Dynamic analysis of human papillomavirus transmission model under vaccine intervention: a case study of cervical cancer patients from Hungary

IF 3.1 3区 数学 Q1 MATHEMATICS Advances in Difference Equations Pub Date : 2024-09-19 DOI:10.1186/s13662-024-03838-z
Chunya Liu, Hua Liu, Xinjie Zhu, Xiaofen Lin, Qibin Zhang, Yumei Wei
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Abstract

Nearly 80% of women are estimated to have at least one HPV infection from high-risk types. Although the majority can clear the infection through their immune system, some are at risk for cervical cancer. Persistent high-risk HPV infections are the leading cause of cervical cancer worldwide. This paper proposes a mathematical model that examines the effects of HPV transmission on cervical cancer patients under vaccine intervention. The model’s fundamental properties are investigated, including the stability of equilibrium points and the existence of forward bifurcations. Subsequently, based on cervical cancer patient data collected from Hungary between 2000 and 2020, the model’s optimal parameter values are identified using a nonlinear least squares method. Further, we perform a sensitivity analysis of the key cervical cancer progression parameters. Our results indicate that both direct HPV vaccination in susceptible populations and additional vaccination in individuals who have recovered can improve immune responses and reduce the risk of cervical cancer. In addition, the study of the effects of intervention measures on cervical cancer patients in Hungary from 2000 to 2030 reveals that reducing the contact rate is conducive in the short term to curbing the development of cervical cancer; however, in the long term, relying solely on this measure is not sufficient to lead to a significant decrease in the number of cervical cancer cases.

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疫苗干预下人类乳头瘤病毒传播模型的动态分析:匈牙利宫颈癌患者案例研究
据估计,近 80% 的女性至少感染过一次高危型人乳头瘤病毒。虽然大多数人可以通过免疫系统清除感染,但仍有一些人面临罹患宫颈癌的风险。高危 HPV 持续感染是全球宫颈癌的主要病因。本文提出了一个数学模型,研究疫苗干预下 HPV 传播对宫颈癌患者的影响。本文研究了该模型的基本特性,包括平衡点的稳定性和正向分叉的存在性。随后,根据 2000 年至 2020 年期间从匈牙利收集的宫颈癌患者数据,使用非线性最小二乘法确定了模型的最佳参数值。此外,我们还对关键的宫颈癌进展参数进行了敏感性分析。我们的研究结果表明,在易感人群中直接接种人乳头瘤病毒疫苗和在已康复人群中额外接种疫苗都能提高免疫反应,降低宫颈癌风险。此外,对 2000 年至 2030 年匈牙利宫颈癌患者干预措施效果的研究表明,降低接触率在短期内有利于遏制宫颈癌的发展;但从长远来看,仅靠这一措施不足以导致宫颈癌病例数量的显著下降。
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来源期刊
Advances in Difference Equations
Advances in Difference Equations MATHEMATICS, APPLIED-MATHEMATICS
CiteScore
8.60
自引率
0.00%
发文量
0
审稿时长
4-8 weeks
期刊介绍: The theory of difference equations, the methods used, and their wide applications have advanced beyond their adolescent stage to occupy a central position in applicable analysis. In fact, in the last 15 years, the proliferation of the subject has been witnessed by hundreds of research articles, several monographs, many international conferences, and numerous special sessions. The theory of differential and difference equations forms two extreme representations of real world problems. For example, a simple population model when represented as a differential equation shows the good behavior of solutions whereas the corresponding discrete analogue shows the chaotic behavior. The actual behavior of the population is somewhere in between. The aim of Advances in Difference Equations is to report mainly the new developments in the field of difference equations, and their applications in all fields. We will also consider research articles emphasizing the qualitative behavior of solutions of ordinary, partial, delay, fractional, abstract, stochastic, fuzzy, and set-valued differential equations. Advances in Difference Equations will accept high-quality articles containing original research results and survey articles of exceptional merit.
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