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优化人乳头瘤病毒疫苗效果:接种年龄和剂量方案对免疫原性及宫颈癌预防的影响

Optimizing HPV vaccine effectiveness: impact of vaccination age and dose schedule on immunogenicity and cervical cancer prevention.

作者信息

Rostami Varnousfaderani Mehran, Khoshnazar Zahedeh, Zeratie Hamidreza, Hosseini Koukamari Parisa

机构信息

Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Student Research Committee, Saveh University of Medical Sciences, Saveh, Iran.

出版信息

Front Public Health. 2025 May 7;13:1544220. doi: 10.3389/fpubh.2025.1544220. eCollection 2025.

Abstract

Cervical cancer is the fourth most common cancer among women globally, claiming over 443,000 lives annually, with 98% of these deaths occurring in developing countries. Vaccination against human papillomavirus (HPV) is a preventive strategy. This review investigates the role of age at vaccination and the number of doses in determining vaccine effectiveness. Articles from 2013 to 2023 were retrieved from PubMed, Scopus, SID, and Google Scholar using keywords related to HPV, vaccine, age, and dose. The findings suggest that the highest vaccine effectiveness is observed in younger age groups (ages 9-14: 74-93%) and decreases with age. Studies indicate that while three doses provide optimal protection, a single dose may also confer significant benefits in younger populations. These findings underscore the importance of timely vaccination and adherence to dosing schedules for maximizing vaccine impact.

摘要

宫颈癌是全球女性中第四大常见癌症,每年导致超过44.3万人死亡,其中98%的死亡发生在发展中国家。人乳头瘤病毒(HPV)疫苗接种是一种预防策略。本综述研究了接种疫苗的年龄和剂量数量在确定疫苗效力方面的作用。使用与HPV、疫苗、年龄和剂量相关的关键词,从PubMed、Scopus、SID和谷歌学术搜索中检索了2013年至2023年的文章。研究结果表明,在较年轻的年龄组中观察到最高的疫苗效力(9至14岁:74%至93%),并随年龄增长而降低。研究表明,虽然三剂疫苗可提供最佳保护,但单剂疫苗在较年轻人群中也可能带来显著益处。这些发现强调了及时接种疫苗和遵守接种时间表对于最大化疫苗影响的重要性。

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