人类乳头瘤病毒(Hpv)感染在农村和部落人口的世界,特别关注流行在印度

D. S. Rashid
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摘要

人类乳头状瘤病毒(HPV)感染是导致癌症的主要原因之一,这是全球女性死亡的常见原因之一,也是女性中第四常见的癌症,占全球女性癌症死亡人数的7.5%,其中85%以上发生在欠发达地区。在印度,宫颈癌症是女性癌症死亡人数最多的原因,可归因于多胞胎、开放的人际关系、卫生和清洁不足、行为习惯和生活方式、吸烟、营养不良和长期使用避孕药具。这些因素被认为是癌症的危险因素。这篇综述讨论了印度部落和农村地区妇女因经济条件差、生活方式与主流人口不同、社会文化行为和缺乏医疗设施而面临的问题。审查还侧重于世界部落人口和这些部落群体的流行率。政府和非政府组织目前为预防和控制人乳头状瘤病毒感染以及减轻癌症负担而采取的举措也得到了强调。审查强调,迫切需要为世界农村和部落社区的妇女提供优惠照顾。
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Human Papillomavirus (Hpv) Infection In Rural And Tribal Populations Of The World With A Special Focus On The Prevalence In India
Human papilloma virus (HPV) infection is one of the major causes of cervical cancer which is one of the common causes of death in women across the globe and is the fourth most prevalent cancer in women representing 7.5% of female cancer deaths globally and more than 85% of these occur in underdeveloped regions. In India, cervical cancer is responsible for the highest cancer deaths among women which can be attributed to multiple pregnancies, open relationships, inadequate sanitation and cleanliness, behavioral habit and lifestyle, smoking, poor nutrition, and long-term contraceptive use. These factors have been associated as risk factors for cervical cancer. This review discusses issues faced by women in tribal and rural areas of India due to poor economic conditions, different lifestyles to mainstream population, sociocultural behavior and lack of access to healthcare facilities. The review also focusses on the tribal populations of the world and the prevalence rates in these tribal groups. The current initiatives taken by government and non-government organizations (NGOs) to prevent and control the HPV infection and reduce the cervical cancer burden have also been highlighted. The review emphasizes the urgent need for preferential care for women in rural and tribal communities of the world.
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