Yang Chiao-Yu, Shih Yu-Hsiang, Lung Chia-Chi
Department of Occupational Health Nursing Center, Chung Shan Medical University Hospital, Taichung City, Taiwan.
Department of Public Health, Institute of Public Health, Chung Shan Medical University, No. 110, Sec. 1 Jianguo N. Rd., Taichung City, 40201, Taiwan.
J Health Popul Nutr. 2025 May 19;44(1):162. doi: 10.1186/s41043-025-00918-y.
INTRODUCTION: Human papillomavirus (HPV), a widespread sexually transmitted infection, is well-known for its association with cancers like cervical, anal, and oropharyngeal. While extensively studied for its oncogenic properties, HPV's influence on these non-cancerous conditions remains under investigation. This study examines the impact of HPV vaccination on the incidence of cardiovascular and cerebrovascular diseases, exploring its protective potential. METHODS: Utilizing the global TriNetX database, this retrospective cohort study analyzed data from adults aged 20 to 40 who were either vaccinated or not vaccinated against HPV between January 1, 2019, and December 31, 2021. The study employed propensity score matching to ensure balanced comparison groups and utilized ICD-10 codes to identify new-onset cardiovascular and cerebrovascular diseases. RESULTS: The study included 59,423 vaccinated and an equal number of unvaccinated individuals, balanced for various demographic and health characteristics. The vaccinated group demonstrated a lower incidence of cardiovascular diseases (hazard ratio [HR] = 0.9, 95% CI 0.847-0.957), cerebrovascular diseases (HR = 0.605, 95% CI 0.484-0.754), and heart dysfunction (HR = 0.833, 95% CI 0.708-0.98) compared to the unvaccinated group. Subgroup analyses further supported the protective effect of HPV vaccination across different demographics. CONCLUSION: HPV vaccination is linked to a lower risk of new-onset cardiovascular and cerebrovascular diseases in adults, suggesting broader health benefits beyond cancer prevention. These results advocate for incorporating cardiovascular health into public health strategies promoting HPV vaccination. Further research is necessary to understand the mechanisms and validate these protective effects across diverse populations and extended follow-up periods.
引言:人乳头瘤病毒(HPV)是一种广泛传播的性传播感染,因其与宫颈癌、肛门癌和口咽癌等癌症的关联而广为人知。虽然对其致癌特性进行了广泛研究,但HPV对这些非癌性疾病的影响仍在调查中。本研究探讨HPV疫苗接种对心血管和脑血管疾病发病率的影响,探索其保护潜力。 方法:利用全球TriNetX数据库,这项回顾性队列研究分析了2019年1月1日至2021年12月31日期间20至40岁接种或未接种HPV疫苗的成年人的数据。该研究采用倾向评分匹配以确保比较组平衡,并使用国际疾病分类第十版(ICD - 10)编码来识别新发心血管和脑血管疾病。 结果:该研究纳入了59423名接种疫苗者和数量相等的未接种疫苗者,两组在各种人口统计学和健康特征方面保持平衡。与未接种疫苗组相比,接种疫苗组的心血管疾病(风险比[HR] = 0.9,95%置信区间0.847 - 0.957)、脑血管疾病(HR = 0.605,95%置信区间0.484 - 0.754)和心脏功能障碍(HR = 0.833,95%置信区间0.708 - 0.98)的发病率较低。亚组分析进一步支持了HPV疫苗接种在不同人口统计学中的保护作用。 结论:HPV疫苗接种与成年人新发心血管和脑血管疾病风险较低相关,这表明其益处超出了癌症预防范围。这些结果主张将心血管健康纳入促进HPV疫苗接种的公共卫生策略。有必要进行进一步研究以了解其机制,并在不同人群和更长随访期内验证这些保护作用。
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