イランは,WHOの子宮頸がん撲滅目標に遅れをとっている:HPVワクチン接種の範囲と2021年の子宮頸がんスクリーニングへの参加
Mohammad Haddadi1,2, Ali Golestani1, Yosef Farzi1
1Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
PloS one
|February 19, 2026
まとめ
イランのヒトパピローマウイルス (HPV) ワクチン接種率は,0.85%で,目標の90%をはるかに下回っており,極めて低い水準にある. 子宮頸がんのスクリーニングへの参加は向上しているが,依然として排除目標に遅れをとっている.
科学分野:
- 公衆衛生は公衆衛生である.
- 腫瘍学 腫瘍学
- エピデミオロジー エピデミオロジー
背景:
- 子宮頸がんは,特にワクチン接種とスクリーニング率が低い地域では,世界的な健康上の重要な懸念事項であり続けています.
- ヒトパピローマウイルス (HPV) ワクチンと定期的な子宮頸がんスクリーニングは,子宮頸がん撲滅イニシアティブ (CCEI) の主要な戦略です.
研究 の 目的:
- 18歳から45歳のイラン人女性のHPVワクチン接種率と子宮頸がんスクリーニング参加率を評価する.
- CCEIが設定した野心的な目標に対して,イランの現在のレートを比較する.
主な方法:
- STEPS 2021調査のデータを活用した全国的に代表的な横断的研究.
- HPVワクチン接種とスクリーニングに関する完全なデータを持つ8,158人の女性参加者 (18〜45歳) を含む.
- ワクチン接種とスクリーニングに関連する人口統計的,社会経済的要因を特定するための物流回帰分析.
主要な成果:
- HPVワクチンの接種率は0.85%で非常に低く,年齢によって有意な変動はありませんでした.
- 子宮頸がんのスクリーニング参加率は39.4%で,年齢とともに増加しました (18~35歳では27.99%,36~45歳では54.07%).
- スクリーニングは,失業者,結婚した者,裕福な女性の間で高かったが,HPVワクチン接種は有意な人口統計的関連性を示さなかった.
結論:
- イランのHPVワクチン接種率は,CCEIの目標を達成するには極めて不十分である.
- 子宮頸がんのスクリーニング率は高くても,排除目標にはかなり欠けている.
- イランでワクチン接種とスクリーニングの普及を向上させるために,緊急で標的を絞った公衆衛生の介入が不可欠です.
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