High-risk human papillomavirus infection among rural women of Jing'an County in Jiangxi Province: a cross-sectional study
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摘要:
目的 调查江西省靖安县农村女性子宫颈上皮内高危型人乳头状瘤病毒(high-risk human papillomavirus,hr-HPV)的感染状况。 方法 2012年5月至2012年11月在江西省靖安县地区对35~59岁女性进行人群横断面调查,纳入研究的4 673例受检者中2 491例采用了杂交捕获法(HC-2)方法检测hr-HPV,另外2 182例采用凯普医用核酸分子快速导流杂交基因芯片技术进行hr-HPV检测并分型。 结果 hr-HPV感染率为11.9%,混合感染占41.5%。在进行了分型的2 182例中HPV52型感染率最高(2.8%),其次分别是58、16和39型。hr-HPV感染率在靖安县山区和平原地区之间无差异,年龄分布则有显著性差异(P < 0.001)。 结论 江西省靖安县农村女性hr-HPV感染率与我国其他地区近似,HPV52和58型是该地区优势感染型,hr-HPV感染防治策略应针对不同地域人群的特点有所不同。 -
关键词:
- 高危型人乳头状瘤病毒 /
- 亚型 /
- 子宫颈上皮内瘤样病变 /
- 流行病学
Abstract:Objective To investigate the prevalence of cervical infection with high-risk human papillomavirus (hr-HPV) among the rural women of Jing-an County in Jiangxi Province. Methods A population-based cross-sectional study was conducted among rural women of ages 35 years to 59 years in Jing-an County between May 2012 and November 2012. A total of 4 673 women were enrolled. Hybrid capture2 (hc2) was detected in 2 491 women, whereas HybriMax was detected in 2 182 women to understand the different hr-HPV types. Results The overall hr-HPV prevalence was 11.9%. Multiple-type infections accounted for 41.5%. The most commonly seen hr-HPV type was HPV52 (2.8%), followed by HPV58, HPV16, and HPV39. No significant difference was observed in the prevalence of hr-HPV infection between women in the mountainous and the plain areas in Jing-an County. However, the age distribution of HPV infection significantly differed (P < 0.001). Conclusion Hr-HPV infection rate in Jing-an County was close to that of other areas in China. HPV52 and HPV58 appeared to be the most prevalent HPV types and should be employed as a basis for HPV prevention in this area. -
Key words:
- high-risk human papillomavirus /
- genotype /
- cervical neoplasia /
- epidemiology
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表 1 江西省靖安县2 182名农村妇女人群hr-HPV感染率及型别分布
Table 1. Prevalence of various hr-HPV types among 2 182 rural women in Jing'an county
表 2 hr-HPV感染率及其95%可信区间的年龄别分布
Table 2. Age-specific prevalence of hr-HPV and corresponding 95% CI
表 3 hr-HPV感染在正常人群及病理诊断异常人群中的分布
Table 3. Prevalence of hr-HPV in populations with normal and abnormal pathologic diagnosis
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