对HPV感染的空间分析以及与较高HPV流行率相关的上下文因素
R Sousa1, J A Fonseca-Moutinho2, F Gomes3
1NOVA National School of Public Health, NOVA University Lisbon, Av. Padre Cruz, Lisbon 1600-560, Portugal; NOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA University Lisbon, Av. Padre Cruz, Lisbon 1600-560, Portugal; Portuguese Institute of Oncology of Coimbra, Francisco Gentil, Av. Bissaya Barreto 98, Coimbra 3000-075, Portugal.
Annals of epidemiology
|March 15, 2025
概括
葡萄牙的高风险人类乳头瘤病毒 (hrHPV) 感染集群.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 子宫癌查 (CCS) 计划正在过渡到初级高风险人乳头瘤病毒 (hrHPV) 测试.
- 了解 hrHPV 感染的地理分布和相关因素对于有针对性的公共卫生干预至关重要.
研究的目的:
- 确定葡萄牙中部地区高 hrHPV 感染率的市镇.
- 确定与高 hrHPV 流行率相关的人口,社会经济和医疗保健因素.
主要方法:
- 在葡萄牙中部地区的78个市镇进行了生态研究 (2019年3月至2022年12月).
- 分析了CCS计划和官方人口,社会经济和医疗保健来源的数据.
- 使用空间分析和物流通用线性模型来识别感染热点和预测因素.
主要成果:
- 总体 hrHPV 感染患病率为 9.9%.
- 确定了三个重要的 hrHPV 感染集群,主要位于主要城市中心附近.
- 这些集群与更高的人口密度,更年轻的女性,更高的中位收入,更多的研究生学位和更大的医疗保健可用性有关.
结论:
- 这项研究绘制了 hrHPV 感染的地理分布图,并确定了市级关键的相关上下文因素.
- 人口和社会经济预测因素可以指导公共卫生计划以针对特定人口和干预背景进行干预.
- 研究结果支持在高需要地区加强查策略,以改善与 hrHPV 相关疾病的预防和控制.
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