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中国苏州的流行率和人乳头瘤病毒(HPV)基因型分布。

Prevalence and human papillomavirus (HPV) genotype distribution in Suzhou, China.

机构信息

Department of Epidemiology, School of Public Health, National Vaccine Innovation Platfrom, Nanjing Medical University, Nanjing, Jiangsu, China.

Department of Immunization Program, Suzhou Center for Disease Prevention and Control, Suzhou, Jiangsu, China.

出版信息

Hum Vaccin Immunother. 2023 Aug 1;19(2):2241309. doi: 10.1080/21645515.2023.2241309.

Abstract

Persistent infection with high-risk human papillomavirus (HR-HPV) is a known pathogenic factor of cervical cancer. To develop scientific guidance for cervical cancer screening and HPV vaccination, we analyzed HPV genotypes in Suzhou City, China. This study utilized data from the cervical cancer screening project in Suzhou from 2016 to 2021. A total of 444,471 female residents who voluntarily underwent HPV testing were included in the study. The overall HR-HPV prevalence was 10.2%. The three most common HR-HPV genotypes were HPV52 (2.81%), HPV58 (1.64%), and HPV16 (1.46%). The rate of HPV infection increased with age. Having a junior school education or higher was a protective factor compared to having an education level below junior school. The overall HPV infection rate showed a downwards trend from 2016 to 2021. HPV16 exhibited the fastest annual decline rate, followed by HPV18. As the severity of cervical intraepithelial neoplasia increases, the detection rate of HPV infection significantly increased. In conclusion, in addition to cervical cancer screening, it is important to pay attention to health promotion and education for low-educated women aged 45-59. Considering the distribution of HPV genotypes, prioritizing the administration of high-valency HPV vaccines to local seventh-grade female students is recommended.

摘要

高危型人乳头瘤病毒(HR-HPV)持续感染是宫颈癌的已知致病因素。为了为宫颈癌筛查和 HPV 疫苗接种提供科学指导,我们分析了中国苏州市的 HPV 基因型。本研究利用了 2016 年至 2021 年苏州市宫颈癌筛查项目的数据。共有 444471 名自愿接受 HPV 检测的女性居民纳入研究。HR-HPV 的总流行率为 10.2%。三种最常见的 HR-HPV 基因型是 HPV52(2.81%)、HPV58(1.64%)和 HPV16(1.46%)。HPV 感染率随年龄增长而增加。与初中以下学历相比,具有初中及以上学历是一个保护因素。HPV 感染总率从 2016 年到 2021 年呈下降趋势。HPV16 的年下降速度最快,其次是 HPV18。随着宫颈上皮内瘤变程度的加重,HPV 感染的检出率显著增加。总之,除了宫颈癌筛查外,还应重视对 45-59 岁低学历女性的健康促进和教育。考虑到 HPV 基因型的分布,建议优先为当地七年级女生接种高价 HPV 疫苗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec70/10392751/c5e6ac81a9e7/KHVI_A_2241309_F0001_B.jpg

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