人乳头瘤病毒相关口腔癌的全球健康趋势综述

Kehinde Kazeem Kanmodi, Jimoh Amzat, Jacob Njideka Nwafor, Lawrence Achilles Nnyanzi
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摘要

口腔癌是一种恶性肿瘤疾病,它是头颈部最常见的癌症,是人类第16常见和第15致命的癌症类型。尽管全球为控制癌症作出了努力,口腔癌的负担仍在增加。每年,195个国家/地区有数千人死于口腔癌,只有约40%-50%的口腔癌患者在诊断后勉强存活5年。在过去的几十年里,口腔癌危险因素的流行病学趋势发生了范式转变。口交——人类乳头瘤病毒(HPV)的主要传播途径——被发现正以惊人的速度增长,而烟草和酒精的使用却在下降。这篇叙述性综述批判性地讨论了全球根除HPV相关口腔癌面临的当代挑战,并提出了合理的建议。本综述讨论的挑战是重大的,从临床到公共卫生政策问题,包括缺乏有效和廉价的口腔HPV筛查和诊断工具,全球公众对口腔HPV感染的高文盲,多种社会文化因素,全球口腔HPV感染和HPV相关口腔癌研究能力薄弱,以及不同国家缺乏HPV相关口腔癌国家预防规划的政策。这篇综述还指出,需要在全球范围内更多地关注预防和控制口腔HPV感染和HPV相关口腔癌。
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Global health trends of human papillomavirus‐associated oral cancer: A review
Abstract Oral cancer is a malignant neoplastic disease, it constitutes the most common cancer in the head‐and‐neck region, and it is the 16th most common and 15th deadliest cancer type affecting humans. Despite the global efforts channelled towards global cancer control, the burden of oral cancer is still increasing. Every year, several thousands of people across 195 countries/territories die of oral cancer, and only about 40%–50% of the victims of oral cancer barely survive for 5 years after diagnosis. Within the past few decades, there has been a paradigm shift in the epidemiological trend of oral cancer risk factors. Oral sex – a major route of transmission of human papillomavirus (HPV) – was found to be increasing at an alarming rate, whereas tobacco and alcohol use had been on the decline. This narrative review critically discussed the contemporary challenges facing the global eradication of HPV‐associated oral cancer, with reasonable recommendations. The challenges discussed in this review are major, ranging from clinical to public health policy issues, which include the lack of validated and inexpensive oral HPV screening and diagnostic tools, high global public illiteracy on oral HPV infection, diverse sociocultural factors, weak global research capacity on oral HPV infection and HPV‐associated oral cancer and the absence of policies across different countries on national preventive programmes on HPV‐associated oral cancer. This review also identified the need for more attention towards the prevention and control oral HPV infection and HPV‐associated oral cancers globally.
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