高级检索

辽宁省庄河市妇女高危型人乳头瘤病毒感染状况及趋势分析

Prevalence and trend of high-risk human papillomavirus infection among women in Zhuanghe

  • 摘要: 目的 了解庄河市妇女高危型人乳头瘤病毒感染状况及特点,为制定精准的宫颈癌防控策略提供依据。方法 采取整群抽样的方法,于2014—2019年抽取了庄河市231个行政村中的169个村,对其中自愿参加宫颈癌筛查的女性进行宫颈HPV检测,检测对象为有性生活史的35~64岁农村户籍妇女或在庄河居住半年以上的流动妇女;采用Joinpoint regression program软件计算年度变化百分比(APC)并进行趋势检验。结果 2014—2019年有30 487名35~64岁妇女参加宫颈癌筛查并接受宫颈HPV检测,共检出HR-HPV阳性者3 265例,阳性率为10.71%,其中,HPV 16/18型感染率为2.60%,其他型别感染率为8.11%;HR-HPV感染率由40~44岁年龄段的9.37%上升到60~64岁年龄段的12.58%,差异具有统计学意义(χ2=27.125,P<0.05);HPV阳性率以每年5.1%的平均速率显著上升(t=2.90,P<0.05),HPV 16/18型感染率每年以1.2%(-3.9%~6.7%)的速率上升,差异无统计学意义(t=0.6,P=0.6);其他型别的HPV感染率每年以6.4%(0.0%~13.1%)的速率上升(t=2.8,P<0.05)。结论 庄河市HR-HPV感染呈现随年龄增长而上升的趋势、感染率逐年上升趋势以及以非16/18型为主的特点,应因地制宜制定宫颈癌防控策略,降低HR-HPV感染,最终实现减少宫颈癌发生的目标。

     

    Abstract: Objective To understand the prevalence and characteristics of high-risk human papillomavirus(HPV) infection among women in Zhuanghe City, and to provide basis for making accurate prevention and control strategies for cervical cancer. Methods A cluster sampling method was used to select women who participated in cervical cancer screening and cervical HPV test in Zhuanghe for 2014—2019 years. The subjects were 35-64 year old rural women who had sex life history or mobile women living in Zhuanghe for more than half a year. Joinpoint regression program software was used to calculate annual change percentage(APC) and trend test. Results A total of 30 487 cases were detected from 2014 to 2019, and 3 265 cases were HR-HPV positive,with a positive rate of 10. 71%, of which the infection rate of HPV16/18 was 2. 60%, and that of other types was 8. 11%; the infection rate of HRHPV increased from 9. 37% in the age group of 40-44 to 12. 58% in the age group of 60-64, with significant difference(χ2=27. 125,P< 0. 05); HPV positive rate increased at an average rate of 5. 1% per year(t= 2. 90,P< 0. 05), HPV16/18 infection rate increased at an annual rate of 1. 2%(-3. 9%-6. 7%), the difference was not statistically significant(t= 0. 6,P= 0. 6); HPV infection rate of other types increased at an annual rate of 6. 4%(0. 0%-13. 1%)(t= 2. 8,P< 0. 05). Conclusion The infection rate of HR-HPV in Zhuanghe city increased along with age increased and increased year by year, and the increasing HR-HPV type was mainly non-16/18 type. The prevention and control strategy of cervical cancer should be formulated according to local conditions to reduce HR-HPV infection and ultimately achieve the goal of reducing the incidence of cervical cancer.

     

/

返回文章
返回