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Women, power, and cancer: a Lancet Commission.女性、权力与癌症:柳叶刀委员会
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2
Awareness, perceptions, and choices of physicians pertaining to human papillomavirus (HPV) vaccination in India: A formative research study.印度医生对人乳头瘤病毒(HPV)疫苗接种的认知、看法及选择:一项形成性研究。
Vaccine X. 2022 Oct 15;12:100228. doi: 10.1016/j.jvacx.2022.100228. eCollection 2022 Dec.
3
The effects of the national HPV vaccination programme in England, UK, on cervical cancer and grade 3 cervical intraepithelial neoplasia incidence: a register-based observational study.英国英格兰国家 HPV 疫苗接种计划对宫颈癌和 3 级宫颈上皮内瘤变发病率的影响:基于登记的观察性研究。
Lancet. 2021 Dec 4;398(10316):2084-2092. doi: 10.1016/S0140-6736(21)02178-4. Epub 2021 Nov 3.
4
HPV vaccine cut cervical cancer rates in England by 87.人乳头瘤病毒疫苗使英国宫颈癌发病率降低了87%。
BMJ. 2021 Nov 5;375:n2689. doi: 10.1136/bmj.n2689.
5
Human Papillomavirus Vaccines.人乳头瘤病毒疫苗。
J Infect Dis. 2021 Sep 30;224(12 Suppl 2):S367-S378. doi: 10.1093/infdis/jiaa621.
6
Systematic literature review of cross-protective effect of HPV vaccines based on data from randomized clinical trials and real-world evidence.基于随机临床试验和真实世界证据的 HPV 疫苗交叉保护效果的系统文献综述。
Vaccine. 2021 Apr 15;39(16):2224-2236. doi: 10.1016/j.vaccine.2020.11.076. Epub 2021 Mar 18.
7
HPV Vaccination and the Risk of Invasive Cervical Cancer.HPV 疫苗接种与浸润性宫颈癌风险。
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8
Current status of human papillomavirus vaccination in India's cervical cancer prevention efforts.印度在宫颈癌预防工作中 HPV 疫苗接种的现状。
Lancet Oncol. 2019 Nov;20(11):e637-e644. doi: 10.1016/S1470-2045(19)30531-5.
9
Cervical cancer awareness and HPV vaccine acceptability among females in Delhi: A cross-sectional study.德里女性对宫颈癌的认知及人乳头瘤病毒疫苗的接受度:一项横断面研究。
Indian J Cancer. 2018 Jul-Sep;55(3):233-237. doi: 10.4103/ijc.IJC_28_18.
10
Therapeutic Vaccine Strategies against Human Papillomavirus.针对人乳头瘤病毒的治疗性疫苗策略
Vaccines (Basel). 2014 Jun 13;2(2):422-62. doi: 10.3390/vaccines2020422.

宫颈癌的一级预防——现状与未来方向

Primary Prevention in Cervical Cancer-Current Status and Way Forward.

作者信息

Patel Madhuri

机构信息

Nowrosjee Wadia Maternity Hospital, Mumbai, Maharashtra India.

出版信息

J Obstet Gynaecol India. 2024 Aug;74(4):287-291. doi: 10.1007/s13224-024-02048-7. Epub 2024 Aug 28.

DOI:10.1007/s13224-024-02048-7
PMID:39280196
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11399356/
Abstract

The effect of cancer in women has varied effects. Overall malignancies of the breast, cervix, and ovary account for over 43% of all cancer cases in India. Globally, cervical cancer is fourth cancer in terms of incidence among women, following breast, lung, and colorectal cancer. However, this illness primarily affects women in India, where it is the second most frequent malignancy after breast cancer. HPV-related cervical cancer is a serious public health issue that has a solution. In 2020, the World Health Organization (WHO) launched a global initiative to eliminate cervical cancer which set targets for three important strategies: HPV vaccination, cervical cancer screening, and treatment. The WHO's "Best Buys" recommendations for cancer sub-set place vaccination of females between the ages of 9 and 14 at the top of the list. In India, efforts are underway to increase the number of teenage girls receiving the human papillomavirus (HPV) vaccine. The nation granted licenses for bivalent and quadrivalent HPV vaccinations in 2008, and in 2018, a nonavalent vaccine was approved. It is important to keep in mind that the cervical carcinoma vaccination is not a quick fix; thus, screening for the disease should continue. Any nation can potentially significantly lower the incidence of cervical cancer by carefully combining economical, high-coverage vaccinations with well-organized screening programs. Since 9-14 years is the ideal age range before sexual debut in today's world, this is the key vaccine age range. Estimates of vaccine effectiveness for younger adolescents, those between the ages of 9 and 14 years, varied from roughly 74 to 93%. Let us envision an India of the future where girls grow up with one fewer cancer threatening their life and a place where cervical cancer has been eradicated.

摘要

癌症对女性有不同的影响。总体而言,乳腺癌、宫颈癌和卵巢癌占印度所有癌症病例的43%以上。在全球范围内,宫颈癌在女性癌症发病率中位居第四,仅次于乳腺癌、肺癌和结直肠癌。然而,这种疾病主要影响印度女性,在印度它是仅次于乳腺癌的第二常见恶性肿瘤。与HPV相关的宫颈癌是一个严重的公共卫生问题,但有解决办法。2020年,世界卫生组织(WHO)发起了一项全球消除宫颈癌倡议,为三项重要战略设定了目标:HPV疫苗接种、宫颈癌筛查和治疗。WHO针对癌症子集的“最佳采购”建议将9至14岁女性的疫苗接种列为首位。在印度,正在努力增加接种人乳头瘤病毒(HPV)疫苗的少女数量。该国于2008年批准了二价和四价HPV疫苗的许可,并于2018年批准了九价疫苗。需要牢记的是,宫颈癌疫苗接种并非一劳永逸的解决办法;因此,对该疾病的筛查仍应继续。任何国家通过将经济高效、高覆盖率的疫苗接种与组织良好的筛查项目精心结合,都有可能大幅降低宫颈癌的发病率。由于9至14岁是当今世界首次性行为之前的理想年龄范围,所以这是关键的疫苗接种年龄范围。对9至14岁的青少年接种疫苗有效性的估计约为74%至93%。让我们设想一个未来的印度,那里女孩们成长过程中少了一种威胁生命的癌症,一个宫颈癌已被根除的地方。