 females received HPV detection, TCT and combined detection respectively. HPV standardized infection rate was 19.89% (95%: 19.45%-20.33%) and showed a "U-shaped" pattern in age distribution. The most prevalent HPV genotypes were 52, 51, 16, 58 and 53. Infection rate was higher for high-risk HPV than low-risk HPV genotype. Single infection was more common than its multiple infection. In addition, 7.48% (95%: 7.22%-7.75%) women were TCT positive, of whom 4.58% (95%: 4.40%-4.76%), 2.54% (2.40%-2.69%), 0.27% (95%: 0.23%-0.31%) had atypical squamous cells, low-grade squamous intraepithelial lesions and high-grade squamous intraepithelial lesions, respectively. Overall and subtype HPV infection rates increased with severity of abnormal cervical cytology. The most prevalent HPV genotypes were 52, 58 and 16 in women with abnormal cervical cytology. HPV prevalence remains at a high level in Shenzhen. This study suggests that attention should be paid to HPV screening, especially in young, perimenopausal women and in high risk HPV genotype infection. Timely follow-up and cervical cytology screening are required for women with high-risk HPV infection or persistent infection. Future vaccination strategies should take account of prevalent HPV genotype.
描述深圳健康体检女性中人乳头瘤病毒(HPV)感染特征及薄层液基细胞学检测(TCT)结果。采用横断面设计,收集深圳健康体检女性的数据信息,描述HPV感染筛查特征及TCT结果。我们分别收集了75754名、103508名和69964名接受HPV检测、TCT及联合检测女性的数据。HPV标准化感染率为19.89%(95%可信区间:19.45%-20.33%),且在年龄分布上呈“U”型模式。最常见的HPV基因型为52、51、16、58和53。高危HPV基因型的感染率高于低危HPV基因型。单一感染比多重感染更常见。此外,7.48%(95%可信区间:7.22%-7.75%)的女性TCT呈阳性,其中非典型鳞状细胞、低度鳞状上皮内病变和高度鳞状上皮内病变的比例分别为4.58%(95%可信区间:4.40%-4.76%)、2.54%(2.40%-2.69%)、0.27%(95%可信区间:0.23%-0.31%)。总体及各亚型HPV感染率随宫颈细胞学异常程度加重而升高。宫颈细胞学异常女性中最常见的HPV基因型为52、58和16。深圳的HPV感染率仍处于较高水平。本研究提示,应重视HPV筛查,尤其是年轻、围绝经期女性及高危HPV基因型感染。对高危HPV感染或持续感染的女性需要及时进行随访及宫颈细胞学筛查。未来的疫苗接种策略应考虑流行的HPV基因型。