1587名野外作业女工生殖道人乳头瘤病毒感染状况及相关因素分析

Status and related factors analysis of high-risk human papillomavirus infection in 1587 female fieldworkers

目的调查野外作业女工高危型人乳头瘤病毒(HPV)感染状况并分析其危险因素。方法选取2018年1月—2019年12月在华北石油管理局总医院妇科进行体检的1587名野外作业女工进行高危型HPV型别检测,并通过问卷调查发生病毒感染的危险因素。结果共发放调查问卷1587份,收回有效问卷1552例,有效回收率为97.8%。共检出高危型HPV阳性264例,阳性检出率为17.01%。感染类型以单一型别感染为主,优势型别依次为是52、16、58、33、18型。年龄≤30岁、性伴侣数目≥2、半年内曾患有生殖系统炎症是高危型HPV感染的主要危险因素(OR=2.651、3.127、3.825,P<0.05),性生活不使用避孕套、共用盥洗设施是高危型HPV感染的次要危险因素(P<0.05)。结论野外作业女工高危型HPV感染率较高,改善作业工区的卫生条件和提高个人卫生意识,对减少女工高危型HPV的感染率有一定的积极作用。

Objective To investigate the status of high-risk human papillomavirus(HPV)infection in female fieldworkers and to analyze risk factors.Methods From January 2018 to December 2019,a total of 1587 female fieldworkers who participated physical examinations in Department of Gynecology,Huabei Petroleum Administration Bureau General Hospital were selected for high-risk HPV type detection,and the risk factors of HPV infection were analyzed by questionnaire survey.Results A total of 1587 questionnaires were issued,and 1552 valid questionnaires were collected,with the effective recovery rate was 97.8%.A total of 264 high-risk HPV positive cases were detected,with a positive detection rate of 17.01%.The main types of infection were single type infections,and the dominant types were 52,16,58,33,and 18.Age≤30 years old,number of sexual partners≥2,having had reproductive system inflammation within half a year were the main risk factors for high-risk HPV infection(OR=2.651,3.127,3.825,P<0.05),do not use condoms for sex,share toilet facilities were the secondary risk factors for high-risk HPV infection(P<0.05).Conclusion The high-risk HPV infection rate of female workers in the field is relatively high.Improving the sanitary conditions in the work area and raising the awareness of personal hygiene have a positive effect on reducing the infection rate of high-risk HPV female workers.