Epidemiology and genotypes analysis of human papillomavirus infection in Huizhou, China

Zhun Shu, Wenli Zhao, Xuebing Zhan, Jiaqi Zeng, Jingyi Li
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Abstract

Human papillomavirus (HPV) is a main pathogenic factor for cervical carcinoma. The prevalence and genotypes distribution of HPV vary in different regions. Thus, our study aimed to investigate the epidemiology of HPV in Huizhou, China.HPV tests were detected in 5,325 female outpatients, we focused on the overall HPV prevalence, genotypes distribution, and the correlation of HPV genotypes with cervical cytology.The overall HPV prevalence was 27.53%, HPV52, HPV58, HPV39, HPV16 and HPV51 were predominant genotypes with single infection rate of 70.80%. HPV infection rate showed a U-shaped age distribution, statistical differences were observed among 5 age groups (χ2 = 50.497, p < 0.01), and the higher positive rate was aged under 30 (34.42%) and above 60 (34.74%). Among high-risk HPV (hrHPV) infections, 60.69% involved NILM, 0.99% HSIL. The degrees of cervical lesions in multiple hrHPV infections were worse than those in single infection (p < 0.01).The HPV infection rate is high in Huizhou, Guangdong, single infection was predominant. HPV infection presented with a U-shaped age distribution. Multiple hrHPV infection was worrying since it may aggravate cervical lesions. Women should pay more attention to HPV detection and choose a more appropriate HPV vaccine according to local HPV type distribution.
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惠州人类乳头瘤病毒感染的流行病学和基因型分析
人类乳头瘤病毒(HPV)是宫颈癌的主要致病因素。不同地区的 HPV 感染率和基因型分布不尽相同。我们对5325名门诊女性患者进行了HPV检测,重点研究了HPV的总体流行率、基因型分布以及HPV基因型与宫颈细胞学的相关性。HPV总体流行率为27.53%,HPV52、HPV58、HPV39、HPV16和HPV51为主要基因型,单感染率为70.80%。HPV感染率呈U型年龄分布,5个年龄组间存在统计学差异(χ2 = 50.497,P < 0.01),30岁以下(34.42%)和60岁以上(34.74%)阳性率较高。在高危 HPV(hrHPV)感染中,60.69% 涉及 NILM,0.99% 涉及 HSIL。广东惠州地区HPV感染率较高,以单次感染为主。HPV感染呈 "U "型年龄分布。多重HPV感染可能加重宫颈病变,令人担忧。妇女应更加重视 HPV 检测,并根据当地的 HPV 类型分布选择更合适的 HPV 疫苗。
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