深圳市17~25岁女性宫颈病变、HPV感染及HPV疫苗接种认知调查

Investigation of cognition of cervical lesions,HPV infection and HPV vaccination among female groups aged 17-25 years old in Shenzhen city

目的调查深圳市17-25岁女性群体宫颈病变、人乳头瘤病毒(HPV)感染及HPV疫苗接种认知情况。方法2018年2-4月采用整群-随机抽样的方法,对深圳市1426名17-25岁女性进行宫颈病变、HPV感染及HPV疫苗接种认知调查,并进行HPVDNA检测。结果1426名女性HPV感染率为14.10%,病理正常者HPV感染率为7.44%,慢性炎症者HPV感染率为54.74%,CINⅠ-Ⅲ者HPV感染率为82.09%;17-19岁年龄段HPV感染率最低,为7.60%;23-25岁年龄段HPV感染率最高,为19.05%;各年龄段HPV感染率比较,差异有统计学意义(P<0.05);听说过HPV的人群占34.01%,认为HPV与宫颈癌有关者占19.35%;听说过HPV疫苗者占18.02%;听说过宫颈癌筛查者占51.19%;愿意接种HPV疫苗者占98.46%;认为自己感染HPV危险高者占72.93%;97.62%认为接种HPV疫苗自己会从中受益,担心不接种会感染HPV或患上生殖器疣、宫颈癌。结论深圳市17-25岁女性HPV感染率较高,对HPV感染、宫颈疾病、HPV疫苗的认知程度不高,应开展相关知识的健康教育。

Objective To investigate the cognition of cervical lesions,human papilloma virus(HPV)infection and HPV vaccination among femalegroups aged 17-25 years old in Shenzhen city.Methods From Februaryto April 2018,according to the cluster-random sampling method,1426 female groups aged 17-25 years old in Shenzhen city were given cognition investigation of cervical lesions,HPV infection and HPV vaccination,and the specimens were taken for HPV DNA testing.Results HPV infection rate was 14.10% among 1426 women,and the HPV infection ratewas7.44% in people with normal pathological conditions and was 54.74% in people with chronic inflammation,and was 82.09% in people with CINⅠ-Ⅲ.HPV infection rate was the lowest with 7.60%in age group of 17-19 years old.HPV infection rate was the highest with 19.05%in age group of 23-25 years old.There was a statistically significant difference in the HPV infection rate in all age groups(P<0.05).The population who heard of HPV accounted for 34.01%,and the population who thought HPV was related to cervical cancer accounted for 19.35%.The population who heard of HPV vaccine accounted for 18.02%.The population who heard of cervical cancer screening accounted for 51.19%.The population who was willing to have HPV vaccine accounted for 98.46%,72.93% population thought they were in high-risk of HPV infection.97.62% population believed that they benefited from HPV vaccine,fearing that no vaccination would made them infected with HPV or genital warts and cervical cancer.Conclusion HPV infection rate is high among women aged 17-25 years old in Shenzhen city.And women have not high cognition of HPV infection,cervical disease and HPV vaccine,and health education on relevant knowledge should be carried out to improve.