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中国内蒙古地区汉族和蒙古族女性 HPV 感染率:基于 CHIMUST 研究的自我采集样本结果

Prevalence of Human Papillomavirus Among Chinese Han and Mongols Minority Women in Inner Mongolia, China: Reflected by Self-Collected Samples in CHIMUST.

机构信息

Department of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, China.

Institute of Obstetrics and Gynecology, Shenzhen Peking University-Hong Kong University of Science and Technology (PKU-HKUST) Medical Center, Shenzhen, China.

出版信息

Front Public Health. 2022 May 25;10:840879. doi: 10.3389/fpubh.2022.840879. eCollection 2022.

DOI:10.3389/fpubh.2022.840879
PMID:35692337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9174663/
Abstract

BACKGROUND

The disparities of hr-HPV infection among races/ethnicities have not been fully discussed. This study aimed to investigate the difference of hr-HPV infection between Chinese Han and Mongols minority women in Inner Mongolia.

METHODS

Genotyping and histopathology data of Chinese Han and Mongols minority women in Inner Mongolia from Chinese Multi-Center Screening Trial were used to analyze the hr-HPV prevalence, and type-specific distribution in abnormal pathology results.

RESULTS

The hr-HPV infection rates of Han women was 15.9% while of Mongols was 21.6% ( < 0.001). The most prevalent genotypes in Han women were ranked as HPV-16,-52,-18/-58,-31/-39, and-59 while in Mongols were-16,-31,-58,-18 and-52. When analyzing the age-specific of hr-HPV infection, two peaks were found at age of 40-44 (20.5%) and 55-59 (23.5%) years in Han women while three peaks were observed at age of 30-34 (22.1%), 45-49 (22.9%), and 55-59 (31.8%) years, respectively, in Mongols. HPV-16 accounting for 62.5 and 53.8% of the CINII+ in Han and Mongols, respectively.

CONCLUSION

The prevalence of hr-HPV was significantly different between the Han and Mongols minority women in Inner Mongolia, races/ethnicities background should be taken into consideration for the refinement of cervical cancer screening strategies and vaccine implementation in China.

摘要

背景

不同种族/民族间人乳头瘤病毒(HPV)感染的差异尚未得到充分探讨。本研究旨在探讨内蒙古地区汉族和蒙古族女性 HPV 感染的差异。

方法

利用中国多中心筛查试验中内蒙古汉族和蒙古族女性的基因分型和组织病理学数据,分析异常病理结果中 HPV 感染的流行率和型别分布。

结果

汉族女性 HPV 感染率为 15.9%,蒙古族为 21.6%(<0.001)。汉族女性中最常见的基因型依次为 HPV-16、-52、-18/-58、-31/-39 和-59,蒙古族女性中最常见的基因型依次为-16、-31、-58、-18 和-52。分析 HPV 感染的年龄特异性时,汉族女性在 40-44 岁(20.5%)和 55-59 岁(23.5%)出现两个高峰,而蒙古族女性则在 30-34 岁(22.1%)、45-49 岁(22.9%)和 55-59 岁(31.8%)出现三个高峰。HPV-16 分别占汉族和蒙古族 CINII+患者的 62.5%和 53.8%。

结论

内蒙古汉族和蒙古族女性 HPV 感染的流行率存在显著差异,在中国制定宫颈癌筛查策略和实施疫苗时应考虑种族/民族背景。

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