在澳大利亚注射药物的人群中,宫癌预防干预措施的覆盖范围
Olivia Price1, Dorothy A Machalek2, Rachel Sutherland1
1National Drug and Alcohol Research Centre, UNSW, Sydney, NSW, Australia.
The International journal on drug policy
|August 22, 2024
概括
与一般人群相比,宫癌查在注射毒品的人群中是类似的. 然而,人类乳头瘤病毒 (HPV) 疫苗接种覆盖率较低,需要针对这一群体进行有针对性的干预.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 流行病学 流行病学
背景情况:
- 宫癌的预防依赖于人类乳头瘤病毒 (HPV) 疫苗接种和定期查.
- 澳大利亚的干预覆盖率很高,但对注射毒品的人 (PWID) 的数据有限.
- 在PWID中预防护理的障碍可能会影响宫癌控制.
研究的目的:
- 评估澳大利亚注射毒品的人群的宫查和HPV疫苗接种覆盖率.
- 为了比较这一群体的覆盖率与澳大利亚一般人口的覆盖率.
- 确定PWID组中符合条件的个人宫查的障碍.
主要方法:
- 通过2023年非法毒品报告系统采访注射毒品的人收集的数据.
- 样本仅限于患有子宫的个体,年龄在25-74岁之间,以符合查资格,出生于1980年以后的HPV疫苗接种资格.
- 用于人口比较的年龄标准化流行率;用于其他发现的描述性统计数据.
主要成果:
- 符合条件的参与者 (n=243) 的宫查覆盖率很高 (过去五年为70.2%),与一般人口相似 (PR:1.14).
- 在那些从未或过期进行查的人中 (n=57),只有31.7%的人知道自取样;障碍包括个人,后勤和测试相关的原因.
- 符合条件的参与者 (n=99) 的HPV疫苗接种覆盖率为27.2%,明显低于一般人群 (PR:0.62).
结论:
- 宫查覆盖率在注射毒品的人和澳大利亚普通人口之间是可比的.
- 强调自我抽样和定期查的健康促进可以改善逾期患者的吸收.
- 较低的HPV疫苗接种率需要有针对性的策略,以增加注射毒品的合格人群的覆盖率.
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