越南女大学生人乳头瘤病毒阴道感染的流行状况及影响因素分析。
Prevalence and Determinants of Vaginal Infection With Human Papillomavirus Among Female University Students in Vietnam.
机构信息
National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, U.K.
出版信息
In Vivo. 2022 Jan-Feb;36(1):241-250. doi: 10.21873/invivo.12697.
BACKGROUND/AIM: Cervical cancer is the second most common malignancy among women in Vietnam, but the country is yet to introduce a national human papillomavirus (HPV) vaccine programme targeted at adolescents. We determined HPV prevalence and HPV vaccine knowledge among female university students in Vietnam.
PATIENTS AND METHODS
We surveyed and screened 1,491 female university students in Hanoi, Hue, and Ho Chi Minh City for their sexual behaviours, HPV knowledge and low- and high-risk HPV infection.
RESULTS
The prevalence of any HPV infection and any high-risk HPV infection were 4.2% (95%CI=3.3%-5.4%) and 3.4% (95%CI=2.5%-4.4%), respectively. Being sexually active [adjusted prevalence ratio (aPR): 6.22; 95%CI=3.4-11.37] and having ever been pregnant (aPR: 4.82; 95%CI=1.93-12.04) were positively associated with high-risk HPV infection. Whilst 60% of participants had heard of HPV vaccine, only 4.6% had received the vaccine.
CONCLUSION
The low HPV prevalence found in university students in Vietnam indicates that they can benefit from HPV vaccination, along with a well-designed HPV health promotion programme.
背景/目的：宫颈癌是越南女性中第二大常见恶性肿瘤，但该国尚未推出针对青少年的国家人乳头瘤病毒（HPV）疫苗计划。我们旨在确定越南女大学生 HPV 感染率和 HPV 疫苗知识。
患者与方法
我们在河内、顺化和胡志明市调查并筛查了 1491 名女大学生，以了解其性行为、HPV 知识以及低危和高危 HPV 感染情况。
结果
HPV 总感染率和高危 HPV 感染率分别为 4.2%（95%CI=3.3%-5.4%）和 3.4%（95%CI=2.5%-4.4%）。有性行为（调整后患病率比[aPR]：6.22；95%CI=3.4-11.37）和曾怀孕（aPR：4.82；95%CI=1.93-12.04）与高危 HPV 感染呈正相关。尽管 60%的参与者听说过 HPV 疫苗，但仅有 4.6%的人接种过疫苗。
结论
越南大学生 HPV 感染率较低，表明他们可以受益于 HPV 疫苗接种，同时还需要制定一个良好的 HPV 健康促进计划。
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